Amber Feighner
Findlay
Summary
Enthusiastic, hardworking, compassionate nursing professional with 22+ years of experience as a Registered Nurse. Experience with a wide range of nursing roles including critical care, nursing education, professional development, physical / provider education, and executive nurse navigation. Team player willing to work across peers groups for project completion and organizational advancement. Experienced medical claims auditor focused on clinical diagnosis and DRG validation.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Senior Recovery /Claims Resolution Analyst
Optum Insight Operations
07.2022 - Current
- Analyze medical claims data to identify DRG clinical and coding validation and ensure accurate resolutions.
- Utilized claims 3M software to resolve DRG issues.
- Participated in team and departmental meetings and cross departmental collaboration projects.
EXECUTIVE NURSE NAVIGATOR / EXECUTIVE HEALTH PROGRAM
Blanchard Valley Health System
11.2018 - 2022
- Plan, organize, develop, coordinate and direct the Infection Control Program and all activities.
- Navigates and communicates the needs of executive clientele with the medical team
- Manages program billing, payment, and invoicing
- Counsels the executive on health prevention and maintenance and expedites access to care
- Integrates hospital services to form a cohesive client agenda
- Promote growth and development of the overall program
CLINICAL PROFESSIONAL DEVELOPMENT SUPERVISOR
Blanchard Valley Health System
11.2016 - 01.2018
- Responsible for the development, implementation, and evaluation of new nurse onboarding and clinical nurse rotations.
- Developed and directed the clinical nurse internship program.
- Supervised and managed the non-licensed float pool.
- Worked closely with HR recruiters doing community outreach at local universities to recruit nursing clinical groups as well as nursing student for open clinical positions.
- Collaborate with nursing leadership to develop, implement, evaluate, and update the general nursing curriculum for nursing associate orientation
- Developed orientation content and onboarding plan for all new hires, updated annually
- Developed and directed a clinical internship and clinical rotation for BSN students
- Managed nursing clinical rotations with 5+ area nursing schools
- Collaborated with Nursing Educators to develop and deliver up to date clinical education
CLINICAL DOCUMENTATION IMPROVEMENT ANALYST
Blanchard Valley Health System
07.2011 - 11.2016
- Review the concurrent medical record to identify and obtain clarification for the medical documentation if necessary and provide clinical education based on those findings back to the providers and coding personnel.
- Performed all peer concurrent DRG formulation on medical records, identifying any need for query
- Educated providers and department leads on clarifying medical documentation
- Presented at Med Exec committee meetings as well a medical staff CMEs on proper documentation for specific disease processes.
NURSING FACULTY MEMBER
Brown Mackie Community College
11.2014 - 11.2015
- Develop and deliver course content as the lead instructor in pre RN Pharmacology and Critical Care courses I and II. Clinical instructor for senior level critical care students.
- Developed and implemented course and exam content for Pharmacology course
- Developed and implemented course and exam content for Nursing Critical Care courses I and II
- Directed 12 hour critical care nursing clinical for 8-10 senior nursing students
INPATIENT CARDIAC REHABILITATION COORDINATOR
Blanchard Valley Health System
06.2006 - 07.2011
- Responsible for the education on all inpatient cardiovascular patients and families with the diagnoses of myocardial infarction, heart failure, cardiac stenting, pre and post-op cardiac surgery, cardiac device implant, electrophysiology studies, cardiac risk factor management, arrhythmias, hypertension, and smoking cessation.
- Collaborated with cardiovascular providers, surgeons, and nursing leadership to develop cardiac education for best patient outcomes
- Member of cardiac and intensive care committee
- Developed and implemented cardiac education manual for all hospitalized cardiac patients specific to their diagnosis
- Customized and delivered telephonic heart failure case management for up to 4 weeks post discharge
- Continual physician communication and engagement
- Education policy/procedure development for inpatient and outpatient cardiac rehabilitation staff
REGISTERED NURSE / CARDIAC CATHERIZATION LAB
Blanchard Valley Health System
06.2002 - 06.2006
- Staff nurse responsible for electrophysiology studies, tilt table testing, TEE / Cardioversion, and pre-post procedure recovery of the cardiac patient.
- Primary nurse for electrophysiology procedures and tilt table testing
- Member implementation team for EP studies at BVH
- Developed policies / procedures for all EP studies in the cath lab
- Coordinated all EP cases and monitored patient outcomes
- Recovered and supported patients pre and post cardiac procedures
- Collected, managed, and reported data for all EP procedures
REGISTERED NURSE / INTENSIVE AND PROGRESSIVE CARE UNITS
Blanchard Valley Health System
10.1999 - 06.2002
- Staff nurse managing intensive and progressive care patients.
- Stabilized and managed care of the critically ill patients using advanced critical care monitoring technology (ICP monitors, IABP, SWAN Ganz catheters, Trach and Vent monitoring, Wound care systems, Parenteral Nutrition systems, etc.
- Developed and implemented staff education and policies / procedures on the care of the neurologically compromised patient and ICP management
- Member of Critical Care committee
Education
Masters of Science in Nursing -
Lourdes University
Sylvania, OH05.2013
Bachelors of Science in Nursing - undefined
Lourdes College
Sylvania, OH05.1999
Diploma in Nursing - undefined
Saint Vincent School of Nursing
Toledo, OH05.1998
Skills
- Claims processing
- Verbal communication
- Microsoft office expertise
- Claims review
- Claims analysis
- Skilled in 3M
Affiliations
- Board Member - Northwest Ohio Diabetic Children’s Trust Fund 2018- 2022
- Team Lead Simulation Lab project 2017-2018
- Nursing Congress member 2016-2018
- Nursing Leadership Committee member 2016-2018
- Association for Clinical Documentation Specialists 2011-2016
- Sigma Theta Tau International Nursing Honor Society member 2013-2016
Certification
- Registered Nurse Ohio License #283082 Expires October 2027
- Certified Clinical Documentation Specialist (CCDS) 2011-present
- Certified Inpatient Coder certification (CIC) 2022 - present
- Certified Coder Specialist certification (CCS) 2022 - present
Timeline
Senior Recovery /Claims Resolution Analyst
Optum Insight Operations
07.2022 - Current
EXECUTIVE NURSE NAVIGATOR / EXECUTIVE HEALTH PROGRAM
Blanchard Valley Health System
11.2018 - 2022
CLINICAL PROFESSIONAL DEVELOPMENT SUPERVISOR
Blanchard Valley Health System
11.2016 - 01.2018
NURSING FACULTY MEMBER
Brown Mackie Community College
11.2014 - 11.2015
CLINICAL DOCUMENTATION IMPROVEMENT ANALYST
Blanchard Valley Health System
07.2011 - 11.2016
INPATIENT CARDIAC REHABILITATION COORDINATOR
Blanchard Valley Health System
06.2006 - 07.2011
REGISTERED NURSE / CARDIAC CATHERIZATION LAB
Blanchard Valley Health System
06.2002 - 06.2006
REGISTERED NURSE / INTENSIVE AND PROGRESSIVE CARE UNITS
Blanchard Valley Health System
10.1999 - 06.2002
Bachelors of Science in Nursing - undefined
Lourdes College
Diploma in Nursing - undefined
Saint Vincent School of Nursing
Masters of Science in Nursing -
Lourdes University
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