Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
Becky Broskey

Becky Broskey

Summary

Detail-oriented nurse practitioner with over 5 years of experience in documentation improvement and a comprehensive understanding of outpatient risk adjustment coding and billing regulations. Expertise in conducting thorough chart reviews and delivering ACDIS-compliant queries to healthcare providers, aimed at enhancing patient care while safeguarding revenue integrity. Committed to fostering collaborative relationships within healthcare teams to drive quality outcomes and optimize operational efficiency. Proven ability to navigate complex regulatory environments, ensuring compliance and excellence in patient documentation practices.

Overview

28
28
years of professional experience
1
1
Certification

Work History

CDI Specialist, Quality Improvement

Matrix Medical Network
10.2020 - Current
  • Conduct comprehensive chart reviews to identify documentation conflicts and query providers for clarification
  • Develop CDI Charter and department Standard Operating Procedures (SOPs)
  • Develop and maintain query templates
  • Identify and analyze documentation trends to identify opportunities for provider education and develop action plans for improvement
  • Serve as acting member of the Clinical Governance Committee
  • Prepare and present educational updates to interdisciplinary teams
  • Assist with testing and implementation of a new technology platform integrating billing and query functions
  • Complete relevant CDI continuing education activities and Medical Coding CEUs to remain current with coding guidelines, regulatory changes and clinical best practice




Nurse Practitioner

Matrix Medical Network
11.2009 - 10.2020
  • Performed comprehensive health visit in the member home and in skilled nursing facilities
  • Identified health care gaps and make applicable referrals
  • Performed annual screenings and testing in member's homes

Case Manager, Inpatient

Jefferson Regional Medical Center
09.2006 - 01.2009
  • Reviewed charts for admission medical necessity and InterQual criteria
  • Reviewed length of stay criteria and documentation with attending physician
  • Coordinated length of stay, continued criteria with health insurance case manager
  • Coordinated discharge planning with patient, family, social worker, attending physician and hospital staff to ensure a timely, coordinated discharge to an appropriate level of care

Admissions Director/Case Manager

Mon Valley Care Center
01.2004 - 09.2006
  • Coordinated patient admission process into the nursing facility
  • Concurrent review of patient's progress to evaluate eligibility for continued insurance coverage and skilled nursing criteria
  • Coordinated patient's length of stay
  • Coordinate discharge planning with patient, family, social worker, attending physician and staff to ensure a timely, coordinated discharge to an appropriate level of care

Case Manager

Jefferson Regional Medical Center, AHN
06.2000 - 09.2002
  • Reviewed patient referrals for eligibility of transfer from acute care to skilled nursing care
  • Concurrent reviewing or patient progress to ensure continuation of insurance coverage
  • Coordination patient discharge with interdisciplinary team members, patient and family

Registered Nurse

Jefferson Regional Medical Center, AHN
06.1998 - 06.2000
  • Provided care for up to 16 pre and post surgical orthopedic patient's
  • Regularly served as the Orthopedic Unit's Charge Nurse

Registered Nurse

Greenery Rehabilitation Center
05.1997 - 06.1998
  • Provided nursing care for up to 16 subacute an rehabilitation patients in a Long Term Care facility



Education

Master's of Nursing Practice - Family Medicine

University of Pittsburgh
Pittsburgh, PA
08-2009

Bachelor of Science - Nursing

California University of Pennsylvania
California, PA
05-2007

Associate of Science - Nursing

Community College of Allegheny County
Pittsburgh, PA
05-1997

Skills

  • Clinical Documentation Review
  • ICD10 Coding
  • Compliance and Auditing
  • Data analytics
  • Effective Communication
  • Leadership
  • Teamwork and collaboration
  • Coaching and mentoring
  • Proficient in Excel and PowerPoint
  • Time management

Certification

  • FNP-BC
  • CCDS-O
  • CPC

Timeline

CDI Specialist, Quality Improvement

Matrix Medical Network
10.2020 - Current

Nurse Practitioner

Matrix Medical Network
11.2009 - 10.2020

Case Manager, Inpatient

Jefferson Regional Medical Center
09.2006 - 01.2009

Admissions Director/Case Manager

Mon Valley Care Center
01.2004 - 09.2006

Case Manager

Jefferson Regional Medical Center, AHN
06.2000 - 09.2002

Registered Nurse

Jefferson Regional Medical Center, AHN
06.1998 - 06.2000

Registered Nurse

Greenery Rehabilitation Center
05.1997 - 06.1998

Master's of Nursing Practice - Family Medicine

University of Pittsburgh

Bachelor of Science - Nursing

California University of Pennsylvania

Associate of Science - Nursing

Community College of Allegheny County

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