Certified Professional Coder, Licensed Nurse with eighteen years experience in healthcare. My career path has ventured into auditing of medical records, submitting corrections, evaluation of inpatient hospital documentations to include Emergency Medicine,inpatient procedures, etc. Primarily to review for compliance per regulations set forth my governmental agencies. Review for medical necessity in relation to Medicare, Medicaid guidelines. I am excited to use my clinical and hospital expertise in analyzing medical records and conducting reviews for compliance.

Revenue Integrity/Nurse Analyst LVN CPC @ Remote position within Healthcare Corporation of America. Compliance related/ medical,auditing per CMS guidelines. Outsourced for various Lifepoint facilities via HCA Parallon. From June 2013 to Present (2 years 5 months) bonham, texasService Dogs @ Having performed multiple studies on Autistic children, soldiers with disabling Post Traumatic Stress Disorder (PTSD), Diabetes, Epilepsy, etc. I raise specialty trained service dogs focused on these areas for assisting persons with disabilities. From October 2012 to Present (3 years 1 month) United StatesMedical Auditor @ Compliance related position in preparation of repeat CMS audit. Reviewing documentation in relation to credentialing aspects to validate legality of employment within the medical facility. Auditing licensure credentials and competency documentations for multiple disciplines including physicians, Occupational Therapy, Nursing personnel. From January 2013 to April 2013 (4 months) Dallas/Fort Worth AreaRevenue Analyst @ Patient Account Services, Irving TX Revenue Analyst Assist in resolving billing edits that are holding patient claims from billing, by reviewing medical records and other applicable documentation. Maintain the integrity of facility Charge Description Master (CDM) and Revenue Integrity Systems Program. Maintain the integrity of all Ancillary Department systems related to billing and revenue. Records review regarding revenue and compliance issues. Coordinate all retrospective, concurrent, patient complaint and external billing audits. Provide monthly audit results. Review denial trends for documentation or charging issue opportunities. Review high charge stays/procedures for charging accuracy. Ensures web tool (unbilled) items are addressed properly and timely. Serve as primary contact for all charge related PAS inquiries and issues. From October 2009 to November 2012 (3 years 2 months) Floor Nurse Medical Surgical/Telemetry @ Began as a contract nurse with multiple contract renewals within the HCA systems for Med/Surg, PACU, PCU/telemetry, Rehab, Oncology. Pioneer training in E-mar medication systems. General nursing duties to include IV therapy, medication administration, phlebotomy, notifying MD/Charge Nurse of condition changes, teaching/patient education on disease process, hospital protocols. Established excellent rapport with clinical staff and supervisors which continuously renewed work-contracts due to professionalism and work ethics. From January 2002 to January 2009 (7 years 1 month) Floor Nurse Medical Surgical/Telemetry @ General nursing duties to include iv therapy, physical assessments, medication administration, transcribing physician orders, direct supervision of 2-3 nurses aides, float to various medical floors, telemetry, med/surg, rehab.; HCA/All About Staffing: DFW, TX Float Nurse Multiple contract renewals within the HCA systems for Med/Surg, PACU, PCU/telemetry, Rehab, Oncology. Pioneer training in E-mar medication systems. General nursing duties to include IV therapy, medication administration, phlebotomy, notifying MD/Charge Nurse of condition changes, teaching/patient education on disease process, hospital protocols. Established excellent rapport with clinical staff and supervisors which continuously renewed work-contracts due to professionalism and work ethics. From March 2006 to October 2006 (8 months) Office Nurse @ Responsibilities included performing 12-Lead E.K.G., phone triage, insurance referrals/procedural pre-certifications, phlebotomy, and direct assist to physicians performing in-office flexible Sigmoidoscopy, maintenance of instruments, clerical duties as needed. From January 2000 to January 2001 (1 year 1 month) Float/Office Nurse @ Responsibilities included variety of positions within healthcare system floating to diverse offices including Neurology, Oncology, Family Practice, and Internal Medicine. Phone-triage, phlebotomy, insurance referrals and other particularly challenging multi-task functions. Also gained experience in Shannon Minor Emergency clinic performing/assisting physicians with acute minor emergency conditions for the community. From January 1995 to January 2000 (5 years 1 month) Field Nurse @ PRN position with duties that include traveling to various surrounding counties, physical assessments, Instructing on multiple disease processes, monitoring glucose, administering and instructing on wound care protocol, reporting to physicians the condition of clients. Meticulous documentation according to state mandates and regulations for legally homebound clients. From October 1996 to April 1999 (2 years 7 months)

Pamela Bates L.V.N. C.P.C. is skilled in: Medical Coding, Utilization Review, Medical Terminology, Revenue Integrity, Auditing Medical Records, Revenue Cycle Pro, Meditech PCI, Compliance, Quality Assurance, Microsoft Word, Analyzing Medical..., Microsoft Office, Medical Devices, Surgery, Cardiac Surgery, McKesson PACS, Medical/Surgical, Cardiology, Utilization, Auditing, Nursing Education, Nursing, Medicare, Medicaid, Insurance, Peritoneal Dialysis, Hospitals, Healthcare, HIPAA, EMR, Medical Records, Inpatient, Revenue Cycle, ICD-10, ICD-9, Health Information..., CPT, Medical Compliance, Physicians, HCPCS, Meditech, Software Documentation, EHR, Healthcare Management, Revenue Cycle Management, Medicine, Clinical Research, IV, Credentialing, Healthcare Industry