Summary
Overview
Work History
Education
Skills
Leadership Experience
Websites
References
Timeline
Generic

Christina Bricker

Houston,TX

Summary

Experienced nursing professional bringing nearly 20 years of demonstrated clinical expertise, leadership skills and technical knowledge consisting of case management, revenue cycle, healthcare law and informatics. Proficient in reviewing and updating charts, conducting quality audits, implementing and tracking performance improvement plans, and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.

  • Proven experience in performing weekly, monthly and quarterly audits of corporate functional standard, appropriate access, HIPAA/HITECH, OIG, Medicare billing and Medicaid payment window with development of performance improvement plans for individual staff and/or departments as needed. Also, maintained compliance with accreditation standards and regulatory agency requirements.
  • Excellent communication and presentation skills with experience in leading new hire orientation sessions for documentation training throughout our division, conducting multiple presentations for facility leadership and administration, and meeting with department leadership individually to assist with challenges and report outcomes.

Overview

20
20
years of professional experience

Work History

Compliance RN

Parallon
Nashville, TN
07.2023 - Current
  • Company Overview: Corporate Office (remote).
  • Through the findings of my in-depth reviews of the clinical, financial, and quality aspects of patient accounts, I assist our corporate attorneys with the recoupment of facility financial losses due to insurance denials.
  • The total amount recouped for 2024 exceeded $40 million.

Case Manager DCP

HCA Healthcare Houston Southeast
Pasadena, TX
09.2021 - 07.2023
  • Advocated for clients by obtaining information regarding treatment options and clinical status.
  • Linked clients with social services, health care providers and governmental agencies to help claim or reclaim individual autonomy.
  • Collaborated with medical professionals to coordinate treatment plans for clients.
  • Facilitated communication between clients, families, caregivers, social services and other agencies to ensure client needs were met.
  • Provided referrals to appropriate medical, mental health, and social services.
  • Coordinated support services and optimized communication between healthcare workers and patients.

Registered Nurse (PRN), Postpartum

HCA Healthcare Houston Southeast
Pasadena, TX
05.2021 - 09.2021
  • Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
  • Trained and mentored new RNs on best practices, hospital policies and standards of care.
  • Monitored vital signs, administered injections, and provided assistance with medical procedures.
  • Utilized critical thinking skills to assess clinical situations quickly and accurately.
  • Instructed patients on proper self-care techniques at home following discharge from the hospital.
  • Documented patient progress notes accurately and efficiently in the electronic medical record system.
  • Recorded patient condition, vital signs, recovery progress and medication side effects.
  • Ensured compliance with regulatory agencies such as The Joint Commission and Centers for Medicare and Medicaid Services.
  • Coordinated with healthcare team to establish, enact and evaluate patient care plans.

Compliance Manager

Parallon
Houston, TX
03.2019 - 04.2021
  • Company Overview: Houston Shared Service Center
  • Through the findings of my Texas Medicaid audits and Louisiana Medicaid payment window audits, I assisted the legal team in overturning payer reimbursement requests for alleged overpayments.
  • Conducted routine weekly, monthly, and quarterly audits to monitor corporate functional standards, Medicare billing practices, OIG, and payment window practices.
  • Implemented and tracked performance improvement plans based on findings.

Clinical Appeals RN

Parallon
Houston, TX
12.2017 - 03.2019
  • Company Overview: Houston Shared Service Center.
  • Reviewed medical records, contracts, and statutes to obtain supporting data used to compose appeal letters that were subsequently sent to insurance companies that had denied hospital claims on the basis of lack of medical necessity and lack of authorization.
  • As a high-dollar SME for our NICU accounts, I was able to get high-dollar claims overturned in excess of $1 million expected pay per claim.

Registered Nurse (PRN), Postpartum

Clear Lake Regional Hospital
Webster, TX
09.2017 - 12.2017
  • Details are available upon request.

Legal Clerk - Medical Malpractice

UTMB Office of Legal Affairs
Galveston, TX
05.2017 - 08.2017
  • Reviewed policies and procedures to ensure they were aligned with best practices.
  • Assisted with the completion of interrogatories.
  • Reviewed medical records associated with patient complaints and occurrence reports to ensure compliance with hospital policies and procedures, as well as clinical best practices.
  • I attended and participated in Root Cause Analysis meetings.

Legal Clerk - Federal Magistrate Frances Stacy

US District Court
Houston, TX
05.2016 - 08.2016
  • Details are available upon request.

Registered Nurse (PRN), Postpartum

East Houston Regional Medical Center
Houston, TX
01.2015 - 10.2015
  • Details are available upon request.

Senior Clinical (EHR support) Analyst

HCA Gulf Coast Division IT&S
Sugar Land, TX
11.2013 - 12.2014
  • Serve as an onsite clinical IT resource for facility implementation and support of clinical applications.
  • Led and facilitated the facility's core clinical systems team on clinical IT activities
  • Provided second-level support as a broad clinical subject-matter consultant to resolve incidents and fulfill requests.
  • Worked with division clinical specialists in managing the resolution of clinical application incidents and requests.
  • Assisted with facility-based implementations of clinical applications, software releases, and new products.
  • Worked with the Division Clinical Specialist Team and facility core team members to deliver hands-on training as needed, and to actively promote, implement, and support division standardization.
  • Coordinated facility clinical application reporting requests and assist with defining report requirements.
  • Performed quality audits and tracked metrics related to clinical application use, including appropriate access audits.
  • Participated in meetings as a member of the facility's clinical leadership.
  • Promoted system security, patient confidentiality, and helped ensure compliance.
  • Built strong relationships at the facility with the core customer base and facility leadership.

Division Clinical Specialist - Educator

HCA Gulf Coast Division IT&S
Sugar Land, TX
01.2011 - 11.2013
  • Train new employees in all areas (Non-clinical staff, Clinical Licensed staff, RN/LVNs, Nurse Techs, Directors/Managers) on use of Meditech at all hospitals in the Gulf Coast Division
  • Onboard/train and oversee the orientation of new employees starting to Division Clinical Specialist team
  • Work with other educators and the Division Clinical Specialist team to design and develop base education/training materials in clinical application specialty area(s) to support staff training and continued education
  • Work with facility Senior Clinical Analysts and Division Clinical Specialist Team to provide support for module updates and advanced clinical applications within their specialty area(s)
  • Work with the Division Clinical Specialist team to identify, evaluate, design, and package division best practices, policies and procedures for clinical application implementation and use
  • Assist with facility rounding as a way to manage/facilitate implementation of standards, best practices, policies, procedures, and utilization plans within a specialty area

Staff Nurse, Antepartum

Clear Lake Regional Hospital
Webster, TX
05.2010 - 01.2011
  • Details are available upon request.

Charge Nurse, OB/GYN Unit

Spring Branch Medical Center
Houston, TX
02.2009 - 05.2010
  • Supervised staff nurses and Certified Nursing Assistants.
  • Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
  • Audited patient charts in real-time, verifying accuracy and completion of information.
  • Monitored patient progress and adjusted care plans accordingly.
  • Participated in quality improvement initiatives to ensure best practice standards were met within the unit setting.
  • Developed and implemented nursing care plans for individual patients based on their needs.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.

Staff Nurse, Postpartum & LDU

The Woman's Hospital of Texas
Houston, TX
04.2006 - 02.2009
  • Details are available upon request.

Staff Nurse, ENT/Urology/Oncology

John Sealy Hospital, UTMB
Galveston, TX
06.2005 - 04.2006
  • Details are available upon request.

Education

5 semesters - no degree earned

South Texas College of Law
Houston, TX
01.2017

BS - Nursing

UTMB
Galveston, TX
01.2005

3 semesters - no degree earned

South Texas College of Law
Houston, TX
01.2000

BS - Biology

University of Clear Lake
Houston, TX
01.1998

MSN-Family Nurse Practitioner -

UTMB
Galveston, TX

Skills

  • Licensed RN with strong presentation, writing, communication, teaching, auditing, critical thinking, and analytical skills
  • Strong, independent judgment and decision-making skills
  • Quality improvement and performance improvement
  • Reliability and time management skills
  • Utilization management and medical necessity review
  • Root cause analysis
  • Knowledge of CMS statutes and regulations
  • UB billing, DRG coding, CPT coding, and ICD-10 coding
  • MS Office Suite, Concuity, Artiva, Allscripts, Midas
  • EMR systems (CPN, Meditech, Cerner, Epic)
  • Nursing informatics
  • Care planning and discharge coordination
  • Palliative and pain management
  • Documentation and charting
  • Professional bedside manner

Leadership Experience

  • Compliance Manager (03/01/19 - 04/30/21) Through the findings of my Medicaid payment window audits, I assisted our corporate attorneys with overturning results of a Texas Medicaid and OIG audit claiming we owed them a substantial amount of money.
  • Supervised and coordinated onboarding of new Informatics IT&S team members (1/15/11 - 12/31/14)
  • Charge Nurse/Asst Nurse Manager of OB/Gyn unit (1/24/09 - 12/31/10)

References

References available upon request.

Timeline

Compliance RN

Parallon
07.2023 - Current

Case Manager DCP

HCA Healthcare Houston Southeast
09.2021 - 07.2023

Registered Nurse (PRN), Postpartum

HCA Healthcare Houston Southeast
05.2021 - 09.2021

Compliance Manager

Parallon
03.2019 - 04.2021

Clinical Appeals RN

Parallon
12.2017 - 03.2019

Registered Nurse (PRN), Postpartum

Clear Lake Regional Hospital
09.2017 - 12.2017

Legal Clerk - Medical Malpractice

UTMB Office of Legal Affairs
05.2017 - 08.2017

Legal Clerk - Federal Magistrate Frances Stacy

US District Court
05.2016 - 08.2016

Registered Nurse (PRN), Postpartum

East Houston Regional Medical Center
01.2015 - 10.2015

Senior Clinical (EHR support) Analyst

HCA Gulf Coast Division IT&S
11.2013 - 12.2014

Division Clinical Specialist - Educator

HCA Gulf Coast Division IT&S
01.2011 - 11.2013

Staff Nurse, Antepartum

Clear Lake Regional Hospital
05.2010 - 01.2011

Charge Nurse, OB/GYN Unit

Spring Branch Medical Center
02.2009 - 05.2010

Staff Nurse, Postpartum & LDU

The Woman's Hospital of Texas
04.2006 - 02.2009

Staff Nurse, ENT/Urology/Oncology

John Sealy Hospital, UTMB
06.2005 - 04.2006

5 semesters - no degree earned

South Texas College of Law

BS - Nursing

UTMB

3 semesters - no degree earned

South Texas College of Law

BS - Biology

University of Clear Lake

MSN-Family Nurse Practitioner -

UTMB
Christina Bricker