Vicky Day Manley

Vicky is a registered nurse and certified biller and coder with 18+ years of experience as a RAPS Nurse Coordinator, Principal Health Underwriter/Supervisor, SR coding analyst, Nursing Coordinator Specialty Services. She is proficient in coding, utilization review, quality reviews, as well as auditing and has been awarded ‘the underwriter of the year 2004’; her specialties are Obstetrics and Gynecology billing.

A self-motivated, responsible individual with strong communication skills, extensive medical experience, and strong management skills, she has held the following key positions:

• Instructor of Medical Assistants, Billing and Coders  
• Coordinate and monitor the risk adjustment data (RAPS) for submission to the CMS; perform comprehensive reviews and audits, to produce recommendations for upper management; started this department from the scratch to 3 full time nurses, 2 part time nurses, 1 coder, 1 support technician
• Supervision of the Individual Health Underwriting Technicians (3) a Misrepresentation Technician, and Misrepresentation Health Underwriters (4); developed policies and procedures for the Underwriting and Misrepresentation Department including new recruitments; worked directly with Legal on Misrepresentation Cases by responding to all DOI/TDCI complaints, assist with Special Projects as needed, act as area clinical expert
• Cross trained for MED/SURG, OB/GYN and Nursery; surgical assistant and circulator for all OB/GYN cases done at Women’s Center; Chart Auditor for the entire Women’s Center for QA (Quality Assurance), and the implementation of CQI (Continuous Quality Improvement), served on Career Ladder Council
• Assisted in writing protocols, policies, and procedures for Labor and Delivery
• Charge Nurse after 1 ½ years experience