YOLANDA Y. DAVIS
Coral Springs,FL
Summary
Committed and engaging Provider Educator/Auditor bringing exceptional skills and expertise in
medical coding and provider documentation integrity . Gifted in lecturing skills that meets the needs of all levels of education.
Overview
15
15
years of professional experience
Work History
Coding Educator
Meleeo Group
08.2023 - Current
- Consulted with physicians on documentation that was incomplete, inaccurate or required further diagnosis specification.
- Reviewed records and coding batches for accurate reporting and adherence to standards.
- Entered codes for Medicare, Medicaid and private insurance providers using office EMR system.
- Conducted billing and coding training for physician and medical staff which included current procedural or coding updates.
- Reviewed patient complaints on diagnosis or reimbursement changes and suggested appropriate solutions.
- Reviewed out-patient medical documents of diagnosis and procedures and assigned ICD-10, CPT, and HCPCS according to coding guidelines.
- Maintained highest patient confidentiality in accordance with HIPAA guidelines
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
Coder; Auditor
Overflow Partner
06.2018 - Current
- Review coded medical data and records to ensure accurate documentation
- Inspect documents carefully to reduce medical coding errors
- Collect and analyze data according to medical coding guidelines to prepare final audit reports
- Collaborate with health administrators and coding specialists to develop efficient processes
- train coding specialists on procedures and policies to ensure compliance documentation to identify diagnoses and procedures.
Denial Specialist Educator Auditor
Oxford
08.2021 - 09.2023
- Denials – Urology, Cardiology, Endocrinology
- Work denial to trend inappropriate coding or insufficient documentation
- Educate provider after retrospective audit and continue with focused audits after educating provider
- Follow compliance and regulatory guidelines.
- Maintained knowledge of insurance coverage benefit levels, eligibility systems and verification processes.
- Documented medical claim actions by completing forms, reports, logs and records.
Coder,Educator
Medirevv
02.2022 - 04.2023
- Multi-Specialty Profee and Surgical Coding: Outpatient – Urology, Cardiology, Nephrology and hospitalist, infectious disease and critical care
- Work denial to trend inappropriate coding or insufficient documentation
- Educate provider through prospective audits and do random audit to make sure providers are staying with in compliance following guidelines and making sure their documentation is meeting compliance and integrity
- Follow compliance and regulatory guidelines
- Production via WQ at 80 to 100 charts per day
- Maintains 98% Accuracy.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Generated reports to identify coding trends and discrepancies.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Trained and mentored junior coders to support growth and development and apply high-quality coding practices.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
INSTRUCTOR
BILLING, CODING, Altierus Career College
11.2018 - 04.2020
- Tracked student progress, frequently checking in with struggling students and identifying root causes of problems.
- Observed and adopted new techniques from skilled instructors and lecturers.
- Improved student performance by defining clear goals and communicating performance metrics.
- Promoted classroom safety, collaboration and best practices.
- Evaluated and revised lesson plans and course content to achieve student-centered learning.
- Increased student participation via engaging lectures and assignments.
INSTRUCTOR
CODING | Everest Institute
04.2012 - 01.2015
- Proudly, able to impart real-world knowledge and skills for Front Office operations, in the areas of scheduling, multi-line phone system, 10 key touch, Referrals, insurance benefits verifications, Coding, Billing and Collections and EOB analysis
- Emphasis on HIPAA, HITECH and Patient’s Bill of Rights Training
- Claim form analysis CMS1500, UB 04, ADA
- 400 Ledger cards EBO breakdowns
- Trained them with EHR system to include but not limited to Collaborated MD, MedTrak, Medi-Soft, Proficient with medical terminology Clinical skills
TRAINING ASSISTANT
California Medical College
01.2010 - 01.2011
- Assisted with doctor in clinic training of EKG, autoclave, and centrifuge operation and maintenance Gynecological and colonoscopy
- Set up medical anatomy and terminology Medical dosage and calculations, Pediatric care immunizations, Denver growth chart Knowledge of Snellen, Ishihara, Jaeger, Spirometry, peak flow meters
FRONT OFFICE COORDINATOR
Dr Barry Broomberg
01.2009 - 01.2011
- Worked in a high volume, fast-paced general practice, primarily working as front desk supervisor
- Scheduled and handled multi-line phone system, 10 key touch Referrals, insurance verifications
- Due to high patient billing and growing A/R I began assisting with collections which allowed me to utilize and master my skills by review and audit chart to make sure they were in compliance-maintained relationship with Insurance carries and patients
- Input data for account payable and account receivables
Education
Certifacation - Medical Billing And Coding
California Medical College
San Diego, CA2011
Skills
- medical codes
- medical terminology
- clinical documentation
- electronic medical records
- health care regulations
- data analysis
- attention to detail
- communication
- organization
- time management
Accomplishments
- Certified Professional Coder, CPC | 2016 - Current
- Certified Professional Coding Instructor, CPC-I |2018 - Current
- Certified by American Academy of Professional Coders (AAPC) | ID# 0152860
- Scope of Specialties
- PROFEE OP and IP: Primary Care, Internal Medicine, Family Practice, Pediatrics, Urology, ENT, Cardiology, Dermatology, Pain Management, Urgent Care, Emergency Dept, | SURGERY: General, Urology, baratric, ENT
- Systems
- Encoder Pro, 3M Encoder | 3M, EPIC, Cerner, Athena, GE Centricity, E-Clinical Works, Prognosis Collaborate MD, Prognosis, Patient Keeper | Proficient in MS Office, Word, Excel and PowerPoint
- Skill Summary
Timeline
Coding Educator
Meleeo Group
08.2023 - Current
Coder,Educator
Medirevv
02.2022 - 04.2023
Denial Specialist Educator Auditor
Oxford
08.2021 - 09.2023
INSTRUCTOR
BILLING, CODING, Altierus Career College
11.2018 - 04.2020
Coder; Auditor
Overflow Partner
06.2018 - Current
INSTRUCTOR
CODING | Everest Institute
04.2012 - 01.2015
TRAINING ASSISTANT
California Medical College
01.2010 - 01.2011
FRONT OFFICE COORDINATOR
Dr Barry Broomberg
01.2009 - 01.2011
Certifacation - Medical Billing And Coding
California Medical College
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