Deborah Brush
Chickasha,OK
Summary
Experienced Home Health Quality Assurance and Medical Coder with deep expertise in ICD-10 coding, chart audits, HIPAA compliance, and documentation review. Known for accuracy, analytical thinking, and resolving documentation gaps.
Overview
1
1
Certification
28
28
years of professional experience
Work History
Home Health Quality Assurance/Medical Coder
Integris Baptist Medical Center
Oklahoma City, Oklahoma
01.2016 - Current
- Assigned diagnosis codes to patient records for accurate billing and procedure codes for hospital encounters and physician services
- Reviewed clinical documentation to ensure completeness, accuracy, and compliance with coding standards.
- Audited records for coding accuracy, documentation quality, and regulatory adherence
- Validated charts against payer rules, coding standards, and hospital compliance policies
- Queried physicians for missing documentation and clarified code assignment questions
- Collaborated with HIM, billing, and compliance teams to resolve coding issues and ensure adherence to regulatory requirements.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Analyzed patient health data and histories for accurate coding of diagnoses and treatments, enhancing understanding for coding purposes.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
Registered nurse Quality assurance/ medical coder
Ross Home Health
Chickasha, Oklahoma
01.2009 - 12.2015
- Documented patient progress notes accurately and efficiently in the electronic medical record system.
- Participated in multidisciplinary team meetings to discuss patient care plans.
- Ensured compliance with standards of professional practice as well as state and federal regulations related to healthcare delivery services.
- Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
Registered nurse quality assurance/Medical Coder
Sooner Home Health
Norman, Oklahoma
01.2005 - 12.2009
- Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
- Actively participated in quality improvement initiatives within the department.
- Demonstrated ability to work independently as well as collaboratively within a team environment.
- Demonstrated knowledge of current trends in nursing practices by attending continuing education classes or seminars.
Registered Nurse Clinical Supervisor
Omni Home Health
Chickasha, Oklahoma
01.2004 - 12.2005
- Supervised home health nursing staff through daily clinical operations.
- Coordinated physician communication for home health treatment updates.
- Trained nurses on documentation standards and home care procedures.
- Monitored patient assessments and supervisory visit compliance.
- Planned staff schedules to support home health service coverage.
Registered Nurse Clinical Supervisor
Heartland Home Health Care
Chickasha, Oklahoma
01.2003 - 12.2003
- Supervised home health nursing staff through daily clinical operations.
- Monitored patient assessments and supervisory visit compliance.
- Reviewed patient care plans for Heartland Home Health Care visits.
- Coordinated physician communication for home health treatment updates.
- Trained nurses on documentation standards and home care procedures.
Home Health Registered Nurse
Healthback Home Health
Chickasha, Oklahoma
01.2000 - 12.2002
- Administered medications and monitored patient responses in home settings.
- Assessed Healthback home health patients and updated nursing care plans.
- Performed wound care and changed dressings following physician orders.
- Coordinated with Healthback interdisciplinary teams on patient treatment needs.
- Documented visits, symptoms, and interventions in clinical records.
Registered nurse ortho/neuro
Norman Regional Hospital
Norman, Oklahoma
01.1999 - 12.1999
- Administered medications and monitored patient responses throughout shifts.
- Assessed patient conditions and documented findings in electronic health records.
- Coordinated care plans with physicians, therapists, and nursing staff.
- Educated patients and families on treatment plans and discharge instructions.
- Delivered bedside nursing care in Norman Regional Hospital inpatient units.
Education
Associate of Applied Science - Nursing
Oklahoma State University
Oklahoma City, OK05-1999
Skills
- ICD-10 coding
- COS-C
- HCS-D
- Medical terminology
- EHR systems
- HIPAA compliance
- Coding audits
- Quality assurance
- Regulatory compliance
- Data verification
- Data analysis
- Analytical thinking
- Problem solving
- Attention to detail
- Interdisciplinary collaboration
- Team collaboration
- Organization
Certification
- COS-C
- HCS-D
Timeline
Home Health Quality Assurance/Medical Coder
Integris Baptist Medical Center
01.2016 - Current
Registered nurse Quality assurance/ medical coder
Ross Home Health
01.2009 - 12.2015
Registered nurse quality assurance/Medical Coder
Sooner Home Health
01.2005 - 12.2009
Registered Nurse Clinical Supervisor
Omni Home Health
01.2004 - 12.2005
Registered Nurse Clinical Supervisor
Heartland Home Health Care
01.2003 - 12.2003
Home Health Registered Nurse
Healthback Home Health
01.2000 - 12.2002
Registered nurse ortho/neuro
Norman Regional Hospital
01.1999 - 12.1999
Associate of Applied Science - Nursing
Oklahoma State University