Noreen Scoggins
Summary
Seasoned nursing professional with over 30 years of diverse experience spanning hospital-based care, community health, case management and CMS ICD-10/HCC coding for Medicare Risk Adjustment. Skilled in clinical documentation review and improvement, care coordination and education both clinicians and patients to support quality outcomes and compliance.
Overview
17
17
years of professional experience
1
1
Certification
Work History
RN Clinical Coding Consultant
WellMed Medical Management - United Health Group
03.2023 - 04.2025
- Provides clinical documentation review and ICD-10/HCC coding expertise to support accurate Medicare Risk Adjustment
- Delivers education and training to clinicians on CMS guidelines, electronic health record (EHR) use, and documentation best practices
- Conducts audits, identifies documentation gaps, and collaborates with care teams to improve risk score accuracy and compliance
RN Case Manager and Assistant Nurse Educator
Corpus Christi State Living Center
11.2021 - 12.2022
- managed care and support for residents with learning, intellectual and physical disabilities
- developed individualized care plans, monitored health status, and ensured continuity of care
- collaborated across interdisciplinary teams-including medical, behavioral, therapeutic and social services- to address complex health and support needs
- Served as an assistant nurse educator supporting the training of newly onboarded and tenured clinical and support staff on clinical skills, healthcare knowledge, and best practices in alignment with state and federal guidelines
RN Community Health and Outreach
Methodist Healthcare Ministries
04.2010 - 07.2021
- Provided nursing care, health education and resource navigation to underserved and uninsured populations in rural and urban communities
- Conducted needs Assessment surveys to identify health needs, reduce barriers to care, and stigma and, improve access to preventative and chronic disease services
- Delivered individualized health coaching and facilitated group education sessions on topics such as wellness, disease prevention and chronic condition management
- Collaborated with interdisciplinary teams and community organizations to address social determinants of health and promote equitable healthcare access
- Advocated for individuals in need of connection to medical, behavioral and support services
RN Surgical Services
CHRISTUS Spohn Hospital Kleberg
08.2008 - 04.2010
- Provide comprehensive nursing care to surgical patients in both pre-admission and postoperative phases
- pre-admission assessments reviewed medical histories coordinated, pre-surgical testing and delivered education to prepare patients for surgery
- Delivered postoperative care, including monitoring, pain management and prevention of complications
- Provided thorough discharge education to both patients and families to support safe recovery and continuity of care
- Collaborated with surgeons, anesthesiologists, and the perioperative team to ensure high-quality patient centered surgical care
Education
Associate of Science - Registered Nursing
Misericordia School of Nursing
Winnipeg, Canada06-1991
Skills
- Evidence-based clinical reasoning
- Specialized in ICD-10 and HCC coding
- Risk Adjustment
- Guidelines for CMS documentation standards
- Clinical documentation enhancement
- Clinical documentation analysis
- Chart accuracy assessment
- EHR system navigation
- Patient discharge coordination
- Chronic illness management
- HIPAA AND Regulatory Knowledge
- Health assessment and decision-making
- Analyzing health determinants
- Workflow Optimization
Certification
- AAPC Certified Professional Coder
- Licensed RN
Timeline
RN Clinical Coding Consultant
WellMed Medical Management - United Health Group
03.2023 - 04.2025
RN Case Manager and Assistant Nurse Educator
Corpus Christi State Living Center
11.2021 - 12.2022
RN Community Health and Outreach
Methodist Healthcare Ministries
04.2010 - 07.2021
RN Surgical Services
CHRISTUS Spohn Hospital Kleberg
08.2008 - 04.2010
Associate of Science - Registered Nursing
Misericordia School of Nursing
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