Experience

NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Volunteer

  • May 2023 - Present

  Volunteering at the hospital 3 days a week. Volunteering at the hospital 3 days a week.



Piper Companies

• United States
• Staffing and Recruiting
• 100 - 200 Employee

• Medical Review Analyst

  • Oct 2022 - Mar 2023

  Performed medical review and pricing for unlisted lab, DME, drug and surgical CPT and HCPCS codes. Some medical necessity review of claims. Performed medical review and pricing for unlisted lab, DME, drug and surgical CPT and HCPCS codes. Some medical necessity review of claims.



Bon Secours Mercy Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• RN Quality Improvement Coordinator

  • Jun 2011 - Oct 2022

  -Utilized clinical and nursing expertise to review medical charts and abstract data for Hospital Core measures, such as AMI, HF, PN, SCIP, VTE, ED throughput, OP- ENDO, breastfeeding, and influenza immunizations. -Enter quality measure data into appropriate quality databases to facilitate reporting. -Currently working on 35 projects/month as well as abstracting approx 604 charts/month. -Previously abstracted approx 800 charts/month total for all the 9 Hospital Core measures combined as some abstractions were 100% and some abstractions were sampling, not 100% Achievement: Maintained above 95% accuracy rate of chart abstractions Show less



Outcomes Health Information Solutions, An Altegra Health Company

• IT Services and IT Consulting
• 100 - 200 Employee

• Nurse Reviewer/Auditor

  • Apr 2010 - Jun 2011

  -Responsible for the review and abstraction of medical data for doctors offices, nursing homes, hospitals in SC, NC, TN, GA while maintaining the highest standard of care and compliance. -Trained in the acquisition of pertinent data for NCQA HEDIS measures and Payments Integrity Auditing (PIA) for HCC Risk Adjustment Audits and other projects. Reviewed medical data from charts and electronic medical records. -Responsible for the review and abstraction of medical data for doctors offices, nursing homes, hospitals in SC, NC, TN, GA while maintaining the highest standard of care and compliance. -Trained in the acquisition of pertinent data for NCQA HEDIS measures and Payments Integrity Auditing (PIA) for HCC Risk Adjustment Audits and other projects. Reviewed medical data from charts and electronic medical records.


Spartanburg Regional Healthcare System
• United States
• Hospitals and Health Care
• 700 & Above Employee
• RN Level 3 NICU

  • Dec 2005 - Dec 2010

Medical University of South Carolina
• United States
• Hospitals and Health Care
• 700 & Above Employee
• RN Level 2 NICU

  • Dec 2002 - Nov 2005

Duke Raleigh Hospital
• United States
• Hospitals and Health Care
• 700 & Above Employee
• RN Level 2 NICU

  • Dec 1999 - Nov 2002

Maria Parham Health
• United States
• Hospitals and Health Care
• 100 - 200 Employee
• RN Level 2 NICU

  • Aug 1999 - Dec 1999

McLeod Health
• United States
• Hospitals and Health Care
• 700 & Above Employee
• RN Level 3 NICU

  • Jun 1998 - Jun 1999