Cynthia McCauley
Sugar Land,TX
Summary
Highly skilled and motivated professional seeking a position to leverage administrative, computer, clinical, and legal expertise. Proven ability to enhance performance, safety, and collaboration in any organization. Committed to upholding ethics and fostering positive relationships with colleagues.
Highly experienced and dedicated nursing professional with 42 years of professional and educational development. Demonstrated leadership skills, excellence in community focus, and a commitment to making a difference in individuals.
Overview
1
1
Certification
Work History
Primary Stroke Abstractor expert
Houston Methodist Hospital
Houston
- Review guidelines for stroke core measures, work with stroke coordinator and physicians to disseminate and improve performance compliance
- Served and participated as a member of the Stroke and Sepsis committees
- Participated in Setrac and program data analysis for reporting clinical outcomes, reporting safety outliers and indicators, and performance measures
- Contributed with team players to accomplish gold quality awards, comprehensive stroke center accreditation and improve clinical processes
- Kept abreast of ongoing regulation compliance and maintain certification of Quality, Coding, Safety, and Nursing, Office management and medical insurance while ensuring the code of conduct and ethics for all components of experience
- Learn psych and new outpatient accountability measures while in Houston.
Abstractor for accountability core measures
Houston Methodist Hospital
Houston
- Worked with physicians and nursing leadership to improve performance compliance, disseminate updated guidelines, and performance data
- Deadlines and data validation passed and terms were all met
- Had opportunity to explore and learn quality initiatives, magnet status accreditation, and infection control guidelines
- Trained in audit methodology for accreditation readiness
- Participated and supported leadership in Quality nursing rounds, and shared governance committees
- Contributed with leaderships, managers, directors, and physicians toward Pathway to Excellence designation, stroke certification, and TMF Gold award path
- Also served as a mentor for the Quality department for new employees for many years while in Sugar Land.
Office manager and biller
Personal Physicians of Sugar Land
Sugar Land
- Supervised and managed two nurses and receptionist
- Utilized nursing and computer skills to improve patient satisfaction and patient flow
- Negotiated insurance contracts for two physicians for the practice and assisted with credentialing process for the physicians for hospitals and insurance companies and completed compliance
- Maintained national certification in coding for understanding documentation and reimbursement process as well as continuing education for nursing
- Continue to be a notary for the office
- Got all personal in office certified in CPR and required certification for bone density
- Acquired new skills pertaining to bone density, stress test, and spirometry procedures
- Performed Quality control processes on equipment and any required insurance and manufacture testing
- Started compliance and office procedure manual due to HIPAA and OIG regulations
- Accomplished quality compliance with insurance companies.
PRN Nurse
Harvey Home Health
Houston
- Performed ongoing assessment for patients referred for services including teaching of disease processes, awareness of chronic conditions, and complications
- Performed wound care, as well as nursing care for continual holistic care
- Identified need for patient care and reporting findings to coordinate patient care
- Collaborated with physicians with assessments and reported findings to obtained orders for continual care
- Learned home health paperwork and its importance of assessment documentation.
Supervisor and manager
Hanh Truong, M.D.
Sugar Land
- Supervised and managed receptionists and medical assistance in a one physician internal medicine practice
- Responsibilities included but not limited to coordinating workflow, triaged, and clinical assessment while performing credentialing responsibilities, clinical and business functions
- Assumed any position within the office when staff was absent
- Trained receptionist and medical assistance to provide holistic medical care to all individuals
- Implemented the OSHA manual and training to all individuals in the office
- Become a Notary for medical records purposes and contracts and certified in medical office management, medical insurance, and coding
- Started a new practice with the physician after working with Baylor Methodist Primary Care Associates included negotiating insurance contracts, credentialing, and business associates for claims submission
- Work with physicians and staff to accomplish quality compliance with insurance plans.
Clinical nurse
Sugar Land Family Practice
Sugar Land
- Coordinated patient flow to enhance patient satisfaction and care
- Worked with other physicians as needed
- Assisted with minor office procedures, front office tasks, and nursing care to maintain workflow
- Recognized the need to learn ICD 9 and CPT coding to enhance the physicians overall understanding of managed care in clinical settings
- Strengthened my abilities with coding by taking workshops to communicate managed care to physicians
- Earned the ability to work with different physicians to promote teamwork.
Clinical nurse
Matagorda General Hospital
Bay City, Texas
- Other clinical and hospital experience
Education
Bachelor of Science in Nursing -
UTMB
08.2008
AAS Nursing -
Wharton County Junior College
05.1991
Phi Theta Kappa Society -
03.1991
LVN nursing diploma -
Wharton County Junior College
12.1988
High School Diploma -
James Campbell High School
01.1979
Master of Science - Nursing
University of Mary
Bismarck, NDSkills
- Excellent communication
- Reporting and document management
- Confidential conscious
- Accountable and Flexible and Adaptable
- Excel, Word, and PowerPoint Proficiency
- Registry and databases Proficiency
- Critical thinking skills
- Notary Public
- Problem solver
- Professionalism
- Analytical Skills
- Excellent researching abilities
- Teamwork and Collaboration
- HIPAA/OSHA/OIG knowledge
- Multitasking
- Deadlines conscious
- Organizational Skills
- Self Motivation
Certification
- CPC certification (2004) with CPC-H module (2009) expires 2026
- RN license expires in 2025; spinal screening up for renewal
- THHS vision screening 2027; THHS hearing screening 2026
- CPHQ Certification earned in 2014 expires in 2026
- Six Sigma Yellow Belt certification completed in 2013
- CMC (2002), CMIS (1995), and CMOM (2001) certification – ongoing renewal every year from PMI currently expires 12/2025
- ASHRM Safety certification earned May 2014 to be update 8/7/2023 at ASHRM
- CPR/AED/First Aid/BLS current – expires 2025
- Certified Notary Public issued in 09/2006; term expires in 2026
- Bookkeeping diploma earned in 1985
- MACRA Proficiency earned 06/2018 from AAPC
- ICD 10 Proficiency earned 2016 from AAPC and PMI
Ongoing Education
Attend regional and national conferences for various organizations for keeping certifications; Participate in webinars, seminars, and workshops and complete independent studies to keep abreast of healthcare challenges with children and adults, TBRI for preventive of child abuse, advanced technology interventions for ongoing changes in healthcare and computer software, do research for available resources, and earn continuing education contact hours. Participate in quality and professional organizations to improve leadership and professional development to enhance skills, professionalism, and collaborative efforts among other professionals in different careers. Accountable for work performance and open to feedback and discussion. Learn time management skills, events coordination, and collaborative efforts from ongoing volunteer activities.
Earned Credentials
BSN, RN, CPHQ, CPC, CMIS, CMC, CMOM
Hobbies and Interests
Ongoing Leadership Focus, Project completion and sustainability, Excellent community focus including volunteering, crafts, reading, and sewing.
Accomplishments
● Speaker at LVN Graduation - December 12, 1991
●FBISD Volunteer in Public School (VIPS) of the year 1992-1993
●Unsung Heroes award from Child Advocates of Fort Bend 2022
●Community Award from Fort Bend Education Foundation 2021
●Community Award from Clements High School for Support in Athletic Booster Club in 2013
●Certificates of Participation from Office of Emergency Management during COVID
Timeline
Primary Stroke Abstractor expert
Houston Methodist Hospital
Abstractor for accountability core measures
Houston Methodist Hospital
Office manager and biller
Personal Physicians of Sugar Land
PRN Nurse
Harvey Home Health
Supervisor and manager
Hanh Truong, M.D.
Clinical nurse
Sugar Land Family Practice
Clinical nurse
Matagorda General Hospital
Bachelor of Science in Nursing -
UTMB
AAS Nursing -
Wharton County Junior College
Phi Theta Kappa Society -
LVN nursing diploma -
Wharton County Junior College
High School Diploma -
James Campbell High School
Master of Science - Nursing
University of Mary
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