SHATIQUA HIGHTOWER
Naperville
Summary
Results-driven healthcare administrative professional with experience analyzing medical records, validating insurance coverage, and supporting healthcare documentation processes. Knowledgeable in medical terminology, reimbursement guidelines, and coding fundamentals including ICD-10-CM and CPT. Currently completing CBCS certification to further strengthen coding accuracy and compliance expertise. Dedicated to contributing to efficient revenue cycle management in a remote billing and coding role.
Overview
22
22
years of professional experience
Work History
Clinical Documentation Specialist
State Contracted Healthcare Agency 988 Suicide & Crisis LifeLine (Remote)
Naperville, IL
02.2020 - 10.2025
- Conducted structured behavioral health intake assessments while ensuring accurate documentation of clinical information in electronic health record (EHR) systems.
- Reviewed caller-reported symptoms, mental health history, and risk factors to properly categorize and abstract clinical data in alignment with standardized healthcare terminology.
- Applied knowledge of medical terminology, DSM-related behavioral health concepts, and healthcare documentation standards to ensure precise case classification.
- Maintained detailed electronic records to support reimbursement eligibility, grant reporting, and compliance with federal and state healthcare guidelines (HIPAA compliant).
- Verified insurance coverage and demographic data when applicable to determine service qualification and funding eligibility.
- Utilized data tracking systems to ensure correct service coding categories for crisis intervention, safety planning, and referral services.
- Collaborated with clinical supervisors and healthcare teams to ensure documentation integrity and quality assurance standards were met.
- Performed case audits to validate completeness, accuracy, and regulatory compliance of recorded encounters.
- Managed high-volume remote workflow while maintaining strict confidentiality and data security protocols.
Account Service Representative
PG&E (Remote)
04.2011 - 09.2018
- Maintained and updated customer utility accounts, including service transfers, start/stop requests, and rate changes in accordance with company policies and regulatory standards.
- Reviewed and analyzed account activity to resolve billing discrepancies, usage variances, and service-related issues.
- Processed payment arrangements, extensions, and account adjustments while ensuring adherence to compliance guidelines.
- Interpreted tariff rules, rate structures, and energy service policies to provide accurate account resolution.
- Coordinated with internal departments (billing, field operations, credit, and compliance teams) to ensure timely and accurate account processing.
- Documented account activity and case resolutions in internal systems to maintain audit-ready records.
- Assisted with outage notifications, service order processing, and account escalations when necessary.
- Ensured data accuracy and confidentiality in alignment with company and regulatory requirements.
Health Data Documentation Specialist
NORC at the University of Chicago-CDC National Immunization Survey Project
Chicago, IL
01.2004 - 01.2009
- Conducted structured health interviews to collect and verify childhood and adolescent immunization records.
- Coordinated with medical providers to confirm vaccine administration dates and dosage documentation.
- Reviewed medical terminology and vaccination data for accuracy and completeness.
- Entered and maintained confidential patient health information in compliance with HIPAA standards.
- Assisted in quality assurance processes to support national immunization reporting for the CDC.
Education
M.D. - Health Administration
Capella University
Minneapolis, MN12-2020
Bachelor of Science - Business Management
Western International University
Phoenix, AZ10-2011
Certificate - Certified Billing And Coding Specialist (CBCS)
Penn Foster College
Scottsdale, AZ10-2026
Skills
- Reviewed and analyzed patient medical records to ensure documentation accurately reflected clinical conditions, severity of illness, and services rendered
- Interpreted provider documentation including history and physicals, progress notes, diagnostic reports, operative reports, and discharge summaries to support complete and compliant coding
- Applied knowledge of ICD-10-CM, CPT, and HCPCS guidelines to validate diagnosis specificity and procedural accuracy while maintaining compliance with federal regulations and payer policies
- Performed detailed chart abstraction to ensure clinical documentation supported medical necessity, appropriate reimbursement, and accurate representation of patient acuity
- Identified documentation inconsistencies, incomplete diagnoses, and missing specificity that could impact code assignment or claim integrity
- Maintained strict HIPAA compliance while handling protected health information (PHI) across multiple healthcare documentation systems
- Collaborated with interdisciplinary teams to clarify documentation elements and improve record completeness and accuracy
- Assisted in quality review processes to ensure documentation aligned with CMS regulations and organizational standards
Timeline
Clinical Documentation Specialist
State Contracted Healthcare Agency 988 Suicide & Crisis LifeLine (Remote)
02.2020 - 10.2025
Account Service Representative
PG&E (Remote)
04.2011 - 09.2018
Health Data Documentation Specialist
NORC at the University of Chicago-CDC National Immunization Survey Project
01.2004 - 01.2009
M.D. - Health Administration
Capella University
Bachelor of Science - Business Management
Western International University
Certificate - Certified Billing And Coding Specialist (CBCS)
Penn Foster College
AREAS OF EXPERTISE
- Medical Terminology Proficiency
- ICD-10-CM & CPT Code Familiarity
- Insurance Eligibility & Benefits Verification
- Medical Documentation Review
- Healthcare Compliance & HIPAA Standards
- Claims Processing & Reimbursement Procedures
- Electronic Health Records (EHR) Systems
- Revenue Cycle Fundamentals
- Data Accuracy & Record Abstraction
- Regulatory & Policy Adherence