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Nurse Audit Coordinator

Location:
Windermere, FL
Salary:
75000
Posted:
October 13, 2014

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Resume:

ROBIN L. ROONEY

***** ******* ***** *****, **********, FLORIDA 34786

407-***-****

407-***-****

acgco1@r.postjobfree.com

Focused and dedicated professional, pursuing a challenging role to fully utilize comprehensive background in operations,

personnel, nursing care management, and sales. Possess a strong knowledge of nursing and healthcare principles and policies,

impeccable work ethic, and remarkable organizational skills to efficiently manage tasks and priorities. Exemplify analytical

problem-solving aptitude to develop innovative solutions and resolve complex issues. Demonstrate adeptness in performing with

and leading highly proficient teams of professionals. Exhibit articulate communication and interpersonal skills to build and

strengthen positive work relationships with diverse individuals. Leverage technical proficiency with Microsoft Office Suite

(Word, Excel, and Outlook), Microsoft Visio, PeopleSoft, and GreenLight.

- FUNCTIONAL SKILLS WITH EXPERIENCE

LEADERSHIP AND PROFESSIONAL DEVELOPMENT

- Assumed full responsibility in providing strategic leadership, guidance, and direction to 21 corporate office personnel

and 75 independent contract auditors for HealthDataInsights to deliver outstanding support to client service operations for 20

active audit clients

- Restructured job positions and added three new positions to establish a more team–oriented, efficient, and quality–

driven approach in aligning with corporate mission and goals

- Functioned as a lead member of the company ISO team to enable the company to receive ISO certification in 2008 and

maintain credentialing to date

- Developed quality assessment and tracking tools to facilitate timely processing and training of documents

- Led numerous training and educational sessions for many areas of clinical knowledge, including cardiopulmonary

resuscitation, first aid, and blood borne pathogens

- Designed and implemented a strategic orientation program, recruited new talents, and enlisted agencies and experts to

conduct seminars and presentations on topics relevant to the targeted population

- Performed as subject matter expert to assist the Recoupment Department in managing and resolving challenging recoupment

issues

- Played a major role as part of the Care Plan Advisory Committee to manage compliance with regulatory policies and

participate in annual state inspections

OPERATIONS MANAGEMENT

- Served as clinical resource and account manager for all clients in analyzing medical bills for discrepancies, as well as

in supporting meetings and onsite sales presentations

- Utilized various information and computer systems to evaluate and process medical claim electronic submissions and

spearheaded numerous system enhancements to better evaluate and more efficiently review medical bills

- Assumed responsibility in projecting revenue and ascertaining weekly forecast objectives were met

- Keenly oversaw special project operations

- Actively coordinated with payers and hospitals to review appeals

- Acted as the primary point of contact for the Legal Department

- Oversaw all accounting and financial functions, including management of accounts payable, accounts receivable, and

payroll

- Functioned as primary point of contact for the American Heart Association (AHA) and the National Safety Council (NSC)

- Exhibited keen expertise in managing sales operations for defibrillators and medical equipment

- Teamed up with the Nurse Management Team to initiate facility-wide training, planning, organization, implementation, and

evaluation

- Showcased proficiency in intra-aortic balloon pump (IABP) and advanced cardiovascular life support (ACLS)

- WORK CHRONOLOGY

HEALTHDATAINSIGHTS - ORLANDO, FL

Director of Audit Services 2012–2014

Manager of Audit Services 2007–2012

- Received recognition for pioneering strategic initiatives to improve corporate revenue by two-fold

H.E.A.R.T. EDUCATORS, LLC - GOTHA, FL

Owner 1997–2007

- Functioned as the managing member lead instructor and facilitator, and devoted efforts to be recognized as one of the

top ten training centers for the state of Maryland

THE PARKS HEALTHCARE AND REHABILITATION - ORLANDO, FL

Nurse Manager Education Director Infection Control Director 2006–2007

DR. WALTER GIBLIN - ROCKVILLE, MD

Head Nurse 1993 - 1997

WASHINGTON ADVENTIST HOSPITAL - TACOMA PARK, MD

Surgical Intensive Care Open Heart Unit (SICU) Nurse Rotating Charge Nurse 1980 - 1993

- EDUCATION AND CREDENTIALS

Registered Nurse Washington Hospital Center School of Nursing - Washington, DC

Registered Nurse: State of Florida (Valid Until: Apr 2015)

- PROFESSIONAL AFFILIATION

American Association of Medical Audit Specialists (AAMAS)



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