Nicole Leigh Argenti

• Performance Excellence: Recognized for improving admission status accuracy with zero "misses" regarding surgical status; effectively "raised the bar" for team compliance.
• Strategic Integration: Integrated case management, UR, and procedural coding to promote cost-effectiveness and seamless discharge planning.
• Advocacy: Empowered patients through comprehensive assessment and care coordination, ensuring clinical appropriateness at every stage.

• Managed high-volume clinical operations during a global health crisis, ensuring 100% regulatory compliance for a Fortune 500 workforce while upholding J&J’s 'Our Credo' standards for employee safety.

• Revenue Integrity: Coordinated patient care resources and identified strengths/weaknesses in alternative solutions to prevent and overturn clinical denials.
• Performance Monitoring: Assessed organizational performance to implement corrective actions and optimize service delivery.

• Executed medical necessity reviews for high-acuity trauma cases; educated medical staff on documentation standards.

• Executed medical necessity screenings for emergency and elective admissions; managed bed throughput and CMS compliance in high-velocity environments.

• Managed post-operative stabilization and airway recovery for high-volume surgical cases; prioritized patient advocacy and rapid clinical intervention.

• Financial Integrity: Performed high-level charge audits and medical claims reviews for billing accuracy, identifying undocumented services and validating medical necessity.

• Facilitated seamless surgical workflows and immediate post-anesthesia care, ensuring strict adherence to sterile techniques and safety protocols.