Tenika Powell
@tenikapowell
Health Information Management professional at NAVITUS who reviewed specialty prescription requests and resolved clinical data discrepancies.
United StatesWhat I'm looking for
At NAVITUS, I evaluated medical records, clinical progress notes, and specialty prescription requests against Medicaid and commercial insurance guidelines. I also processed prior authorization documentation and resolved clinical data discrepancies between providers, pharmacists, and payers.
At FREEDOM MORTGAGE, I conducted quality assurance audits of complex documentation, checking data integrity, policy adherence, and regulatory compliance. I documented and analyzed discrepancies in records to help mitigate risk and improve auditing protocols.
At STARTEK and KELLY BENEFITS, I reviewed health data and documentation, verified insurance eligibility, and audited member accounts for compliance. I’m preparing for the AHIMA Certified Coding Specialist exam and seeking a remote Medical Coding or HIM Specialist position.
Experience
Work history, roles, and key accomplishments
Prior Authorization Specialist
Navitus
Mar 2025 - Feb 2026 (11 months)
Evaluated medical records and specialty prescription requests to verify medical necessity against insurance guidelines. Processed prior authorization documentation and maintained HIPAA compliance.
Technical Support & Documentation Specialist
Startek
Jul 2024 - Dec 2024 (5 months)
Audited and logged detailed system interactions and health data with high precision. Specialized in reviewing documentation and streamlining electronic workflows.
Insurance Documentation Specialist
Kelly Benefits
Jul 2023 - Feb 2024 (7 months)
Managed high-volume health insurance records, verifying coverage eligibility and claims documentation. Applied insurance guidelines and billing terminology to audit member accounts for compliance.
Quality Assurance Auditor
Freedom Mortgage
Conducted quality assurance audits of complex documentation, verifying data integrity and regulatory compliance. Identified discrepancies and non-compliance trends to improve auditing protocols.
Education
Degrees, certifications, and relevant coursework
AHIMA
Certified Coding Specialist (CCS), Health Information Management
Pursuing Certified Coding Specialist (CCS) certification, with target completion by April 2027 and eligibility for a 6-month hire window.
Ultimate Medical Academy
Coursework, Health Information Management
Completed Health Information Management coursework covering medical terminology, diagnostic and procedural coding, EHR systems, healthcare law, and health data systems.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Salary expectations
Job categories
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