Tegina Williams
@teginawilliams
Experienced Clinical Review Analyst with expertise in Inpatient Coding.
What I'm looking for
I am a CCS Certified professional with over 12 years of experience in Inpatient Coding, DRG Validation, and Appeals Denials Management. My background includes working in high-volume hospitals, including Level I and II Trauma Teaching facilities, where I have honed my skills in coding compliance and quality auditing.
Throughout my career, I have successfully led teams in coding accuracy and compliance, achieving a 98% accuracy rate in monthly audits. My educational background includes a Master of Science in Business Management and a Bachelor’s in Information Systems, which complements my technical skills in various coding software and systems. I am passionate about improving healthcare documentation and reimbursement processes, and I thrive in environments that challenge my analytical abilities.
Experience
Work history, roles, and key accomplishments
Inpatient Coder
Coder Advance
Feb 2009 - Mar 2025 (16 years 1 month)
Performed inpatient coding for trauma level I and II teaching facilities with over 600 beds. Responsibilities included auditing medical records, preparing appeals for insurance denials, and ensuring compliance with coding guidelines. Achieved a coding accuracy rate of 98% on monthly audits.
Appeals Denials Analyst
WellStar
Jan 2019 - Jan 2020 (1 year)
Conducted research and prepared rebuttals for insurance denials. Reviewed and validated denial reasons, ensuring accurate coding in the DCM system. Escalated unresolved appeals and followed payer guidelines for submission.
SMART Auditor
Northwell Hospital System
Oct 2018 - Jan 2019 (3 months)
Responsible for focus and quality reviews of inpatient charts at a large trauma and teaching facility. Conducted compliance audits and validated coding accuracy for various medical specialties.
Clinical Documentation Specialist
UNC REX HOSPITALS
May 2018 - Nov 2018 (6 months)
Performed concurrent coding and clinical documentation improvement reviews for inpatient medical records. Collaborated with physicians to enhance documentation quality and ensure accurate DRG assignment.
Inpatient Coding Specialist
HIMAGINE Solutions
Oct 2017 - May 2018 (7 months)
Conducted inpatient coding for trauma level I hospitals, focusing on various medical specialties. Reviewed and validated coding for accuracy and compliance with billing standards.
Education
Degrees, certifications, and relevant coursework
Midwest Education Group
Professional Certificate, TESOL
2012 - 2014
Completed an International TESOL Professional Certificate program, focusing on teaching English to speakers of other languages.
Full Sail University
Master of Science, Business Management
2008 - 2010
Completed a Master of Science degree with a concentration in Business Management, focusing on advanced business strategies and management principles.
American Intercontinental University
Bachelor of Arts, Business, Management, Information Systems
2005 - 2007
Earned a Bachelor of Arts degree in Business with a concentration in Management and Information Systems, emphasizing the integration of technology in business processes.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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