Shonda Brown

I am a nurse with 13+ years of clinical experience and 7 years of healthcare IT experience. As a Clinical Application Analyst, I specialize in optimizing systems performance, conducting timely software installations and tests, and simplifying complex technical topics for average users. I have experience in Cerner and Oracle solutions and have trained end users on system functionality. I am a detail-oriented team player with strong organizational skills and the ability to handle multiple projects simultaneously with a high degree of accuracy.

• Sylvia Barr Center, GA
• Southwell Health and Rehabilitation, GA
• Southwell Medical Center, GA
• Native American client

• Implementation Analyst, Nordic Global, 09/01/22, 11/01/23, Assist and maintain multi-tenant domain build for both inpatient and outpatient with recommended model content, Define and educate inpatient and outpatient on workflows, Responsible for working with end user to ensure they still met their State requirements within Cerner, Train/educate users on Future State workflows, Assist with charges, including crosswalk, validate and unit testing, Assist with system and integrated testing, Build orders and/or PowerPlans, Troubleshoot and recommend solution to complex problems and requests, Build strong working relationships with end users and facility administrators, during weekly meetings
• Reimbursement Auditor, WellStar Health System, 06/01/22, 09/01/22, Audit medical records for missing charges and validate charges corresponding to claims, Ensure accuracy of hospital bills for services submitted to patients and all third-party payors, Report monthly findings to multidisciplinary teams within the organization and educate how to reduce missed charge capturing, Adjust claims if audit findings identify errors in billing or compliance issues, Work with payer to negotiate proper adjustment to claim, Review Defense audits, Pre-Bill audits, and Payer request audits as needed
• Denials Analyst, Tift Regional Medical Center, 04/01/22, 06/01/22, Follow all Medicare, Medicaid, HIPPA, and private insurance regulations and requirements, Manage denial data in the denial database to confirm accuracy of payer denials and monitor financial impact, Obtain/coordinate data for identification, research, analysis, and resolution of claim denials, Analyze results, identify trends, and communicate information to team/committees, Work with multidisciplinary teams within the organization to educate, reduce, and eliminate future denials, Applied knowledge of Medicare, Medicaid, and third-party payer requirements utilizing on-line eligibility systems to verify patient coverage and policy limitations
• Clinical Application Analyst, Tift Regional Medical Center, 02/01/17, 04/01/22, Maintained electronic medical record to meet changing needs, Managed user profiles, security access and shared file structures, Developed online documentation for common processes for both support staff and end users, Collaborated on the Cerner EMR implementation, testing coordination, and delivering technical requirements for implemented functionalities, Managed, planned, and conducted training for end users in a variety of applications, Developed and maintained training materials for system upgrades, implementation, and introductions of new systems or functionality, Collaborated with upper management, vendor, and other team members to evaluate, troubleshoot, and recommend solutions to complex problems and requests, Improved long term care system’s evaluating and adopting new technologies to address changing needs, Build stronger working relationships with end users and facility administrators
• Clinical Charge Auditor, Tift Regional Medical Center, 02/01/15, 02/01/17, Contacted insurance carriers to obtain authorizations, notifications, and pre-certifications for patients, Followed all Medicare, Medicaid, HIPAA, and private insurance regulations and requirements, Audit medical records for missing charges, validate charges corresponding to claims, ensuring accuracy, Report monthly findings to multidisciplinary teams within the organization and educate how to reduce missed charge capturing