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SIMONE WILLIAMS

Marietta, GA
(863)547-7447
www.simonewill7@gmail.com

PROFESSIONAL PROFILE
Seasoned coder with over 9 years of certified coding experience. Recent experience includes 7 years of
compliance auditing of providers and coders. Specialize in OPTUM CAC implementation coding
acquisition projects. Provided training of quality coding producing a 95-100% quality coding rate
within 30 days.

WORK EXPERIENCE EDUCATION


Remote Implementation Auditor University of Cincinnati
01/2014-05/2016 Health Information
United Healthcare/OPTUM 360 Technology-RHIA
January 2014-present
Remote
Anticipated graduation date-
Specialized in project managing of coding and auditing for
05/2017
acquisition projects of OPTUM CAC implementation. Managed
and audited 25-30 onshore and offshore surgery and outpatient American Academy of
coders producing a 95-100% coding quality of all outpatient Professional Coders
coding. Contributing journalist for company coding newsletter. Certified Professional Coder
10/2006-07/2016
Travel/Remote HIM Consultant
02/2013 to 01/2014 NAMAS ACADEMY
KFORCE CPMA BOOTCAMP
Tampa, Florida 09/2016
Audited and coded outpatient and inpatient hospital stays, same
day surgeries and specialty office visits. Traveled to work as
interim coding manager on several site hospitals until position
could be filled locally. Established an organized coding process
for productivity and quality coding of inpatient and outpatient
hospital accounts.

Clinical Documentation Auditor


08/2012-02/2013
Medicare Advent Government Services
Ft Meade, Maryland
Audited and reviewed 2nd and 3rd level appealed office and
surgical claims for appropriate Medicare provider documentation
per CMS guidelines for payment. Answered incoming calls for
help of NCCI edits from Medicare providers.
Compliance Auditor
08/2011 to 05/2012
University of MD Medical Center
Baltimore, MD
Created provider documentation audits identifying areas where
revenue can be increased. Instructed education classes in Coding,
Anatomy & Physiology, Compliance and Medicare Guidelines.
Contributing author for coding Q & A newsletter.

Senior Coder
05/2009-05/2011
Arnold Palmer Children's Hospital
Orlando, FL
Assigned ICD-9, CPT and E/M codes for 21 different Pediatric
Specialty offices on hospital campus. Organizes claims analysis
projects researching coding and underpayment trends. Organized
AAPC CEU seminars for coding staff.

RAD ONCOLOGY CODER


11/2007 to 05/2008
Florida Oncology Network
Orlando, FL
Assigned radiation treatment CPT and ICD-9 codes for inpatient
and outpatient oncology patients.

Contract Provider Vendor


10/2004 to 11/2007
North Carolina Dept. of Health-Medicaid
Raleigh, NC
Traveled statewide to different provider offices to audit claims
and teach billing methods for submission of claims under CMS
guidelines. Processed and reviewed claims for payment to
provider.

CODING AUDITING SKILLS IT PROGRAMS

Evaluation & Management Retrospective Coding EPIC



Emergency Medicine Prospective Coding CERNER/CITRIX

Surgery Provider Documentation Audit MEDITECH

Pediatric Specialties Audit Creation/Presentation GE CENTRICITY

Pulmonary, GI, Neurosurgery, COMPLIANCE AUDIT SAS/SQL