Summary
Overview
Work History
Education
Skills
Websites
References
Closing Note
References
Timeline
Generic

Carol Miller

Centerton,AR

Summary

I am a driven and dedicated professional with over 30 years of experience in multiple aspects of healthcare. Expertise includes auditing for medical necessity, coding accuracy, providing education, and composing. Adept at delivering high-quality results in fast-paced environments, while maintaining exceptional attention to detail. Committed to monitoring compliance with laws, regulations, and policies.

Overview

25
25
years of professional experience

Work History

Senior Compliance Auditor

Mercy Health System
01.2022 - 01.2025
  • Strong proficiency with CMS guidelines, Local Coverage determinations, Coding guidelines and documentation requirements.

Pre-Bill Auditor

Mercy Health System
01.2016 - 01.2022
  • Educating and successful transition to achieve supporting documentation for TAVR, Watchman, Mitraclip, Facet Joint Injections, Kyphoplasty, Cardiac Stenting, and Total Hips.

DRG Validation

Mercy Health System
01.2014 - 01.2016
  • Strong proficiency with CMS guidelines, Local Coverage determinations, Coding guidelines and documentation requirements.

Structural Heart Coordinator

Mercy Health System
01.2011 - 01.2014
  • Collaborated with Finance coworkers, Physicians and TAVR representative to ensure guidelines were achieved to begin a structural heart program.
  • First Mercy facility and first Structural Heart Coordinator for Mercy which continues a very successful program.

Cardiology Nursing Supervisor

Mercy Health System
01.2006 - 01.2011
  • Managed a team of 98 Cardiology Staff.
  • Initiated Stat Response Team for medical emergencies to ensure clinic processes continued to run smoothly.

Education

Associate of Applied Science - Nursing

North Arkansas Community College
Harrison, AR

Skills

  • CMS guidelines and coding standards
  • Coverage determinations
  • Appeals composition
  • Microsoft Excel and Word proficiency
  • EPIC software expertise
  • Team collaboration
  • Project management
  • Computer proficiency
  • Audit planning and execution
  • Auditing experience
  • Risk assessment
  • Non-compliance assessment
  • Problem solving
  • Analytical thinking
  • Documentation compliance
  • Regulatory adherence
  • Quality assurance practices
  • Data analysis techniques
  • Effective communication

References

Available upon request.

Closing Note

My nursing career has been evolving since day one. I have always wanted to learn more and have excelled in each area from the Operating Room, Labor and Delivery, Clinical Specialist to auditing medical record documentation and coding. I strive to learn something new each day and am always ready to take on additional projects.

References

References available upon request.

Timeline

Senior Compliance Auditor

Mercy Health System
01.2022 - 01.2025

Pre-Bill Auditor

Mercy Health System
01.2016 - 01.2022

DRG Validation

Mercy Health System
01.2014 - 01.2016

Structural Heart Coordinator

Mercy Health System
01.2011 - 01.2014

Cardiology Nursing Supervisor

Mercy Health System
01.2006 - 01.2011

Associate of Applied Science - Nursing

North Arkansas Community College

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