Tanya Farthing
Registered Nurse/IT Analyst
Gallatin,TN
Summary
Dedicated to using excellent research, investigation and project management abilities to optimize management, organization and reporting of clinical data. Results driven, precise and systematic with quick learning and collaborative nature. Well qualified RN clinical analyst successful at building and maintaining secure, accurate and efficient data collection systems. Hard-working and pragmatic with strong attention to detail and methodical approach. Experienced nurse with over 20 years of experience in healthcare. Excellent reputation for resolving problems, improving customer satisfaction, and driving overall operational improvements.
Overview
21
21
years of professional experience
Work History
Clinical Appeals Specialist
CHS
12.2023 - Current
- Collaborated with cross-functional teams to gather necessary documentation and evidence to support the appeals process.
- Managed high-stress situations with professionalism, ensuring that appeals were handled promptly and accurately even under tight deadlines or heavy caseloads.
- Consistently met or exceeded performance metrics, demonstrating a strong understanding of the claims review process and an unwavering commitment to achieving positive results for clients.
- Achieved successful appeal outcomes by meticulously reviewing and analyzing claim denials, identifying errors, and presenting persuasive arguments.
- Enhanced overall department efficiency by developing and implementing standardized procedures for handling appeals cases.
- Checked documentation for accuracy and validity on updated systems.
- Developed strong relationships with healthcare providers, insurance companies, and regulatory agencies to facilitate successful outcomes in the appeals process.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Improved the appeals success rate by researching legal precedents and staying up-to-date with current industry regulations and guidelines.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Expedited resolution times for appeals cases by efficiently managing workload and prioritizing urgent matters.
- Demonstrated exceptional attention to detail when evaluating medical records in order to identify discrepancies or inconsistencies that could impact an appeal''s outcome positively or negatively.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Maintained strict confidentiality of patient information in accordance with HIPAA regulations.
- Maintained high levels of accuracy in all written correspondence, ensuring clear communication with relevant stakeholders during the appeals process.
Pre-Admission Testing RN
TriStar Centennial Medical Center
01.2020 - 07.2022
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Leveraged feedback and process improvement opportunities to create safer and healthier environment and increase patient satisfaction.
- Observed and documented patient factors such as diets, physical activity levels and behaviors to understand conditions and effectively modify treatment plans.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Educated family members and caregivers on patient care instructions.
- Recorded details regarding therapies to keep patient charts updated.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Evaluated patient histories, complaints, and current symptoms.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
- Equipped patients with tools and knowledge needed for speedy and sustained recovery.
- Implemented care plans for patient treatment after assessing physician medical regimens.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
Senior Clinical Analyst
TriStar Centennial Medical Center
05.2017 - 01.2020
- Assisted with database upgrades and migrations by performing user acceptance testing.
- Worked with programming to coordinate Study Data Tabulation Model maps.
- Upheld critical security standards when managing user access actions such as setting up and removing accounts.
- Enforced strict data validation rules to maintain accuracy and completeness of clinical data.
- Participated in quality assurance reviews to verify accuracy and reliability of data.
- Collaborated with medical teams to create uniform standards for clinical data reporting.
- Managed system for secure storage, transmission and manipulation of clinical data.
- Proven ability to learn quickly and adapt to new situations.
- Demonstrated leadership skills in managing projects from concept to completion.
- Worked well in team setting, providing support and guidance.
- Worked flexible hours across night, weekend and holiday shifts.
- Cultivated interpersonal skills by building positive relationships with others.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Developed strong communication and organizational skills through working on group projects.
Clinical Data Abstractor, Chest Pain Coordinator
TriStar Stonecrest Medical Center
07.2012 - 05.2017
- Responsible for chest pain center team meetings in collaboration with manager, Director, and medical Director.
- Maintained clinical competencies for all staff, oversaw in-services and education.
- Assisted and organized, education, hospital-wide for chest pain center and other cardiology quality metrics, communicated necessary information to physicians for documentation for cardiac registry and chest pain center.
- Assisted in planning and implementation of interventions to ensure best practices are implemented for database compliance and verified accuracy of abstracted data, minimizing data collection, and aggregation errors and confirming that data is as complete as possible.
- Followed up with medical staff regarding missing information in patient records.
- Researched and resolved medical record discrepancies.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Assisted in preparation of medical reports for external parties.
- Utilized electronic medical record systems to store, retrieve and process patient data.
- Input data into computer programs and filing systems.
- Transcribed and entered patient medical information into electronic medical records systems.
- Verified accuracy of patient information in medical records.
- Generated and maintained statistical data related to medical records.
- Maintained accuracy, completeness, and security for medical records and health information.
Cath Lab Registered Nurse
TriStar Centennial Medical Center
07.2011 - 12.2012
- Performed fractional flow reserve tests to measure blood pressure and diagnose severity of restriction at blocked areas within arteries.
- Communicated with healthcare team members to plan, implement and enhance treatment strategies.
- Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
- Conveyed treatment options, diagnosis information and home care techniques to patients and caregivers to continue care consistency.
- Used first-hand knowledge and clinical expertise to advocate for patients under care and enacted prescribed treatment strategies.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Evaluated patient histories, complaints, and current symptoms.
- Sustained quality standards by performing routine medication audits and upholding internal and industry best practices.
- Supported physicians throughout introduction of medical devices and vascular closure with collagen plugs and stitches.
- Performed frequent checks on life support equipment and made necessary adjustments to preserve optimal patient conditions.
- Conducted ongoing monitoring and evaluations of behaviors and conditions, and updated clinical supervisors with current information.
- Provided skilled, timely and level-headed emergency response to critically-ill patients.
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Administered diagnostic angiograms, injecting intravenous dye for x-ray examination and using catheters to introduce tools needed for medical treatments.
- Promoted patient and family comfort during challenging recoveries to enhance healing and eliminate non-compliance problems.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Participated in evidence-based practice project implementation, nursing competency development and nursing simulation activities.
- Installed bare metal, drug-eluting and bio-absorbable stents throughout vascular system.
- Treated plaque buildup within arteries with angioplasty balloon procedures.
- Explained course of care and medication side effects to patients and caregivers in easy-to-understand terms.
NICU Registered Nurse
Ascension Saint Thomas Hospital Midtown
10.2010 - 07.2011
- Administered medications and fluids and checked vital signs on critically ill newborns.
- Followed policies, procedures and hospital regulations for protocol compliance and patient safety.
- Assessed and documented changes in patient's condition and prepared patient for transfer to higher level of care.
- Guided patients, caregivers, and family members on plans of treatment and helpful resources available locally to support care.
- Assessed, evaluated, and cared for neonate patients.
- Coordinated with healthcare staff from various disciplines to devise, carry out, and manage personalized care plans to benefit patient health and recovery.
- Conducted patient assessments, recorded vitals, and analyzed records and charts to define care requirements.
- Communicated with family members and loved ones to provide information about patient care, treatments and medical options.
- Provided high level of quality care for each and every patient in 40-bed neonatal ICU unit.
- Crafted tailored nursing care plan for each patient and evaluated it daily for effectiveness.
- Identified issues, analyzed information and provided solutions too problems.
- Learned and adapted quickly to new technology and software applications.
PACU Registered Nurse, SDS RN, Cath Lab RN
TRiSTAR Stonecrest Medical Center
12.2003 - 12.2010
- Managed care from admission to discharge.
- Provided didactic and clinical instructions to orient new nurses and potential student nurses to achieve training outcomes.
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Administered medications and treatment to patients and monitored responses while working with healthcare teams to adjust care plans.
- Evaluated healthcare needs, goals for treatment, and available resources of each patient and connected to optimal providers and care.
- Updated patient charts with data such as medications to keep records current and support accurate treatments.
- Implemented medication and IV administration, catheter insertion, and airway management.
- Audited charts and reviewed clinical documents to verify accuracy.
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Contributed substantially to successful department JCAHO accreditation by consistently operating to highest standards of care.
- Educated patients, families and caregivers on diagnosis and prognosis, treatment options, disease process, and management and lifestyle options.
- Conferred with physicians to discuss diagnoses and devise well-coordinated treatment approaches.
- Maintained quality care and comfort for patients with heart failure, pulmonary hypertension, and other conditions.
- Monitored patient condition by interpreting and tracking EKG readings, identifying irregular telemetry readings and updating team members on changes in stability or acuity.
- Provided direct patient care, stabilized patients, and determined next course of action.
- Organized and managed care of patients undergoing various therapies and procedures.
- Managed quality care for patients with heart failure, end-stage renal disease and coronary artery disease.
- Participated in nursing simulation activities, evidence-based practice project implementation and competency development to further nursing education.
- Collected blood, tissue, and other laboratory specimens and prepared for lab testing.
Education
Associate of Science - Nursing
Dyersburg State Community College
Dyersburg, TN05.2002
Skills
- Process Improvement
- Complex Problem-Solving
- Presentation Development and Delivery
- Google Workspace
- Data Entry
- MS Office
- Analytical Thinking
- Deadline Adherence
- Data Research and Validation
- Digital Databases
- Data Integrity Assurance
- Multiple Priorities Management
- Data Processing
- Preliminary Conclusions and Recommendations
- Team Leadership
- Content Management Expertise
- Maintain Systems
- Software Application Testing
- Team Meetings
- Set Up Devices
- Troubleshoot Service Issues
- Analyst Relations
- Database Upgrades
- Reporting Requirements
- User Experience
- Clinical Development and Operations
- Technical Specifications
- Improvement Plans
- Clinical Team Collaboration
- User Support
- Clinical Applications
- Remote Support
- Project Deadlines
- Health Information System Administration
- Clinical Documentation Management
- Health Information Systems (HIS)
- Information Systems Improvements
- User Access Management
- Documentation Requirements
- Managing Service Requests
- Client Requirements
- Application Implementation
- User Training
- Electronic Medical Record (EMR) Systems
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Clinical Appeals Specialist
CHS
12.2023 - Current
Pre-Admission Testing RN
TriStar Centennial Medical Center
01.2020 - 07.2022
Senior Clinical Analyst
TriStar Centennial Medical Center
05.2017 - 01.2020
Clinical Data Abstractor, Chest Pain Coordinator
TriStar Stonecrest Medical Center
07.2012 - 05.2017
Cath Lab Registered Nurse
TriStar Centennial Medical Center
07.2011 - 12.2012
NICU Registered Nurse
Ascension Saint Thomas Hospital Midtown
10.2010 - 07.2011
PACU Registered Nurse, SDS RN, Cath Lab RN
TRiSTAR Stonecrest Medical Center
12.2003 - 12.2010
Associate of Science - Nursing
Dyersburg State Community College
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