Lamonica J. Williams Email and Phone Number

-Review pre-bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment-Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as needed-Possesses a high level of dependability and ability to meet Accuity coding recommendations, accuracy rate, and production standards-Interacts with Accuity physicians, peers, CDIS, and management regarding documentation, policies, procedures, and regulations-Interacts with management on an ongoing basis including assisting senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded, and operational efficiency and financial accuracy can be achieved-Reviews, develops, modifies, and/or adapts relevant client procedures, protocols, and systems to coordinate with Accuity methodology-Creates and provides group education and training based on accurate coding practices, coding compliance documentation, and regulatory provisions-Attends in-house training sessions to receive updated coding information and changes in coding and/or regulations

- Determines the appropriate sequencing of disease, diagnoses, and surgeries using ICD-10-CM and ICD-10-PCS codes; utilizes electronic medical record (Epic) and coding database (3M)- Assists the Business Office and external agencies in clarifications of coding regarding reimbursement issues in a timely fashion- Corresponds with other areas of the HIM department to ensure the necessary components of the patient's medical record are available for accurate and high quality coding- Maintains an accuracy rate of no less than 93% based on internal and external reviews, and maintains productivity standards per work day- Engage in problem identification and resolution, data gathering, and chart auditing as necessary- Demonstrates competency in the service to all patient of all ages, and speaks in a positive, professional manner in all forms of communication- Attends meetings as required and strives to improve the quality of the meetings by actively engaging in meeting topics- Participates in educational opportunities, in-service trainings, and other sessions in an effort to further the level of knowledge as well as staying abreast of frequent industry changes

- Perform full range of technical and administrative supervision of quality assurance technicians, medical record analysts, medical record inpatient coders, medical record file clerks, and administrative assistants- Handle a variety of duties including auditing, reviewing, and analyzing medical data and medical records- Analyze computer-generated statistical and narrative reports concerning DRGs and inpatient coding of ICD-10-CM and ICD-10-PCS - Apply ICD-10-CM and ICD-10-PCS codes utilizing the entire medical record- Carry out monthly inpatient coding audits for accuracy and completion of DRG assignments- Maintain active role in ongoing inpatient analysis program- Prepare and analyze graphs, tables, and reports to highlight patient care data to key personnel- Comply with Joint Commission requirements for uniformity of data recorded and coded for statistical indexes, and for use in quality assessment activities- Evaluate the consistency and completeness of the inpatient and Ambulatory Procedural Visit (APV) medical records and identifies potential errors that could affect DRG assignment- Develop new input procedures and appropriate management reports to provide administration and medical staff with the information necessary for efficient MTF management and quality patient care- Analyze and review DoD and Navy policies and procedure requirements for workload reporting throughout the Command and chart deficiencies

- Ensured the quality of medical records by verifying their completeness, accuracy, and proper entry into computer system- Identified all diagnoses and procedures associated with the inpatient admission by utilizing the entire inpatient medical record- Reviewed and analyzed medical records to ensure they met accrediting agencies requirements, legal requirements, needs for future patient treatment and research and training requirements- Made certain that records were recharged into Data Flow properly in Composite Health Care System (CHCS) Medical Record Tracking (MRT), and SoftMed Chart locater- Received, filed, and tracked narrative summaries, operation reports, and other ancillary reports received subsequent to patient’s discharge- Audited coded medical records and performed monthly hospital stats- Managed APV records and worklist for inpatient coders

- Applied ICD-9-CM and ICD-10-CM coding rules and guidelines, mapping codes to appropriate CMS-designated HCC codes through medical record audits- Educated physicians and medical office staff on proper documentation of chronic and co-morbid conditions in medical records - Reported and educated on areas of improvement in documentation for physicians under review via workshops and lunch meetings- Maintained validity of provider contact database for accuracy of claims submitted- Kept daily productivity reports of all work performed and educational webinars attended- Conducted HEDIS record retrieval and RADV audits successfully and ahead of deadlines

- Applied ICD-9-CM, CPT, and HCPCS coding rules and guidelines in coding emergency room medical records- Utilized injection/infusion CPT and HCPCS codes and charges- Assisted business office with claim and coding edits using LCDs and OCEs- Completed and posted batches of billed charges on emergency room patient accounts- Aided with process improvement for coding processes within the department- Achieved accuracy rate of 97.8% on last audit

- Performed audits of coding and documentation against charges and bills to ensure compliant billing practices- Implemented and communicated updated government regulations and performs financial impact analysis- Executed new and improved coding and billing initiatives and served as a liaison to clinical departments and medical staff, maintaining up-to-date information and multidisciplinary rapport- Conducted on-site training and auditing on coding and charging procedures to new coders applying codes and charges to emergency room patient records- Developed first Policy and Procedure Manual for Specialist job responsibilities and guidelines - ICD-10-CM and ICD-10-PCS training received

- Conducted on-site training and auditing/feedback with new coders - Helped business office with claim and coding edits utilizing LCDs/NCDs and OCEs via statistical reports- Assisted and reduced with coding backlog and rerouted incomplete medical records- Maintained production standards and developed process improvement methods- Achieved accuracy of 98.2% on last audit

- Applied ICD-9-CM coding rules and guidelines in coding homecare records and OASIS forms- Maintained production and tracking logs to record performance- Educated clinicians through onsite workshops/webinars and teleconference interaction on coding rules and processes for documentation improvement- Interacted daily with clinicians for accuracy and specificity of codes- Achieved HCS-D certification and recognized for accuracy of 98% on last audit

- Asserted validity, completeness, and timeliness of birth certificates- Enhanced availability of patient charts in electronic health record by processing medical records daily and in a timely fashion - Upheld department output efficiency of physician dictations to inpatient floors and heighten timely department correspondence - Provided assistance and support to physicians with record deficiencies and maintained Excel reports to track progress