Shaliah Williams
Cleveland
Summary
Dedicated and detail-oriented newly certified medical coder seeking leverage comprehensive knowledge of medical terminology, coding procedures, and healthcare documentation in a fast-paced healthcare environment. Looking to contribute to improving coding accuracy and reimbursement for a reputable organization.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Medical Bill Processor
Sedgwick CMS
09.2025 - Current
- Keys pre-coded billing data into the system.
- Identifies and forwards complex bills to claims examiners.
- Codes provider bills in accordance with claims management system notes and state guidelines.
- Follows workers compensation/auto guidelines to evaluate the services.
- Compares qualifications of service provider with service provided.
- Involved in system maintenance/file maintenance and interface with IT department.
- Assists in account batching and distribution of incoming and outgoing mail.
- Answers customer service calls from providers, clients and claims examiners.
Clinical Data Abstractor- PRN
Datavant
04.2025 - Current
- Extracting, analyzing, and summarizing data from medical records.
- Collecting and compiling data from various sources, such as electronic medical records and paper documents, to ensure the accuracy and completeness of the information.
- Ensure the accuracy, completeness, and quality of the data, which is crucial for informed decision-making and improving patient care.
- Telecommuter, OH
ADA Accommodation Coordinator
Sedgwick CMS
02.2025 - 09.2025
- Informs claimants of documentation required to process claims, required time frames, and claims status either by phone, written correspondence and/or claims system.
- Reviews medical information to determine if the claimant meets the requirements under ADA, state, and/or client requirements for a qualifying condition.
- Makes claim determinations to approve non-complex ADA claims or makes a recommendation to team lead to deny claims based on the ADA, state, and/or client requirements. Processes ADA claims ensuring compliance with duration control guidelines, ADA and state regulations, and/or client-specific process provisions.
- Determines accommodation options; makes timely claims referrals for appropriate disability or federal/state leave of absence eligibility reviews where applicable.
- Conducts initial employee interview per process guidelines.
- Utilizes the appropriate clinical and vocational resources in case assessment (i.e. duration guidelines, in-house clinicians, ADA job accommodation specialists).
- Telecommuter, OH
Leave of Absence Coordinator
Sedgwick CMS
07.2023 - 02.2025
- Establishes FMLA claims; tracks and codes documentation in accordance with internal workflow processes.
- Analyzes FMLA claims to determine eligibility and certification in compliance with state and federal regulations.
- Identifies action plan; determines benefits due; and makes timely case decisions based on service expectations as established by the client.
- Communicates decisions and on-going expectations with claimants and clients.
- Telecommuter, OH
Service Center Representative
Sedgwick CMS
02.2022 - 07.2023
- Acts as primary liaison with callers; follows client specifications in assisting with questions and solving problems related to the claims application and servicing processes.
- Educates and informs the customer via multiple communication channels about documentation required to process a claim, required time frames, payment information, and claim status.
- Educates claimants/callers on client requirements and benefit plans documenting all required details of the call in a concise professional manner.
- Enters verbal and written application information that meets both the internal and external customer’s requirements accurately into the claims management system.
- Assigns new claims to the appropriate claims handler.
- Directs customer calls to the appropriate contact at multiple locations or escalates to Service Center Specialist/management as needed.
- Telecommuter, OH
Education
Associate of Applied Science Degree - Health Information Management Technology
Cuyahoga Community College District
Cleveland, OH05.2028
Certification - Comprehensive Medical Coding
Cuyahoga Community College District
Cleveland, OH10.2023
High School Diploma - undefined
Cleveland School of Science And Medicine at John Hay
Cleveland, OH05.2014
Skills
- Proficient in ICD-10-CM, CPT and HCPCS coding
- Strong attention to detail and accuracy
- Data entry
- Knowledge of medical terminology, anatomy and physiology
- Excellent communication and organizational skills
- Customer service
- Insurance claims processing
- Claims processing
- HIPAA compliance
- Medical billing
- Medical record abstraction
- Problem-solving
Certification
Certified Professional Coder Apprentice (CPC- A) - American Academy of Professional Coders (AAPC).
Timeline
Medical Bill Processor
Sedgwick CMS
09.2025 - Current
Clinical Data Abstractor- PRN
Datavant
04.2025 - Current
ADA Accommodation Coordinator
Sedgwick CMS
02.2025 - 09.2025
Leave of Absence Coordinator
Sedgwick CMS
07.2023 - 02.2025
Service Center Representative
Sedgwick CMS
02.2022 - 07.2023
Certification - Comprehensive Medical Coding
Cuyahoga Community College District
High School Diploma - undefined
Cleveland School of Science And Medicine at John Hay
Associate of Applied Science Degree - Health Information Management Technology
Cuyahoga Community College District