Shannon L. Campbell
Quality Reporting Compliance Specialist
Bellingham,WA
Summary
Experienced CPHQ with over 10 years of experience in national healthcare quality standards. Excellent reputation for conveying regulatory requirements, resolving problems, and improving data integrity.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Quality Analytic Reporting Specialist
PeaceHealth
Vancouver, WA
05.2013 - Current
- Responsible for the thorough understanding of new and existing CMS and TJC quality regulations.
- Monitor and aid in the compliance with CMS, TJC, AHRQ, and State Hospital regulations and company policies.
- Serve as subject matter expert by advising senior leadership and working directly with teams throughout audits or to remedy compliance issues.
- Liaise with senior leadership to identify data needs and interpret existing data for consideration.
- Synthesize and interpret relevant data to generate comparisons of current and historical information.
- Leverage applications and tools to analyze data, compile and visualize historical information.
- Audit quality of abstracted data and reported findings to department heads for improvements.
- Operate across various platforms to create, generate, manage and schedule systematic reports for multiple stakeholders.
Quality Improvement Coordinator
PeaceHealth St. Joseph Medical Center
Bellingham, Washington
10.2007 - 05.2013
- Responsible for a thorough understanding of CMS and Joint Commission quality requirements.
- Abstracted quality data for national healthcare regulatory agencies.
- Developed quality improvement plans, policies and operational guidelines.
- Documented and reported issues with compliance, standards of care and quality assurance requirements.
- Compiled review data and produced detailed reports for use by Quality.
- Established and tracked quality department goals and objectives.
Benefits Configuration Specialist
Olympic Health Management Systems, Inc
Bellingham, Washington
07.2005 - 10.2007
- Monitored changes to the CMS payment system to ensure the accurate configuration of a Medicare Advantage system.
- Researched and resolved customer appeals of processed claims.
- Investigated incidents reported by end-users to schedule system changes and identify permanent solutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Education
Physics
Whatcom Community College
Bellingham, WAMathematics
University of Colorado
Computer Science
DeKalb College
Atlanta, GASkills
Quality Reporting Programs
10 Years Remote
Excel
Word
PowerPoint
Audits
Tableau
Attention to Detail
Self-Motivated
Critical Thinking
Certification
Certified Professional in Healthcare Quality (CPHQ)
Timeline
Certified Professional in Healthcare Quality (CPHQ)
07-2021
Quality Analytic Reporting Specialist
PeaceHealth
05.2013 - Current
Quality Improvement Coordinator
PeaceHealth St. Joseph Medical Center
10.2007 - 05.2013
Benefits Configuration Specialist
Olympic Health Management Systems, Inc
07.2005 - 10.2007
Physics
Whatcom Community College
Computer Science
DeKalb College
Mathematics
University of Colorado