Jennifer Cranston
West Chester,PA
Summary
Motivated professional with a unique perspective developed from extensive experience across healthcare, quality control, and compliance roles. Expert in analyzing problems from various angles to devise solutions that satisfy multiple stakeholders. Skilled in detail-oriented analysis, project management, and regulatory compliance, with a strong commitment to enhancing organizational standards and patient care.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Compliance Specialist
FOX Rehabilitation
11.2022 - Current
- Lead internal investigations on compliance concerns, coordinating with leadership for disciplinary actions
- Manage compliance refunds and collaborate with Billing and HR departments
- Organize weekly meetings with third-party vendors for compliance strategies
- Conduct regional and field audits to foster open reporting environment
- Develop compliance solutions based on practice statistics and healthcare trends
- Liaise with state investigators, ensuring adherence to company policies and legal standards
- Utilize strong communication skills to work with multiple departments on compliance matters.
Physical Therapist
FOX Rehabilitation
03.2013 - Current
- Delivered geriatric house call therapy services, improving patient outcomes in community settings
- Educated healthcare staff and marketed therapy services to senior living communities.
Documentation Review Specialist
FOX Rehabilitation
12.2019 - 06.2023
- Reviewed clinical documentation for therapy services, ensuring compliance with Medicare regulations
- Developed documentation standards and workflows for Remote Therapeutic Monitoring programs
- Generated and managed team worklists, enhancing documentation review processes
- Acted as a liaison between EMR systems, streamlining communication for Medicare compliance
- Crafted appeal letters for Medicare, defending clinician practices and highlighting intent.
Regional Quality Assurance Liaison
FOX Rehabilitation
11.2015 - 12.2019
- Led quality assurance initiatives across a large team, promoting excellence in care and professional development
- Conducted documentation reviews and on-site visits, providing constructive feedback for improvement.
Education
Doctorate of Physical Therapy -
Duquesne University
Pittsburgh, PA08.2012
Bachelor of Science in Athletic Training -
Duquesne University
Pittsburgh, PA05.2009
Skills
- Regulatory Compliance & Auditing
- Data Analysis & Reporting
- Project Management & Coordination
- Clinical Documentation & Medicare Compliance
- Leadership & Team Development
- Strong Communication & Problem-Solving Skills
- Technical Proficiency in EHR Systems, Microsoft Excel, Qlik
- Risk Identification
Websites
Certification
- Pennsylvania Licensed Physical Therapist (License Number PT022436)
- LSVT Certified BIG Clinician
- Performance Enhancement Specialist (PES)
References
References available upon request.
Timeline
Compliance Specialist
FOX Rehabilitation
11.2022 - Current
Documentation Review Specialist
FOX Rehabilitation
12.2019 - 06.2023
Regional Quality Assurance Liaison
FOX Rehabilitation
11.2015 - 12.2019
Physical Therapist
FOX Rehabilitation
03.2013 - Current
Doctorate of Physical Therapy -
Duquesne University
Bachelor of Science in Athletic Training -
Duquesne University