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Skills

  • Metric equipment
  • Healthcare data organization
  • Clinical software proficiency (Tableau)
  • Detailed patient chart review
  • Attention to detail in medical records
  • Business operations
  • Organization
  • Budgets
  • Medical billing code accuracy
  • Process change management

Work Experiences

  • Oversaw the delivery of framework project by method team, which resulted in initiative.
  • Achieved Excellence Award award for excellence in compliance.
  • Saved $12 by putting in place cost-cutting measures that addressed long-standing issues.
  • Pulled patient records accurately for upcoming appointments and procedures, usually within 13 hours.
  • Collaborated with cross-functional teams to implement standard, improving data organization efficiency by 42%.
  • Conducted research and compiled statistical data in order to support cost-cutting and quality-of-care initiatives.
  • Achieved 18% compliance across multiple regulatory requirements.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Had an excellent attendance record and was always on time for work.
  • Collaborated with cross-functional teams.

Summaries

  • Dedicated performer with experience processing subpoenas and court orders.
  • Accomplished Clinical Review Specialist.
  • Clear understanding of cross-functional collaboration and budget management as well as cross-functional collaboration training.
  • Aided in faster regulatory approvals by program.
  • Achieved up to 34% improvement.
  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • Respected Medical Records Specialist with exceptional attention to detail and expertise in analyzing and correcting medical records.
  • Achieved a 16% reduction in potential patient care risks.
  • Certified Clinical Review Specialist.
  • Adept at tracking and maintaining compliance with regional, state, and national healthcare regulations, ensuring operational excellence across clinical processes.

Accomplishments

  • Collaborated with program leadership to improve budget allocation within clinical review operations, resulting in a cost-saving of $16 annually.
  • Led quarterly audits of reported trial data to ensure compliance with initiative, resulting in 19% audit success.
  • Implemented workflow improvements in collaboration with marketing, decreasing case processing times by 32% across the Southeast.
  • Led the clinical data review for Jira, ensuring 17% compliance to regulatory standards and reducing time to approval by 6 months.
  • Reviewed trial documentation to ensure adherence to system guidelines, resulting in a 52% compliance rate on initial submission.
  • Analyzed 12 complex patient cases per month, ensuring a 57% reduction in reporting inconsistencies.
  • Reviewed and approved complex clinical trial documentation for Salesforce, with zero documentation errors flagged during the initial regulatory review.
  • Increased departmental efficiency by 74% through the implementation of new clinical review software, resulting in fewer bottlenecks and faster report generation.
  • Implemented a new clinical trial review protocol, leading to a 21% increase in first-pass approval rate with system.
  • Conducted ongoing regulatory audits for clinical trials in the Pacific Northwest, ensuring that all reported cases met 80% accuracy standards.

Affiliations

  • American Association of Medical Review Officers (AAMRO)
  • International Council of Nurses
  • American Nurses Credentialing Center (ANCC)
  • Jaycees
  • Association of Clinical Research Professionals (ACRP)
  • National Board for Certification of Hospice and Palliative Nurses (NBCHPN)
  • American Association of Nurse Practitioners (AANP)
  • Lions Club
  • Health Information and Management Systems Society (HIMSS)
  • American Academy of Professional Coders (AAPC)

Certifications

  • Patient Safety Certification (CPPS) – Institute for Healthcare Improvement
  • Health Care Compliance Certification (CHC) - method
  • First Aid/CPR Certified
  • Certified Quality Improvement Associate (CQIA) - ASQ
  • Certified Medical Reviewer (CMR) - method
  • Electronic Health Records Specialist Certification (CEHRS) - system
  • Certified Revenue Cycle Representative (CRCR) - Healthcare Financial Management Association
  • Project Management Professional (PMP) - Project Management Institute
  • CompTIA Security+
  • Cisco Certified Network Associate (CCNA)

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