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Tegina Williams

@teginawilliams

Experienced Clinical Review Analyst with expertise in Inpatient Coding.

Zimbabwe

What I'm looking for

I am looking for a role that values accuracy and offers opportunities for professional growth in coding and compliance.

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

CA

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.

WE

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.

NS

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.

UH

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.

HS

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

MG

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 logoFU

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 logoAU

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

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Tegina Williams - Inpatient Coder - Coder Advance | Himalayas