VERNA MACKEY
Summary
I am a versatile healthcare professional with 15-plus years of quality improvement expertise in community health and Federally Qualified Health Centers (FQHCs). As a licensed Practical Nurse, Registered Health Information Technician, and Certified Professional Coder, I excel in data analytics, clinical auditing, and process optimization. I am a dedicated worker who is detail-oriented, analytical, and proactive. I am proficient in data retrieval, auditing, and analyzing clinical data for performance improvement activities and quality measure reporting requirements. I promote the connection between quality and regulatory compliance and am capable of assisting in translating complex healthcare data into actionable insights for clinical and administrative stakeholders.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Quality Improvement Supervisor
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2022 - Current
- Led implementation of data-driven QI initiatives, resulting in improvement in key clinical quality measures, e.g., UDS and HEDIS, across 13 health centers
- Supervised a team of care gap specialists, establishing structured workflows that closed care gaps quarterly
- Implemented plan-do-study-acts (PDSAs) to promote change and improve outcomes
- Assisted in the successful NCQA PCMH recertification process, achieving Recognition across all sites
- Utilizes statistical techniques when analyzing data and builds relational tables (Excel) to interpret results
- Implemented and measured outcomes of QI and QA projects, including those involving patient safety and organizational objectives
- Collaborated with clinical leadership to implement process improvements that reduced documentation errors
- Designed and delivered monthly training sessions on coding and documentation best practices to clinical staff
- Coordinated cross-departmental quality initiatives that improved patient outcomes and organizational efficiency
- Support the HRSA Operational Site Visit and compliance readiness
Quality Analyst
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2018 - 09.2022
- Review data technical specifications to ensure compliance with reporting regulations
- Conducted chart audits and comprehensive analysis of clinical data trends, identifying opportunities that improved quality measure performance
- Identified and reported data anomalies and collaborated with impacted areas to identify the root cause, patterns, or trends to facilitate an efficient resolution
- Developed and maintained performance dashboards that tracked progress toward organizational quality goals
- Prepared data and analysis reports as needed to support quality improvement activities
- Developed performance improvement dashboards for end-users/business stakeholders
- Analyzed provider documentation to assure the appropriate, ICD-10-CM, CPT, HCPCs and Evaluation & Management (E&M) codes are assigned using the correct codes
- Collaborated with Health Information Systems Department to optimize EHR utilization for quality reporting requirements
- Clearly and concisely presents analytical information to internal and external audiences both orally and in written format
Coder
FLORIDA COMMUNITY HEALTH CENTERS, INC.
11.2016 - 10.2018
- Audited provider charts to assess coding accuracy and compliance with regulatory standards
- Created tracking systems that identified documentation gaps, improving provider education and reducing errors
- Collaborated with the billing department to identify and recover missed revenue opportunities
- Maintained up-to-date knowledge of coding guidelines, implementing changes that ensured continued compliance
- Conducted provider training sessions on documentation requirements that improved coding specificity
Clinical Support Services Coordinator
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2015 - 11.2016
- Prepared nurse management (NM) agenda and facilitated monthly nurse manager meetings
- Provide monthly NM reports to QI (Dental center audits, Handwashing and Urine Dipstick, Post Op infections & reportable conditions spreadsheet)
- Coordinated OSHA compliance activities across multiple sites, achieving compliance during annual reviews
- Reviewed needle stick exposure incidents and ensured employee post-incident labs drawn and paperwork were completed and forwarded for tracking and files, and ensured the annual sharps evaluation was completed
- Managed an annual flu vaccination campaign that achieved a high staff participation rate
- Updated annual VFC renewal, ensure all centers are current on any required training, distribute bursts and review changes, coordinate vaccine-related issues including update of annual vaccine storage and handling
- Implemented standardized processes for tracking and reporting clinical quality indicators
- Conducted site visits and staff evaluations that improved operational efficiency and patient flow
- Developed and maintained comprehensive training resources for clinical support staff
- Support The Joint Commission site visit and compliance readiness
- Support NCQA Patient-Centered Medical Home (PCMH) Level 3 recognition
Quality Improvement Supervisor
FLORIDA COMMUNITY HEALTH CENTERS, INC.
02.2008 - 10.2015
- Responsible for supervising and training the staff on quality improvement methodologies and data collection processes
- Monitored QI activities for the company under the supervision of the Director of Quality Improvement
- Perform data retrieval for performance improvement activities as indicated and/or assigned
- Developed parameters necessary to run custom reports
- Developed data tools to monitor compliance with objectives, as well as analyze and organize the data for presentation
- Led data collection and analysis efforts for successful PCMH Level 3 certification
- Created standardized reporting that streamlined data collection for grant reporting requirements, e.g., HRSA UDS reporting requirements for quality of care measures and health outcomes and disparities
Education
Associate of Science - Health Information Technology
Indian River State College
Fort Pierce, FLLicensed Practical Nursing Diploma -
Atlantic Vocational Tech
Coconut Creek, FLHigh School Diploma -
Martin County High School
Stuart, FLSkills
- Electronic Health Records: NextGen, Athena, Epic
- Data Analytics: Power BI, i2i Population Health Management
- MS Office Suite: Excel (advanced), Word, PowerPoint, Outlook, Teams
- Report Development: Custom reporting, dashboard creation, data visualization
Certification
- Licensed Practical Nurse (LPN), Florida State Board of Nursing
- Registered Health Information Technician (RHIT), AHIMA
- Certified Professional Coder (CPC), AAPC
- Lean Six Sigma Green Belt Certification
- Lean Six Sigma Yellow Belt Certification
- Basic Life Support (BLS) Certification, American Heart Association
CORE COMPETENCIES
- Quality Improvement Methodologies
- Healthcare Data Analytics & Visualization
- Clinical Documentation Improvement
- Quality and Regulatory Compliance (HRSA, NCQA, Joint Commission)
- Medical Coding & Auditing (ICD-10-CM, CPT, HCPCS)
- Performance Measure Reporting
- Team Leadership & Development
PROFESSIONAL DEVELOPMENT
Huron Leadership Development Program
Timeline
Quality Improvement Supervisor
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2022 - Current
Quality Analyst
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2018 - 09.2022
Coder
FLORIDA COMMUNITY HEALTH CENTERS, INC.
11.2016 - 10.2018
Clinical Support Services Coordinator
FLORIDA COMMUNITY HEALTH CENTERS, INC.
10.2015 - 11.2016
Quality Improvement Supervisor
FLORIDA COMMUNITY HEALTH CENTERS, INC.
02.2008 - 10.2015
Associate of Science - Health Information Technology
Indian River State College
Licensed Practical Nursing Diploma -
Atlantic Vocational Tech
High School Diploma -
Martin County High School
Similar Profiles
Diana RodriguezDiana Rodriguez
Medical Assistant at Florida Community Health CentersMedical Assistant at Florida Community Health Centers
Rose JosephRose Joseph
Registered Medical Assistant / CPT at Florida Community Health CentersRegistered Medical Assistant / CPT at Florida Community Health Centers
Cameron WhiteCameron White
Medical Assistant at Florida Community Health CentersMedical Assistant at Florida Community Health Centers