Deborah Davis Email & Phone Number

United States

QA & Auditor

Beaumont, Texas

Work as a Medical Billing and Coding SpecialistEnsure compliance with medical coding policies and guidelines; understand the application of each code setMaintains current knowledge regarding coding and diagnostic proceduresWork towards compliance in all aspects of coding, participate in compliance activities as requested, and conduct/participate in coding reviews and education, as requestedMaintain practice management system by entering accurate data, verify and update insurance and claim information, handle carrier correspondence, manage EOBs, and key payments received into the systemPrepare, review, submit, and follow up with clean claims Collect, post, and manage patient account paymentsInvestigate rejected claims to see why denials were issued and correct claimsFacilitate swift payment of invoices due to the organization by sending patient invoices, billing reminders, and making collection calls on outstanding balances as directed by supervisorFollow HIPPA guidelines when accessing and sharing patient information

Nederland, Texas, United States

Protect the security of medical records to ensure that confidentiality is maintainedReview records for completeness, accuracy, and compliance with regulationsAssign the patient to diagnosis-related groups (DRGs) using appropriate computer software Transcribe medical reportsRelease information to persons or agencies according to regulationsPost medical insurance billingsPrepare invoices, reports, memos, letters, financial statements, and other documentsPerform general office duties, such as ordering supplies and maintaining records management database systems

Nederland, Texas, United States

Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; entered diagnosis codes and patient information into billing softwareEntered information necessary for insurance claims such as patient name, insurance ID, diagnosis and treatment codes and modifiers, and provider informationEnsured claim information was complete and accurateSubmitted insurance claims to individual insurance companiesAnswered patient questions on patient responsible portions, copays, deductibles, write-offs, etc.Followed up with insurance company on unpaid and rejected claimsPrepared appeal letters to insurance carriers when not in agreement with claim denials and collected necessary information to accompany appealPrepared patient statements for charges not covered by insurance and ensured statements were mailed on a regular basisWorked with patients to establish payment plan for past due accounts in accordance with provider policiesProvided necessary information to collection agencies for delinquent and past due accountsPosted insurance and patient payments using medical claim billing softwareVerified patient benefits and eligibility coveragePrepared and handled referralsFollowed HIPPA guidelines in handling patient information

Nederland, Texas, United States

Provided support to health care staff and ensured appropriate maintenance of patient care Provided assistance to all nurses and ensured appropriate cleanliness of all unitsMaintained and updated patient database and notified nursing staff on all diagnosesCoordinated with various departments and ensured proper services and supplies of unitProvided assistance to nurses and guided patients in and out of unitPrepared and updated patient charts with ancillary reports and forms from various departmentsMaintained discharge summary reports for all patients and maintained records of all patientsMonitored inventory of supplies and equipmentAdministered medical records for all physicians and medical staff and maintain records of attendanceMaintained records of doctor chartsMonitored all emergency calls and evacuated facilities when requiredEvaluated patient charts to ensure compliance safety policies and proceduresEnsured compliance to all safety policies and procedures for hospital staff

Certificate Of Completion, Medical Insurance Coding Specialist/Coder

Associate Of Science - As, Health Information/Medical Records Administration/Administrator