Quality Review Specialist

Nisha Patel

+1-732-***-**** **************@*****.***

EDUCATION

Saint Joseph’s University Philadelphia, PA

Bachelor of Science, Major in Health Sciences 2019-2023 EXPERIENCE

Aura Physical Therapy Voorhees, NJ

Quality Review Associate 2025-Present

●Reviewed and audited patient records to ensure compliance with organizational protocols and regulatory standards, identifying and correcting discrepancies to reduce compliance risks.

●Maintained internal trackers and documentation systems, improving reporting accuracy and timeliness of updates by streamlining workflows.

●Assisted in managing regulatory documentation for external stakeholders, supporting successful inspections and client satisfaction. Vanguard Medical Group Verona, NJ

Quality Review Specialist 2024-2025

●Audited EMR/EHR records and resolved data inconsistencies, reducing errors and ensuring compliance with HIPAA and CMS standards.

●Closed HEDIS care gaps through proactive outreach and education, increasing compliance with wellness visit requirements and improving quality metrics.

●Partnered with providers and staff to standardize documentation practices, enhancing operational efficiency and accuracy across teams.

Raritan Bay Medical Center Old Bridge, NJ

Patient Attendant 2021

●Monitored patient conditions and documented health data in real time, ensuring accurate reporting for timely medical review.

●Escalated emergencies or changes in patient status to nursing staff, supporting rapid response and continuity of care.

●Assisted patients with daily needs and hospital navigation, contributing to improved patient experience and satisfaction. Care Dental Union, NJ

Administrative Assistant 2021

●Managed patient scheduling, billing, and records, ensuring accuracy and regulatory compliance in documentation processes.

●Coordinated across staff to improve document management systems, reducing administrative errors and supporting smoother patient flow.

●Conducted audits of patient records and documentation to support compliance with healthcare regulations. LLC Eye Doctor Freehold, NJ

Optometric Technician 2020-2021

●Supported optometrists by documenting exam results and updating patient files with 100% accuracy, ensuring compliance with medical and regulatory standards.

●Performed pre-testing procedures and prepared patients for exams, increasing provider efficiency and reducing wait times. SKILLS & INTERESTS

Project & Operations Management: Project trackers, meeting facilitation, customer account operations Documentation & Compliance: Regulatory compliance. documentation accuracy, EHR/EMR management, onboarding support, packaging/artwork documentation

Customer & Stakeholder Engagement: Client-facing communication, issue resolution, maintaining strong relationships, HEDIS care gaps

Technical: Microsoft Office Suite (Excel PivotTables, VLOOKUP), SharePoint, EMR/EHR systems (Athena, EPIC, Lightbeam, Aledade, Jane), data entry, documentation systems

Languages: Fluent in Gujarati and English

Organizational Skills: Multi-tasking, time management, detail-oriented, process optimization RELEVANT COURSEWORK

Biology I & II, Anatomy & Physiology I & II, Organic Chemistry I & II, Biochemistry, Microbiology, Biostatistics, Microeconomics

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