Summary
Nurse auditor with 5 years of experience in clinical documentation improvement, data analysis, and regulatory compliance. Skilled at reviewing records, facilitating appeals, and driving quality improvement initiatives. Strong communicator with a track record of reducing denials and improving audit outcomes.
Experience
- Analyzed 60+ medical records per week, reducing documentation errors by 28%.
- Facilitated 15 successful appeals per quarter, recovering $180,000 in denied claims annually.
- Applied regulatory standards and coding guidelines, improving audit compliance rates by 20%.
- Arranged physician-to-physician clinical reviews, expediting resolution of 25 complex cases each year.
- Supported case management and clinical auditing for 40+ patients weekly.
- Contributed to departmental policy updates, resulting in a 10% improvement in audit turnaround time.
Education
Courses
- Registered Nurse (RN) License, Texas Board of Nursing
- Certified Clinical Documentation Specialist (CCDS), ACDIS