Debbie Blair
Surprise,Arizona
Summary
Dedicated healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Director of Quality and Coding
Ilumed
02.2023 - 03.2025
- As the Director I was responsible for ensuring the coding team compliance with industry standards and regulations
- I also oversaw the development and maintenance of the standard operating procedures SOP's, led internal coding audits, provided training and support to all coders/auditors, and monitored performance metrics and provided regular reports to senior management
- I regularly conducted internal audits to identify areas of improvement within the Coding/Auditor team while also maintaining production quality and correcting defects which resulted in improved accuracy and productivity
- I also created reports for data analysis pertaining to coding accuracy, workflow management, and provider data, as well as creating and presenting training and support to providers for documentation improvement customized for each provider resulting in documentation improvement
Senior Risk Adjustment Administrative Professional
Humana
01.2022 - 01.2023
- I was responsible for but not limited to creating and presenting data analysis to provider groups, identifying deficits and gaps in care, providing measurable, actionable solutions to providers that resulted in improved accuracy of documentation and coding, and adoption of best practices.
- Analyzing data and creating presentations for provider groups to improve documentation outcomes
- Facilitated presentations and trained physicians and other staff regarding documentation improvement
Medical Coder-Lead
Humana
08.2012 - 01.2022
- As the coding Front Line Leader, I was responsible for hiring, training, and developing new coding associates in the Medicare Risk Adjustment Department
- I was also responsible for daily productivity tracking, assigning the work load to coders, and overseeing special projects
- My duties included but were not limited to: Monthly One on One coaching sessions with my team & other associates within my department, conducting internal coding audits, participating in weekly leadership meetings, collaborating with the Education team to prepare customized education plans for our providers, daily monitoring of quality and quantity of workflow, review and respond to coding denials report.
- Raised coding accuracy from team average of 94% to 97%
Skills
- Workflow management
- Regulatory guidelines
- HIPAA compliance
- Data/Reporting analytics
- Coding error resolution
- Provider Education/Presentation
- ICD-10 coding
- Standard operating procedures
- Team management
- Multitasking Abilities
- Excellent communication
- Administration and reporting
Certification
- Certified Professional Coder (CPC), American Academy of Professional Coders (AAPC)
- Certified Outpatient Coder (COC), American Academy of Professional Coders (AAPC)
- Certified Risk Adjustment Coder (CRC), American Academy of Professional Coders (AAPC)
Timeline
Director of Quality and Coding
Ilumed
02.2023 - 03.2025
Senior Risk Adjustment Administrative Professional
Humana
01.2022 - 01.2023
Medical Coder-Lead
Humana
08.2012 - 01.2022
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