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Associate Principal Engineer

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Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.

 Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. 

Physician-trained CDI and Denial Management Specialist with 3 years of ACGME-accredited residency training and 1.5+ years of focused experience in DRG and CDI appeals and revenue recovery. Leverages expert clinical reasoning to analyze complex inpatient records, validate diagnoses, and construct evidence-based, physician-to-physician rebuttals that consistently overturn high-value insurance denials. Manages a high-volume caseload of multi-thousand-dollar cases daily, overseeing millions of dollars in hospital charges annually with a demonstrated track record of successful recovery. Thrives in high-stakes, deadline-driven environments where clinical precision and persuasive communication directly impact the bottom line. Combines extensive medical knowledge and training, deep ICD-10/MS-DRG proficiency, and a rare ability to bridge the gap between clinical medicine and revenue integrity, delivering exceptional ROI while maintaining uncompromising quality and compliance standards.

Registered nurse with 18+ years of broad organizational experience, including direct patient-oriented care, Case Management from a Managed Care, Group Health, and Medicare/Medicaid arena. Contributes diverse capabilities including strong organizational skills, effective communication, time management prioritizing, complex problem-solving skills, with attention to detail, knowledge of payment, and advance computer literacy skills. Demonstrates competency all along the healthcare continuum including: Working in close conjunction with Physicians and the healthcare support team, Pre-Certification and Utilization Management, Case Management, Patient Advocacy and Education, and Discharge Planning, Extensive knowledge of regulatory compliance, claim adjudication, and proficiency of the Member/Provider Appeals and Grievance processes. Seasoned nursing professional offering proven clinical knowledge, natural interpersonal strengths and technical abilities. Knowledgeable about EMR charting, medication administration and interdisciplinary collaboration focused on optimizing patient care and support. Quality-focused and efficiency-driven leader.

Latisha M. Williams

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RN Appeals Analyst

Registered Nurse

Registered Nurse

Registered Nurse Supervisor

Registered Nurse

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Bachelors of Science - Nursing

Associate in Applied Sciences - undefined

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RN Appeals Analyst

Registered Nurse

Registered Nurse

Registered Nurse Supervisor

Registered Nurse

Associate in Applied Sciences - undefined

Bachelors of Science - Nursing

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