Penny Powell
Broxton,GA
Summary
Medical Compliance Auditor known for strong analytical skills, exceptional productivity and efficiency in completing audits, and ensuring adherence to regulatory standards. Possess specialized skills in chart auditing, internal controls assessment, and regulatory compliance monitoring. Excel in critical thinking, problem-solving, effective communication, and efficient task completion. Broad nursing experience, including approximately five years of bedside oncology experience, with chemotherapy certification.
Overview
2020
2020
years of professional experience
Work History
Medical Necessity Compliance Auditor
Atrium Health Navicent The Medical Center
Macon, GA
04.2017 - 04.2019
- Review patient charts post-discharge to determine that medical necessity was met according to applicable guidelines.
- Either approve for billing or refer to the physician advisor if metrics are not met.
- Ultimately, present abstract to the medical review committee if you are unable to agree with the physician advisor.
- Prepare minutes and monthly reports.
Transfer Center RN
Atrium Health Navicent The Medical Center
Macon, GA
03.2010 - 04.2016
- Processed requests for direct admissions and transfers of patients from physicians offices and other facilities according to medical necessity and EMTALA regulations.
- Facilitated and protected conversations with transferring physicians and appropriate on call physicians for required specialities.
- Obtaining bed placement.
- Facilitating nursing report between transferring nursing staff and receiving nursing staff prior to transport.
- Documenting abstract of clinical data to support medical necessity for higher level of care.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
Flex Pool RN/Contracted Oncology RN
Atrium Navicent Health The Medical Center
Macon, GA
04.2004 - 04.2010
- Initial and ongoing assessments of patients.
- Prepared patients properly for surgical procedures.
- Administered oral, IV and IM medications and monitored for reactions.
- Administered blood and blood products.
- Administered chemotherapy and maintained chemotherapy certification.
- Complex wound care.
- End-of-life transition as inpatient hospice.
RN
Coffee Regional Hospital
Douglas, GA
05.1993 - 08.1996
RN
Telfair Regional Hospital
McRae, GA
Education
Associate of Science - Nursing
South Georgia State College
Douglas, GA05-1993
Skills
- Oncology experience
- Prior chemotherapy certification
- Chart abstraction experience
- Strong organizational skills
- Attention to detail
- Remote experience
- Self-motivated and able to work independently
References
References available upon request.
Timeline
Medical Necessity Compliance Auditor
Atrium Health Navicent The Medical Center
04.2017 - 04.2019
Transfer Center RN
Atrium Health Navicent The Medical Center
03.2010 - 04.2016
Flex Pool RN/Contracted Oncology RN
Atrium Navicent Health The Medical Center
04.2004 - 04.2010
RN
Coffee Regional Hospital
05.1993 - 08.1996
RN
Telfair Regional Hospital
Associate of Science - Nursing
South Georgia State College