TENISHA M. WILLIAMS
Pleasanton
Summary
Achieved significant improvements in cost control and patient care quality through effective data analysis and interpretation. Delivered insightful research and analytical reports that influenced health care management decisions. Leveraged data to support strategic initiatives and optimize decision-making processes.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Data Analyst Consultant III
Kaiser Permanente
Pleasanton, California, United States
01.2011 - Current
- Managed patient record oversight to enhance accuracy of hospital case mix index national comparisons and physician profiles.
- Facilitated training sessions for physician and clinical team on coding clinic updates, focusing on MCC and CC changes and DRG system to improve coding precision.
- Facilitated improved communication among case managers, physicians, clinicians, and departments to ensure seamless access to quality care.
- Ensured compliance with CMS standards for accurate DRG classification to enhance documentation integrity and reduce associated risks.
- Employed medical computer software to enter and edit diagnosis and procedure codes, enhancing patient care quality.
- Applied coding standards to ensure accurate provider charges and compliance of medical record documentation.
- Collaborated with physicians to enhance clinical documentation quality, facilitating precise representation of illness severity, expected mortality risk, and care complexity.
- Conducted timely reviews of targeted medical records within 48 hours to uphold compliance with documentation standards, enhancing quality of care.
- Evaluated and modified policies to enhance employee satisfaction and minimize turnover rates.
- Maintained organizational ethics and integrity by protecting assets, reporting non-compliance, and adhering to relevant laws and regulations.
Disaster Recovery Specialist
Small Business Administration (Customer Service Center)
Suisun, California, United States
01.2021 - 2025
- Oversee email management by drafting responses to inquiries received through SBA's disaster customer service mailbox, fostering a sense of trust between the sender and the recipient.
- Automate the online payment process for borrower payments to increase reliability, and reduce time, effort, and cost while reducing manual errors.
- Employ computer systems to research and respond to customer inquiries on the SBA's disaster loan program streamlining program effectiveness and efficiency.
Coder/Clinical Documentation Improvement Specialist
Maxim Health Information Services
Gardena, California, United States
01.2012 - 01.2015
- Oversaw record management to reflect the patient's severity of illness and risk of mortality (ROM) to improve the accuracy of the hospital case mix index, national comparisons, and physician profiles.
- Trained the physician and clinical team on Coding Clinic updates, including MCC and CC changes and the DRG system, improving the accuracy and uniformity of medical record coding.
- Partnered with case managers, physicians, clinicians, and departments to improve communication regarding documentation and reimbursement issues facilitating access to quality care.
- Promoted accurate DRG classification according to standards set forth by CMS (Center for Medicare & Medicaid Services) to reduce documentation-related risks associated with DRG-based payers.
- Utilized medical computer software programs to abstract, analyze, and evaluate clinical documentation and enter/edit diagnosis and procedure codes to improve patient care.
- Integrated the CPT-4, ICD-10-CM, HCPCS, and modifiers following coding guidelines to ensure coded services, provider charges, and medical record documentation meet appropriate guidelines or standards.
- Queried physicians to clarify diagnoses/procedures and sequencing diagnoses by reviewing clinical documentation to facilitate the accurate representation of the severity of illness, expected risk of mortality, and complexity of care by improving the physician's clinical documentation quality.
- Monitored the targeted medical records within 48 hours to determine compliance with the established documentation standards optimizing quality care.
- Reviewed and restructured policies and procedures to accommodate time offs and meet employee needs reducing employee turnover.
- Complied with Kaiser Permanente's Code of Conduct by maintaining the privacy and confidentiality of information, protecting the organization's assets, ethics, and integrity, reporting non-compliance and adhering to applicable Federal, State, and Local Laws and Regulations, Accreditation, and licensure requirements.
Education
Master of Public Administration - Public Administration
University of Phoenix
Phoenix, AZ05.2026
Bachelor of Science - Business Management
University of Phoenix
Phoenix, AZ, United States01.2020
Associates Degree - Health Information Technology
City College of San Francisco
San Francisco, California, United States01.2011
Skills
- Led initiatives in data management and analytics to enhance system performance Oversaw implementation of process improvements and procedure development Directed training programs to elevate team capabilities in information technology
Certification
- Registered Health Information Technician (RHIT), 2011
- American Health Information Management Association (AHIMA)
ADDITIONAL EXPERIENCE
- Coder I, North Bay Healthcare, Fairfield, California, United States
- Coder II, Maxim Health Information Systems, Gardena, California, United States
- Medical Record Management Specialist, Kenneth and Associates, San Francisco, CA, United States
- HIM Clerk, Alameda County Medical Center, Oakland, California, United States
- Human Resources Assistant, City and County of San Francisco, San Francisco
Timeline
Disaster Recovery Specialist
Small Business Administration (Customer Service Center)
01.2021 - 2025
Coder/Clinical Documentation Improvement Specialist
Maxim Health Information Services
01.2012 - 01.2015
Data Analyst Consultant III
Kaiser Permanente
01.2011 - Current
Bachelor of Science - Business Management
University of Phoenix
Associates Degree - Health Information Technology
City College of San Francisco
Master of Public Administration - Public Administration
University of Phoenix