Anna Simoneaux
Rayne
Summary
Detail-oriented and analytical Health Information Management professional with strong expertise in medical documentation review, insurance benefits understanding, prior authorization preparation, and payer compliance requirements. Experienced in verifying accuracy of patient information, reviewing records for medical necessity, identifying missing clinical documentation, and supporting authorization workflows. Skilled in ICD-10-CM/PCS, CPT, HCPCS, Medicare/Medicaid rules. Adept at workflow optimization, digital record organization, and maintaining high accuracy in fast-paced environments. Calm, patient, and highly professional communicator with a strong commitment to compliance and data integrity.
Overview
1
1
year of professional experience
1
1
Certification
Work History
HIM Intern
Hospice of Acadiana
Lafayette, Louisiana
04.2024 - 05.2024
- Digitized and indexed 300+ patient records into the electronic health record system, improving chart retrieval efficiency by 50%.
- Performed high-accuracy data entry and documentation verification to ensure patient information was complete and accessible for clinical and billing workflows.
- Reviewed patient records for documentation completeness to support downstream processes including coding, billing, and insurance review.
- Developed HIPAA-compliant privacy documentation procedures for the HIM department
Project Operations Intern
Bureau of Community Preparedness
Baton Rouge, Louisiana
03.2024 - 04.2024
- Created project tracking spreadsheets and dashboards that improved project efficiency by 20%.
- Documented project meetings, action items, and deliverables to ensure accountability and on-time completion of tasks.
- Aggregated and analyzed regional project completion data from 12 team leaders, transforming complex information into clear performance dashboards that improved communication and project transparency across teams.
Medical Coding Intern
Our Lady of Lourdes
Lafayette, Louisiana
02.2024 - 03.2024
- Reviewed 50+ outpatient surgical charts weekly to verify 48-hour History & Physical compliance and medical necessity documentation, cross-checking provider notes, diagnoses, and clinical indicators to support coding, billing, or authorization requirements.
- Verified patient demographic and insurance data in HER to ensure clean and accurate entries for downstream billing/authorization process.
- Conducted research using coding guidelines and reference resources to support accurate assignment of ICD-10-CM diagnosis codes and CPT procedure codes, assisting coding staff in ensuring compliance with documentation and payer requirements.
- Coordinated with provider offices to obtain corrected or missing documentation, clarifying requirements for billing, coding, or authorization needs ensuring records met billing, coding, and prior authorization requirements and preventing delays in claim submission.
HIM Clerk Intern
Acadian Medical Center
Eunice, Louisiana
06.2023 - 07.2023
- Scanned and indexed patient documentation into the EHR system for accurate chart completion, increasing chart completion rates by 40%
- Verified scanned medical record images for quality and legibility, ensuring documentation was properly indexed in the EHR and accessible for clinical review, coding, and billing processes
- Observed and participated in MS-DRG assignment research, reviewing documentation and coding guidelines to understand DRG classification and understanding.
Education
Bachelor of Science - Health Information Management, Health Informatics
University of Louisiana At Lafayette
05-2024
Skills
Prior Authorization Support
Insurance Verification
Medical Necessity Review
Clinical Documentation Review
Medical Chart Auditing
ICD-10-CM Diagnosis Coding
CPT Procedure Codin
Electronic Health Records (EHR)
Healthcare Revenue Cycle Processes
HIPAA Compliance & Patient Privacy
Microsoft Excel (Data Tracking & Reporting)
Data Analysis & Pattern Recognition
Documentation Deficiency Resolution
Patient Demographic Verification
Cross-Team Communication
Attention to Detail & Data Accuracy
Written and Verbal Communication
Empathy
Certification
- Registered Health Information Administrator (RHIA)
- American Health Information Management Association (AHIMA)
- Strong understanding of understanding of documentation standards, payer rules, and billing compliance
Languages
English
Native or Bilingual
Timeline
HIM Intern
Hospice of Acadiana
04.2024 - 05.2024
Project Operations Intern
Bureau of Community Preparedness
03.2024 - 04.2024
Medical Coding Intern
Our Lady of Lourdes
02.2024 - 03.2024
HIM Clerk Intern
Acadian Medical Center
06.2023 - 07.2023
Bachelor of Science - Health Information Management, Health Informatics
University of Louisiana At Lafayette