Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

DOLITHA WALAS

Woodstock,GA

Summary

Accomplished documentation specialist with expertise in regulatory compliance and quality assurance. At RX Medical, consistently achieved high accuracy in medical claims audits, leveraging skills in ICD-10/11 coding and data validation. Proficient in maintaining confidentiality and fostering cross-functional collaboration to enhance process efficiency and reduce claim denials by 20%.

Overview

35
35
years of professional experience
1
1
Certification

Work History

Medical Claims Documentation Specialist / Records Auditor

RX Medical
Remote
12.2022 - Current
  • Review and audit patient, provider, and insurance documentation for accuracy, completeness, and regulatory compliance
  • Process and validate medical claims using ICD-10 and ICD-11 codes within HIPAA-compliant systems
  • Identify documentation errors, discrepancies, and missing data; implement corrections to reduce claim denials
  • Reconcile payments and maintain accurate financial and claims records
  • Ensure documentation meets payer, regulatory, and internal audit standards
  • Maintain strict confidentiality of sensitive medical and insurance information
  • Consistently achieve high accuracy and quality metrics in documentation review

Compliance & Documentation Auditor (Internal Role)

Fro Butter
Atlanta, USA
03.2020 - 01.2022
  • Audit internal documentation related to production batches, inventory records, customer orders, and shipping logs
  • Maintain controlled digital records to ensure documentation accuracy, consistency, and traceability
  • Review inventory and order documentation for discrepancies and initiate corrective actions
  • Ensure internal processes align with quality and operational compliance standards
  • Maintain audit-ready documentation using Shopify and CRM platforms
  • Protect sensitive customer and business records through secure documentation practices
  • Resolve documentation inconsistencies and support internal record reviews

Project Coordinator

Verint Systems
Alpharetta, USA
05.2016 - 03.2020
  • Maintained detailed project documentation, schedules, and compliance records for enterprise implementations
  • Supported audit trails by tracking approvals, changes, and project milestones
  • Ensured documentation accuracy and adherence to governance standards
  • Coordinated cross-functional teams to maintain documentation alignment with project requirements

Quality Manager / QA Auditor

Adtech Global
Alpharetta, USA
08.2012 - 05.2015
  • Conducted internal quality and documentation audits for hardware and software deployments
  • Maintained QA records to ensure compliance with technical and client standards
  • Identified non-conformities and implemented corrective actions
  • Supported audit readiness through structured documentation controls

Internal Lead Auditor | QA Technician | Team Leader

Polychrome (Kodak)
Columbus, USA
07.1991 - 08.2012
  • Led ISO 9001 internal audits, ensuring compliance with quality management standards
  • Reviewed and validated production, calibration, and quality documentation
  • Developed and documented corrective action plans to address audit findings
  • Maintained audit documentation to support certifications and regulatory reviews
  • Trained staff on documentation standards, audit procedures, and compliance requirements

Education

Master of Science - Network Management & Communications

Keller School of Management
Atlanta, GA
12-2011

Bachelor of Science - Computer Science

Troy University
Montgomery, AL
06-2007

Diploma - Computer Repair

Columbus Technical College
Columbus, GA
06-2003

Skills

  • Document Auditing & Records Review
  • Regulatory & Policy Compliance
  • Healthcare Documentation Audits
  • HIPAA Compliance
  • ISO 9001 Internal Audits
  • Quality Assurance (QA)
  • Audit Trail Maintenance
  • Corrective Action Plans (CAPA)
  • Data Accuracy & Validation
  • Risk Identification & Error Resolution
  • Confidential Records Management
  • Process & Documentation Improvement
  • Inovalon
  • CareLogic
  • ICD-10 & ICD-11 Coding Validation
  • Electronic Health Records (EHR)
  • Shopify
  • CRM Systems
  • Microsoft Word
  • Microsoft Excel
  • Microsoft Outlook
  • Microsoft Access
  • Digital Documentation & Reporting Systems

Certification

  • Medical Billing & Coding Certification (ICD-10 & ICD-11)
  • IBM Technical Support Certificate
  • AWS Cloud Practitioner - In Progress

Timeline

Medical Claims Documentation Specialist / Records Auditor

RX Medical
12.2022 - Current

Compliance & Documentation Auditor (Internal Role)

Fro Butter
03.2020 - 01.2022

Project Coordinator

Verint Systems
05.2016 - 03.2020

Quality Manager / QA Auditor

Adtech Global
08.2012 - 05.2015

Internal Lead Auditor | QA Technician | Team Leader

Polychrome (Kodak)
07.1991 - 08.2012

Master of Science - Network Management & Communications

Keller School of Management

Bachelor of Science - Computer Science

Troy University

Diploma - Computer Repair

Columbus Technical College
DOLITHA WALAS