Summary
Overview
Work History
Education
Skills
Job Related Training
Certification
Timeline
Generic

Robyn Williams

Clinton,MD

Summary

Seasoned Professional Coder with 10+ years of experience in Outpatient coding. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Medical Case Coordinator

Transportation Security Administration
04.2015 - Current
  • Responsible for region 1 & 2 airports.
  • FMLA and FFD proficient.
  • Developed strong relationships with airport community.
  • Monitor employees progress and adjusted care plans accordingly.
  • Ensured accurate documentation of patient information, maintaining confidentiality and compliance with HIPAA regulations.
  • Managed complex cases involving multiple providers by effectively prioritizing tasks and maintaining clear lines of communication.
  • Audited charts and medication to check compliance.

Management Analyst

Department of Navy
07.2007 - 02.2014
  • Conduct quality assurance audits on medical records to verify the completeness and accuracy of codes to establish standards and compliance with outside regulatory agencies
  • Plan and coordinate the International Classification of Disease, 9th edition Clinical Modification(ICD-9-CM) and Current Procedural Terminology, 4th edition (CPT-4) coding and the DRG assignment of medical records.-Conducts daily supervisory operational functions as it relates to management and coordination among interrelated Healthcare Operations (M3) and Business Decision Support (M5) departments to ensure effective and efficient operation of services in accordance with command policies and procedures in support of the NCA strategic plans.-Exercise day-to-day management oversight of the Directorate, in support of the policies and guidance of the Director.-Develop plans for growth for each business unit and predict changes in coding and necessary resources at least once per year.-Collaborate with members of the HIMS Advisory Committee to develop, refine, and disseminate the Annual Coding Plans each year.-Functioning as the Co-Chairperson of several work groups, I approve agenda items, publish minutes, facilitate meetings, and follow-up with action items to make the necessary decisions and overcome any potential obstacles.-Knowledgeable of how to obtain, analyze, and interpret complex data sets from Military Health Systems (MHS) and produce actionable information for clinical, departmental, directorate and command use.-Coordinate and collaborate daily with DCOS or M3 Deputy to ensure the effective accomplishment of the command's mission.-Work well with decision-makers and team-mates in setting goals and defining the conditions of study projects, synthesizing team deliverables by preparing draft slides for DCOS, at Corporate Review Board meetings, and assigning BP Thresholds and Accumulation Forecasts for executive consideration.-Studies systems, processes, and operations, and helps identify the best course(s) of action within the context of limited resources utilizing the quantitative techniques of operations research.-Perform cost analyses and cost effectiveness studies, identifies most resource-effective procedures and product lines, determining which are provided internally or externally and analyzes financial impact of proposed policies/programs and recommend options.-Provide training and mentors as needed to ensure all members possess necessary management and organizational learning competencies
  • Guarantee that training mission resources are understood, developed, quantified, and supported for Business Assist Visits (BAV).

Medical Coding and Billing Instructor

Fortis College
09.2010 - 08.2012
  • Created, updated, managed, and implemented coding courses for approximately 500 customers.-Ensures continuous regulatory readiness with Joint Commission on the Accreditation of Hospital Organizations (JCAHCO), Inspector General, and HIPAA via strong participation in audits and/or compliance investigation with standards of practice and adhere to established policies, procedures and standards of care.-Employed working knowledge of International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).
  • Conducted routine meetings with the Director to provide assistance with planning, development of program curriculum.-Recommended remedial action to students to improve performance management processes when failing to meet standards.-Provided technical assistance and training to field representatives on coding initiatives.-Prepared and presented daily lesson plans utilizing a variety of supplementary resources such as International Classification of Disease, 9th Revision, Clinical Modification (ICD-9-CM), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS).-Plan and coordinate the International Classification of Disease, 9th edition Clinical Modification (ICD-9-CM) and Current Procedural Terminology, 4th edition (CPT-4) coding and the DRG assignment of medical records.-Instructed and provided support to students for a quality review of records for accuracy, diagnosis, complications, and secondary procedures.-Provided expertise and consultation to the Director on various ICD-9-CM, CPT-4, and DRG issues.-Perform adhoc studies and develop reports requested by the Dean
  • Studies include identification of student retention; reports listing the top four ICD-9-CM assignments; and reports listing the top ten CPT-4 and DRG assignments.-Coordinate and provide training for ICD-9-CM and CPT-4 coding guidelines and conventions, DRG requirements and regulations and various other guidelines that involve the processing of medical record data.-Consult and assist instructors in difficult decision making processes regarding classification of a specific disease entity.

Clinical Data Specialist

Kaiser Permanente
05.2002 - 07.2007
  • Conduct Quality Assurance audits and qualitative/quantitative review of medical record to verify the completeness and accuracy of diagnoses, operation, and special diagnostic and therapeutic procedure to established standards in compliance with outside regulatory agencies and Kaiser Permanente policies.-Participate in regular quality assurance activities by providing technical support for data collection and report compilation relative to ACDS coding.-Conduct on-going training sessions and routine feedback (oral and written) to providers and ancillary staff on the use of ACDS media forms and standard coding practices as it relates to revenue recovery principles and procedures for identification and billing.-Plan and coordinate the International Classification of Disease, 9th edition Clinical Modification (ICD-CM-9) and Current Procedural Terminology, 4th edition (CPT-4) coding and the DRG assignment of medical records.-Oversee and provide support to Kaiser medical clinics for a quality review of records for accuracy, diagnosis, complications, and secondary procedures.-Provide expertise and consultation to providers on various ICD-9-CM, CPT-4, and DRG issues affecting the production and coding issues involving Health Connect.-Perform adhoc studies and develop reports requested
  • Studies include identification of patients by diagnosis for pull list; reports listing the top four ICD-9-CM assignments; and reports listing the top ten CPT-4 and DRG assignments.-Extract data from various databases to provide input to the Physicians and coding staff.-Provide analysis and recommendations regarding sensitive and financial health care and operational data as requested.-Coordinate and provide training for ICD-9-CM and CPT-4 coding guidelines and conventions, DRG requirements and regulations and various other guidelines that involve the processing of medical record data.-Consult and assist physicians in difficult decision making processes regarding classification of a specific disease entity.

Education

Healthcare Management

Southern Illinois University

Health Information Technology

Prince Georges Community College

Skills

  • Insurance Coding (ICD-10 and CPT)
  • HIPAA Compliance
  • Organizational Skills
  • Healthcare Administration
  • Team Leadership
  • Records Management

Job Related Training

  • AHIMA-Approved ICD-10-CM/PCS Trainer
  • Certified Professional Coder (CPC) – American Academy of Professional Coders
  • Membership ID#: 00071445
  • Certified Professional Medical Auditor (CPMA) – American Academy of Professional Coders

Certification

  • CPC - Certified Professional Coder

Timeline

Medical Case Coordinator

Transportation Security Administration
04.2015 - Current

Medical Coding and Billing Instructor

Fortis College
09.2010 - 08.2012

Management Analyst

Department of Navy
07.2007 - 02.2014

Clinical Data Specialist

Kaiser Permanente
05.2002 - 07.2007

Healthcare Management

Southern Illinois University

Health Information Technology

Prince Georges Community College
Robyn Williams