Master’s Prepared Nurse
*Highly skilled revenue integrity analyst and data analyst with experience writing SQL queries and Python and creating Tableau dashboards. Strong background in data management, including working with C-CDA, FHIR, SAS, and healthcare informatics.
*Expertise in utilizing data to drive decision-making, improve operational efficiency, increase overturned denials, reduced bed days for inpatient level of care stays from 3.5 to 2, and enhance business intelligence processes.
*Skills include working with providers and large hospital corporations, and CFOs in Revenue Integrity and Appeals on the revenue cycle. Extensive experience from 2005 to 2012 for various insurance payers as a Utilization.
*Manager working with MCM and InterQual as well as utilization of private duty nursing, inpatient and outpatient authorization.
*Bedside experience from 1998-2000 as an LPN long-term care ventilator patients. From 2000-2003 I worked in utilization management. I have also Worked as an RN in the nursing home from 2003-2005.
✓ Current RN License
✓ EHR Experience
✓ it skills
