Shani Pompey
Vienna
Summary
Seasoned Travel Nurse with background in delivering high-quality patient care in diverse healthcare settings. Strengths include adaptability to new environments, strong clinical skills, and ability to quickly build rapport with patients and team members. Previously facilitated seamless transitions between medical facilities while ensuring consistent patient care standards.
Adaptable Travel Nurse known for high productivity and efficient task completion. Specialized in hospital, SNF, Post-acute care, Urgent care, Homehealth , acute patient management, and cross-cultural communication. Excel in teamwork, adaptability to new environments, and empathy towards patients. Bring comprehensive understanding of diverse healthcare settings and ability to quickly integrate into new teams for seamless patient care delivery.
Skilled Case Management in nursing with background in effectively coordinating patient care, managing healthcare documentation and facilitating communication between medical professionals. Demonstrated improvement in patient outcomes by fostering relationships with care teams to ensure comprehensive delivery of services. Familiar with CMS guidelines in billing, coding, denials and appeals on management level.
Overview
26
26
years of professional experience
28
28
years of post-secondary education
1
1
Certification
Work History
Travel Nurse
Lompoc Healthcare District
Lompoc
10.2025 - Current
- Administered medications and monitored patient responses to treatments.
- Collaborated with interdisciplinary teams to create patient care plans.
- Educated patients and families on health management and recovery processes.
- Assisted with daily living activities to promote patient independence.
- Documented patient progress and maintained accurate medical records.
- Implemented infection control measures to ensure a safe environment.
- Provided direct nursing care to patients with acute, chronic, and complex conditions.
- Utilized strong assessment skills to determine necessary patient care.
- Monitored vital signs, administered medications, and provided treatments in accordance with physician orders.
- Collaborated with interdisciplinary team members to ensure continuity of care across settings.
- Learned and developed unique skills, specialties and practices based on site and patient needs.
Travel Nurse Aya Healthcare
Kensington Behavioral Health and Memory Care
Falls Church
04.2025 - 10.2025
- Conducted patient assessments to determine mental health needs and treatment plans.
- Collaborated with interdisciplinary teams to optimize patient care strategies.
- Monitored medication administration and ensured compliance with safety protocols.
- Educated patients and families on behavioral health conditions and recovery options.
- Managed crisis situations by employing de-escalation techniques effectively.
- Led nursing staff in implementing evidence-based practices for patient care.
- Documented patient progress in electronic health records accurately and timely.
- Provided mentorship to junior nurses, fostering skill development and teamwork.
- Attended continuing education conferences related to behavioral health topics in order to maintain professional knowledge base.
- Encouraged positive lifestyle changes among clients by providing education on healthy eating habits, exercise routines and stress management strategies.
- Developed individualized care plans for residents with memory impairments.
- Supervised daily activities and engagement programs for residents.
- Trained and supported staff in best practices for memory care.
- Monitored resident health and reported changes to healthcare professionals.
- Collaborated with multidisciplinary teams to optimize resident care strategies.
- Assessed cognitive abilities of residents through observation, interviews, and testing methods.
- Maintained accurate resident records including assessments, care plans, treatments, medications and progress notes.
Home Health Nurse
National Home Health
Vienna
01.2025 - 10.2025
- Administered medications and treatments as prescribed by healthcare providers.
- Monitored patient vital signs and reported changes to the care team.
- Developed personalized care plans in collaboration with patients and families.
- Educated patients on health management and disease prevention strategies.
- Coordinated with interdisciplinary teams to ensure comprehensive patient care.
- Assisted with daily living activities, promoting patient independence and comfort.
- Provided emotional support to patients and families during challenging times.
- Maintained accurate patient records in compliance with healthcare regulations.
- Provided home health care services such as wound care, medication administration, and IV therapy.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Developed personalized care plans for patients based on individual needs.
- Educated patients and families about disease management, lifestyle changes, nutrition, and preventive healthcare measures.
- Instructed family members in basic nursing skills including wound care, injections, catheterization, and other treatments as ordered by the physician.
- Adhered strictly to infection control protocols while caring for clients in their homes.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Participated in on-call rotations and delivered after-hours care.
- Coordinated patient discharge planning with physicians, social workers, case managers, therapists, pharmacists and other healthcare professionals involved in the patient's care plan.
- Addressed patient care needs, collected vitals, dressed wounds, and managed catheters.
Home Health Nurse
Diamond Home Health
Vienna
01.2025 - 10.2025
- Administered medications and treatments as prescribed by healthcare providers.
- Offered guidance on medication management, ensuring adherence to therapy plans.
- Facilitated communication between patients, families and healthcare providers.
- Assessed patient needs and developed care plans accordingly.
- Conducted telehealth visits, providing remote support and monitoring.
- Delivered compassionate end-of-life care, supporting patients and families emotionally.
- Supported patients with chronic illness management, optimizing quality of life.
- Provided emotional support and counseling to patients facing difficult decisions regarding their health care options.
- Collaborated with local agencies to ensure continuity of care upon discharge from home health services.
- Answered patient calls, identified issues, and determined how best to provide assistance within parameters established by facility and supervisor.
- Administering medications according to physician orders and monitoring side effects of medications.
- Responded promptly to emergency calls from clients needing urgent attention at home.
- Instructed family members in basic nursing skills including wound care, injections, catheterization, and other treatments as ordered by the physician.
- Educated patients and families on care plans and health management strategies.
- Coordinated with multidisciplinary teams to develop comprehensive care plans.
Home Health Nurse
Goodwin Home Health
Vienna
10.2024 - 10.2025
- Administered medications and treatments as prescribed by healthcare providers.
- Monitored patient vital signs and reported changes to the care team.
- Developed personalized care plans in collaboration with patients and families.
- Educated patients on health management and disease prevention strategies.
- Provided home health care services such as wound care, medication administration, and IV therapy.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Instructed family members in basic nursing skills including wound care, injections, catheterization, and other treatments as ordered by the physician.
- Coordinated patient discharge planning with physicians, social workers, case managers, therapists, pharmacists and other healthcare professionals involved in the patient's care plan.
- Addressed patient care needs, collected vitals, dressed wounds, and managed catheters.
- Ensured quality assurance standards are met through regular chart audits and review processes.
Travel Nurse Acute Care
Capitol City Skilled Nursing and Acute Care/Rehab
Falls Church
01.2024 - 04.2025
- Responsible for patient assessment and monitoring, care planning and coordination, medication management and administration, and wound care and infection control.
- Provide a comprehensive range of services like wound care, IV therapy, and medication management for patients who need continued support after leaving hospital or for long term care.
- Delivered compassionate patient care in skilled nursing and rehabilitation settings.
- Collaborated with healthcare teams to develop personalized care plans for patients.
- Monitored vital signs and reported changes to medical staff promptly.
- Educated patients and families on treatment plans and recovery processes.
- Administered medications and managed IV therapy according to protocols.
- Assisted in mobility exercises to promote patient independence and recovery.
- Documented patient progress accurately in electronic health records systems.
- Trained new nursing staff on best practices and facility protocols effectively.
- Provided direct nursing care to patients with acute, chronic, and complex conditions.
- Utilized strong assessment skills to determine necessary patient care.
- Collaborated with interdisciplinary team members to ensure continuity of care across settings.
- Learned and developed unique skills, specialties and practices based on site and patient needs.
- Monitored vital signs, administered medications, and provided treatments in accordance with physician orders.
- Inserted and cared for catheters, feeding tubes and access sites.
- Adhered to infection control policies and procedures when performing duties related to patient care.
- Educated patients and families regarding disease processes, treatments plans, safety measures, medication usage and self-care techniques.
- Managed multiple tasks in a fast-paced environment while maintaining quality standards.
- Utilized evidence based practice guidelines to provide safe patient care.
- Demonstrated excellent communication skills while interacting with patients, family members, physicians and other health professionals.
- Administered medications intravenously, by injection or orally.
- Ensured that all documentation was completed in a timely manner and met all standards for accuracy.
- Trained other nurses on patient care and daily tasks, supporting growth, and professional development.
- Maintained professional relationships with healthcare staff members while working effectively within an interdisciplinary team setting.
- Responded promptly to emergency situations using established protocols for critical incidents.
- Directed and instructed patients and family members on proper discharge care.
- Provided supportive counseling through difficult times during hospitalization or illness.
- Assessed and evaluated patient's medical condition to determine the best course of treatment.
- Monitored patient fluid intake and output to detect emerging problems.
- Documented and communicated actions and irregularities to maintain continuity among nursing teams.
- Furnished emotional, psychological and spiritual support to patients and families to establish compassionate environment.
- Disposed of medical waste and sharps using proper protocols.
- Managed emergency care situations, applying critical thinking and rapid decision-making skills.
- Updated patient charts to reflect changes to care plans, interventions and observations.
- Coordinated discharge planning, including patient education on home care and follow-up appointments.
- Collaborated with healthcare team to develop and implement patient care plans.
- Participated in continuous education to stay current with nursing practices and healthcare innovations.
- Conducted health promotion and disease prevention activities within the community.
- Ensured compliance with healthcare regulations and safety standards in diverse clinical environments.
- Advocated for patient needs and preferences across multidisciplinary healthcare teams.
- Assisted with surgical procedures and post-operative care, ensuring patient safety and recovery.
- Facilitated smooth transitions of care for patients moving between units or healthcare facilities.
- Participated in quality improvement initiatives to enhance patient care and satisfaction.
- Provided palliative and end-of-life care, offering emotional support to patients and families.
- Performed diagnostic tests and operated medical equipment as part of patient care.
- Adapted to different hospital units and practices, demonstrating flexibility and resilience.
- Managed medication inventory and supplies, ensuring availability for patient care.
- Conducted patient assessments, including monitoring vital signs and identifying potential health issues.
- Monitored and reported changes in patient conditions to appropriate healthcare professionals promptly.
- Utilized electronic health records (EHR) systems to document patient care and outcomes accurately.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Administered local, inhalation or intravenous anesthetics to patients undergoing procedures.
- Collaborated with health groups to plan or implement programs designed to improve overall health of communities.
- Observed strict safety measures, including checking medication dosages before administration to patients.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Monitored diet, physical activity, behaviors, and other patient factors to assess conditions and adjust treatment plans.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Delivered comprehensive patient care in skilled nursing and acute rehabilitation settings.
- Collaborated with multidisciplinary teams for patient treatment plans.
- Administered medications and monitored patients' vital signs regularly.
- Documented patient information accurately in electronic health records systems.
- Trained new nursing staff on protocols and best practices in acute care.
- Participated in quality improvement initiatives to enhance patient safety measures.
- Provided emotional support to family members during times of crisis or distress.
- Participated in code blue events providing advanced cardiac life support measures as needed.
- Conducted physical examinations when necessary utilizing diagnostic tests results such as laboratory values or imaging studies.
- Managed acute pain through the use of pharmacologic agents along with alternative therapies like relaxation techniques or guided imagery.
- Assisted physicians with medical procedures, such as intubations, chest tubes, and central line insertions.
- Demonstrated empathy and compassion when interacting with patients and families during difficult times.
- Maintained accurate records of patient assessments, treatments, medications, and progress notes.
- Evaluated patient responses to treatments, medications, and interventions; monitored vital signs and other indicators of patient condition.
- Explained care, physician-ordered tests and medications with patients and family members or caregivers.
- Utilized critical thinking skills in the evaluation of complex clinical data to identify potential health problems or risks for further intervention.
- Prioritized patient care assignments based on patient conditions to achieve optimal outcomes.
- Managed PA catheters and arterials, vasoactive drug administration and titration, thrombolytic therapy, dysrhythmia interpretation, and chest tube management.
- Advocated for patients, ensuring their needs and preferences were communicated to the healthcare team.
- Participated in quality improvement initiatives to enhance patient care and safety.
- Utilized computerized Resource and Patient Management System (RPMS) and Electronic Health Record (EHR) system.
- Consulted with patients, collected histories and vitals, ordered labs and interpreted test results.
- Analyzed therapeutic interventions to monitor risk complications and contraindications.
- Stocked clinical workstations and procedure rooms with necessary supplies.
Travel Nurse Aya Healthcare
Amedisys Home Health
Washington
11.2023 - 12.2024
- Administered medications and treatments as prescribed by healthcare providers.
- Monitored patient vital signs and reported changes to the care team.
- Assisted with daily living activities, promoting patient independence and comfort.
- Educated patients and families about disease management, lifestyle changes, nutrition, and preventive healthcare measures.
- Developed personalized care plans for patients based on individual needs.
- Assisted patients with activities of daily living and functional mobility to increase comfort and quality of life.
- Monitored vital signs such as blood pressure or pulse rate to detect any changes in a patient's condition.
- Maintained accurate records of all visits made to patients' homes along with any changes in their conditions or treatments prescribed by physicians.
- Completed initial assessments of patients and family to determine and address individual home care needs.
- Coordinated patient discharge planning with physicians, social workers, case managers, therapists, pharmacists and other healthcare professionals involved in the patient's care plan.
- Addressed patient care needs, collected vitals, dressed wounds, and managed catheters.
- Collaborated with local agencies to ensure continuity of care upon discharge from home health services.
- Provided emotional support and counseling to patients facing difficult decisions regarding their health care options.
Travel Nurse
Bridgepoint Hospital
Washington
08.2022 - 11.2023
- Provided direct patient care in skilled nursing and rehabilitation settings.
- Educated patients and families on health management and treatment options.
- Assisted in emergency procedures and maintained calm during crises.
- Administered medications and monitored patient vital signs regularly.
- Provided direct patient care, such as administering medications, performing wound care and dressing changes, monitoring vital signs and assessing patients' conditions.
- Counseled patients on lifestyle choices that promote wellness and disease prevention.
- Supported new employees through training sessions regarding hospital protocols.
- Assessed patient response to treatments, medications by observing physical, behavioral changes.
- Performed routine nursing procedures such as taking temperatures, pulse rates and blood pressure measurements.
- Referred patients to specialized health resources or community agencies to furnish additional assistance.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Calveras Urgent Care Clinic
Snap Nurse
Valley Springs
03.2022 - 08.2022
- Completed day-to-day duties accurately and efficiently.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Assisted with customer requests and answered questions to improve satisfaction.
- Maintained updated knowledge through continuing education and advanced training.
- Approached customers and engaged in conversation through use of effective interpersonal and people skills.
- Conducted comprehensive research and data analysis to support strategic planning and informed decision-making.
- Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
- Recognized by management for providing exceptional customer service.
- Conducted system analysis and testing to identify and resolve technical issues or inefficiencies.
Travel Nurse Regency of Arlington Post-Acute
Maxim Healthcare
Arlington
08.2021 - 03.2022
- Provided patient care in home settings for diverse populations.
- Educated patients and families on health management and treatment options.
- Mentored junior nurses and nursing students in clinical practices.
- Delivered compassionate care to increase comfort and psychological, social and spiritual well-being.
- Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
- Ensured that all documentation was accurate and up-to-date according to established guidelines.
Travel Nurse Potomac Falls Post-Acute& LTC
Maxim Healthcare
Sterling
12.2020 - 08.2021
- Provided direct patient care in various healthcare settings across multiple states.
- Assisted in surgical procedures by preparing instruments and maintaining sterile environments.
- Educated patients and families on health management and treatment options.
- Collaborated with healthcare teams to develop individualized care plans for patients.
- Maintained a safe environment for both staff and patients through adherence to safety protocols.
- Delivered compassionate care to increase comfort and psychological, social and spiritual well-being.
- Assessed and monitored patient health conditions, including vital signs such as temperature, pulse rate and blood pressure.
- Provided nursing care for patients with various medical diagnoses and treatments.
- Educated patients on their medical condition, treatment plans, and self-care management techniques.
- Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
- Maintained personal and team compliance with medication administration standards and patient care best practices.
Travel Nursing Buena Vista Post Acute & SNF/REHAB
Maxim Healthcare
Santa Barbara
06.2019 - 12.2020
- Performed comprehensive nursing evaluations and admissions onto hospice service using proper Medicare guidelines.
- Able to explain hospice benefits and identify responsible party to obtain proper consent.
- Ability to work closely with marketing team and admission coordinator.
- Pediatric School nurse in LA county school and Santa Clarita; children with catheters and anatomically challenged and medication needs.
- Assesses for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action.
- Establishes plan of care while collaborating and communicating with the Interdisciplinary Team including physician when appropriate.
- Coordinates all hospice services provided to patients/families in all settings to ensure quality of care.
Travel Nurse Hospice and Home Health
Right Choice Home Health and Hospital and Hospice
Los Angeles
01.2019 - 06.2019
- Assessed for signs and symptoms of discomfort including presence of pain and takes prompt and appropriate action.
- Followed established plan of care while collaborating and communicating with RN Case Manager and Interdisciplinary Team including physician when appropriate.
- Educates caregivers in managing patient needs and submits appropriate documentation within 24 hours of visit.
- Nursing Process.
- Performs patient care activities, within the scope of competency, considering age-related needs of the patient as assigned.
- Reports unusual findings to the physician and/or Registered Nurse and contributes recommendations for revision to the plan of care.
- Adheres to medical center standards, which customize care for age-related needs of the population served.
Coding Audit Consultant
Healthcare Resource Group
11.2017 - 06.2019
- Perform quality coding audits of a multispecialty teaching hospital.
- Audited provider charts to assure appropriateness and accurate code assignments and to provide ongoing education and feedback for the providers and staff.
- Identify trends in denials and opportunities for improvement in the billing process.
- Also responsible for providing assistance with coding inquiries from providers, charge posters, coders, billing staff, etc.
- Review CMS Medicare, bulletins to make timely recommendations and changes.
- Maintain productivity based on national standards and/or client specific standards.
- Demonstrate proficiency in coding both ICD-10 and CPT while maintaining a 95% accuracy (E/M, Multi-specialty Charts reviews).
- Follow and adhere to HRG Standards of Ethical Coding, all applicable regulations and guidelines and all client specific policies.
- Other duties as assigned and based on company needs and client projects.
Remote Coder
Addison Group
05.2016 - 03.2018
- Assigned to code for University of Colorado.
- Chart types include: Professional Fee Coding for Hospitalists, Urgent Care and General Medicine in inpatient and outpatient settings.
- Maintaining and exceeding productivity and accuracy standards.
- Utilizing 3M and EPIC.
Senior Coding Compliance Auditor
Children’s Hospital of Orange County
Orange County
06.2016 - 06.2017
- Perform annual chart audits and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel.
- Specialties include: Cardiology, Neurology, Rheumatology etc. Hospital E&M, Clinics – Emergency Department, Primary Care etc.
- Manage insurance accounts including timely follow up of denied claims, contacting insurance companies for status of claims and preparation of appeals.
- Manage patient accounts receivable, including corresponding with patients to resolve account inquiries and establish payment plans.
- Prepares accounts for external collection agency.
- Identify trends in denials and opportunities for improvement in the billing process.
- Responsible for reviewing patient records, including operative reports and procedure notes, for correct coding, appropriate documentation, and compliance with industry guidelines and standards.
- Coordinate and perform educational training programs consisting of appropriate documentation guidelines and accurate coding to all appropriate personnel, including coding staff, physicians, billing personnel and ancillary departments.
- Conduct regular audits and coordinate the monitoring of coding and documentation accuracy.
- When necessary, assist in the implementation of corrective action plans, such as educational programs, to prevent similar denials and rejections from recurring.
Auditor- Provider Training & Education Specialist
U.S. HEALTH WORKS
Valencia
11.2014 - 06.2016
- Specialties include: Orthopedics, Anesthesia, Hospital E&M, Clinics – Emergency Department, Primary Care etc.
- Perform annual chart audits and formulate recommendations based upon the audit findings and communicate them to the appropriate personnel.
- Implement annual coding reviews, create work plans based on the reviews and ensure that compliance issues and areas of risk are identified and addressed.
- Assist in curriculum development to be used in orienting and educating physicians and staff to medical record documentation guidelines and standards and to diagnostic and procedural coding conventions and methodologies.
- Code compliance resource and consultant for all physician and mid-level providers, company administrators (CMO, RMD RVP), and physician practice staff.
- Assist in developing policies and procedures on coding compliance for clinics and the compliance department.
- Prepare and submit compliance reports to the compliance committee.
- Provide feedback and education sessions to providers and staff regarding coding and billing issues in a clear, concise and professional manner as required.
- Created power points and training materials to educate on compliance, documentation issues and as of recent ICD-10.
- Fulfill continuing education and/or certification requirements to maintain required qualifications and/or knowledge.
Quality Coding and Compliance Auditor
ALBERT EINSTEIN HOSPITAL
Norristown
11.2013 - 09.2014
- Specialties included, but not limited to: Cardiology, Emergency Department, Orthopedics, Hospitalists, Primary Care, Urgent Care and other Clinics.
- Served under the Chief of Cardiology.
- Coordinated a program for the audit of medical charts to determine the correct coding and documentation in hospitals and conduct training as needed.
- Conducted on-site clinical chart audits at provider locations with the purpose of identifying and submitting documented diagnoses.
- Researched, analyzed, and responded to other audit inquiries and special projects.
- Wrote audit results and reports.
- Interact with a variety of internal and external health care executives, physicians, provider office personnel and hospital staff and requires high level interpersonal skills.
- Communicated regulations, documentation guidelines and compliance standards to new providers.
- Maintained current knowledge of changes in national and local coding and billing coverage decisions.
Compliance Manager Coding/Documentation/Educator
ABINGTON MEMORIAL HOSPITAL
Abington
01.2012 - 01.2013
- In conjunction with the Director and Medical Director, develops a formalized Professional billing/coding/documentation/education program for Abington Health Physicians and manages on an ongoing basis.
- Worked with a variety of multi-specialists some of which are Hospitalist, Oncologist, Cardio, Gastro etc.
- Provided operational/managerial leadership for area of responsibility which includes, Planned, recruitment, policy development, human resource development and team building encouraging productivity and service excellence.
- Developed and coordinates educational programs (targeted and routine) and the associated materials/tools to assist in ensuring physician/provider understanding of the requirements for documentation and coding regulations and compliance with regulatory requirements.
- Coordinated routine and targeted monitoring activities for coding and documentation and provides feedback to physicians/providers, as well as AHP leadership team to ensure compliance with regulations.
- Conducted investigative research and reviews with external and internal documents and policies as well as other necessary background materials needed to respond to internal queries and compliance related questions.
- Led confidential investigation of coding/billing/compliance issues (various specialties) and provided consultative leadership, support and follow up to appropriate team members.
Health Quality Measure Auditor
NEXTGEN
Horsham
10.2009 - 01.2011
- Developed health quality core measures expressions based upon documented specifications for different pay for performance or other quality measure initiatives.
- Updated measures based upon changes in CPT and/or ICD-9 codes or other annually updated items, create end user documentation for all measures, and provide support for the HQM.
- Reported Module Application for clients and internal customers.
- Performed Peer Review/Audits and Formal Development Reviews (various specialties) with appropriate stakeholders including unit testing/self-quality assurance on all work.
- Developed new health quality measures based on documented design specifications as designated by each pay for performance initiative (BTE,PQRI,NQF).
- Acted as project manager for health quality measures development projects including: developing project scopes, facilitating collaborative focus groups with clients and other stakeholders, meeting all design and development deadlines, and reporting status to supervisor.
- Used complex tools such as HQM Reporting Module, SQL, and SQL Server to create, update and modify health quality measure sets.
- Perform technical development work in compliance with Health Quality Measure Program specifications, HQM Report Module and the NextGen EHR application architecture.
Risk Adjustment/Quality Coding, LPN
KEYSTONE INSURANCE COMPANY
Philadelphia
01.2009 - 11.2009
- Applied ICD-9 and CPT Codes to the practitioners diagnoses and procedural services.
- Abstracted charts in provider offices using knowledge of ICD-9 and CPT coding and utilized existing claim data to support additional diagnosis or increased diagnosis specificity on claim records.
- Scheduled on-site visits and medical record reviews maintaining a minimum of 50 records reviewed.
- Utilized knowledge of CMS, ICD9-CM and CPT guidelines in conjunction with Chronic Illness and Disability Payment System (CDPS) disease model to develop, continually update and deliver in-service training.
- Created and/or updated provider claim records, with permission of provider, for submission to KMHP/AMHP based on data abstracted from medical records ensuring claim data integrity.
Manager of Auditing & Compliance
CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia
06.2008 - 06.2009
- Monitored coding, abstracted, and data entry for accuracy, and assign ICD-9-CM and CPT-4 codes to discharged inpatient and outpatient medical records.
- Oversaw, trained, and mentored thirteen FTE's, providing on-going in-service education on updates, revisions, and deletions of codes and coding guidelines, and correct coded information to ensure compliance with Rate Setting and other external data requirements.
- Audited function of the Compliance & Ethics Department, which includes seventeen divisions of various specialties.
- Reviewed audit schedules to ensure that each area of the department is audited timely, initiates spot audits when necessary.
- Worked with other members of the Compliance and Ethics Department on company projects, which may include the development, revision, and/or an interpretation of a policy, procedure, or process.
- Developed and revise current audit program tools, reports, and conduct educational seminars for physicians.
- Worked with the Director of Compliance to conduct pre-audit procedures, which include specific state regulation research, billing samples.
- Served as the primary contact for Management regarding audit related issues, questions and corrective action plans.
Compliance Auditor/Educator
HEALTHCARE CORPORATION OF AMERICA
Nashville
11.2006 - 06.2008
- Initiated, executed, and managed billing/coding compliance projects associated with free standing ambulatory surgical center, imaging centers, radiation oncology and physician practices, for a total volume of 700 physicians within the Outpatient Service Group (OSG).
- Provided billing/coding compliance education to freestanding entities such as ambulatory surgical centers, imaging centers, and radiation oncology and physician practices and HCC auditing.
- Served under the for cardiology surgeons.
- Reviewed regulations and creates relevant communications and support, such as FAQs and alerts via conference calls, e-mail and/or webcasts.
- Developed and implements billing/coding compliance projects such as policies and procedures, education, orientation and training, resources and physician education programs.
- Monitored or provides monitoring tools and follow up to the Outpatient Services Group (OSG) compliance program.
- Executed projects including prioritization and scheduling, monitoring compliance with project deadlines, assisting with development, and deployment of deliverables.
- Provided consistent, documented responses to governmental related billing and non-technical governmental and non-governmental coding questions for HCA entities, through the Regs Helpline.
- Developed and deploys standards, policies and procedures, best practice models, tools, resources, and various educational materials to support billing/coding compliance.
- Led specific billing/coding regulatory projects such as preparation for freestanding ASC and I-10.
- Provided recommendations regarding actions for improving billing/coding compliance.
CCE Consultant
PRECYSE SOLUTIONS
Wayne
09.2005 - 11.2006
- Examined and evaluated the medical record and health information to ensure optimal performance.
- Performed outpatient and physician coding as well as physician audits, chart analysis, abstracting and data entry.
Coding Specialist
MEDICAL COLLEGE HOSPITAL; Teaching Facility
Nashville
06.2002 - 09.2005
- In accordance with the rules, regulations and coding conventions as established by the American Hospital Association (Coding Clinic), ICD9, CMS institutional coding guidelines, reviewed identifies and codes all diagnostic and operative information from the medical records.
- Applied knowledge of anatomy and physiology to interpret general medical classifications for coding outpatient encounter or inpatient discharge data.
- Consulted with physicians to clarify and accurately document patient diagnostic and procedural information.
- Verifies and abstracts all medical data from the record to complete a data abstract on hospital encounters.
- Ensured that all data abstracted and/or coded are consistent with guidelines outlined by JCAHO, OSHPD and CMS, regional and local policy.
- Entered patient information into the computerized inpatient and outpatient medical record databases, ensuring the accuracy and integrity of the medical record abstract or encounter data prior to transmitting case.
- Participated in medical record documentation auditing to monitor physician compliance with regulatory requirements i.e., Physician Review Project.
- Act as resource to other hospital departments regarding coding questions and issues.
Neurological Surgeons Assistant/Coder
NEUROLOGICAL SURGEONS
Nashville
08.2000 - 06.2002
- Assigned CPT procedure codes, ICD-9-CM diagnosis codes, HCPCS II codes and modifiers based on documentation, payer requirements, government teaching physician documentation requirements and billing office policies.
- Maintained expert knowledge of coding, compliance and reimbursement procedures through review of information provided by billing office, payer policy updates and coding manuals and through contact with medical societies and specialty coding groups.
Education
AAPC -CPCO, COC,CPC -
AAPC
Salt Lake City, UT 02.1998 - 02.2026
LPN -
TENNESSEE TECHNOLOGY CENTER
Nashville, TN 01.2004 - 01/2005
Business Administration
NASHVILLE STATE COMMUNITY COLLEGE
Nashville, TNSkills
- PLEURAL DRAINAGE
- IV'S
- WOUND VACS
- MANAGE MEDICATION
- PICC LINE DRAW BLOOD
- NG TUBE
- CHANGE DRESSING
- FOLEY CATHETER
- SUPRAPUBIC CATHETER
- LABS DRAW
- CPR
- TRACHS
- VENTILATORS SOME HIGHFLOW
- G-TUBES
Certification
- AHIMA, CCS, 2019
- AAPC, CDEO, 2019
- CPC
- COC
- LPN
- CPCO
- ICD 10 Certified
Timeline
Travel Nurse
Lompoc Healthcare District
10.2025 - Current
Travel Nurse Aya Healthcare
Kensington Behavioral Health and Memory Care
04.2025 - 10.2025
Home Health Nurse
National Home Health
01.2025 - 10.2025
Home Health Nurse
Diamond Home Health
01.2025 - 10.2025
Home Health Nurse
Goodwin Home Health
10.2024 - 10.2025
Travel Nurse Acute Care
Capitol City Skilled Nursing and Acute Care/Rehab
01.2024 - 04.2025
Travel Nurse Aya Healthcare
Amedisys Home Health
11.2023 - 12.2024
Travel Nurse
Bridgepoint Hospital
08.2022 - 11.2023
Calveras Urgent Care Clinic
Snap Nurse
03.2022 - 08.2022
Travel Nurse Regency of Arlington Post-Acute
Maxim Healthcare
08.2021 - 03.2022
Travel Nurse Potomac Falls Post-Acute& LTC
Maxim Healthcare
12.2020 - 08.2021
Travel Nursing Buena Vista Post Acute & SNF/REHAB
Maxim Healthcare
06.2019 - 12.2020
Travel Nurse Hospice and Home Health
Right Choice Home Health and Hospital and Hospice
01.2019 - 06.2019
Coding Audit Consultant
Healthcare Resource Group
11.2017 - 06.2019
Senior Coding Compliance Auditor
Children’s Hospital of Orange County
06.2016 - 06.2017
Remote Coder
Addison Group
05.2016 - 03.2018
Auditor- Provider Training & Education Specialist
U.S. HEALTH WORKS
11.2014 - 06.2016
Quality Coding and Compliance Auditor
ALBERT EINSTEIN HOSPITAL
11.2013 - 09.2014
Compliance Manager Coding/Documentation/Educator
ABINGTON MEMORIAL HOSPITAL
01.2012 - 01.2013
Health Quality Measure Auditor
NEXTGEN
10.2009 - 01.2011
Risk Adjustment/Quality Coding, LPN
KEYSTONE INSURANCE COMPANY
01.2009 - 11.2009
Manager of Auditing & Compliance
CHILDREN'S HOSPITAL OF PHILADELPHIA
06.2008 - 06.2009
Compliance Auditor/Educator
HEALTHCARE CORPORATION OF AMERICA
11.2006 - 06.2008
CCE Consultant
PRECYSE SOLUTIONS
09.2005 - 11.2006
LPN -
TENNESSEE TECHNOLOGY CENTER
01.2004 - 01/2005
Coding Specialist
MEDICAL COLLEGE HOSPITAL; Teaching Facility
06.2002 - 09.2005
Neurological Surgeons Assistant/Coder
NEUROLOGICAL SURGEONS
08.2000 - 06.2002
AAPC -CPCO, COC,CPC -
AAPC
02.1998 - 02.2026
Business Administration
NASHVILLE STATE COMMUNITY COLLEGE