Patricia Carroll

Patricia Carroll Email and Phone Number

Registered Nurse, Retired
Patricia Carroll's Location
Bybee, Tennessee, United States, United States
Patricia Carroll's Contact Details

Patricia Carroll work email

Patricia Carroll personal email

n/a
About Patricia Carroll

Highly skilled nursing professional with 29 years experience in hospital, medical office, and medical record review.Excellent communication, interpersonal, and organizational skills.Proficient in all documentation, record maintenace, and paperwork to ensure accuracy and patient confidentiality.Extensive experience working with electronic medical records and various hospital computer systems.Proficient in use of Excel, Word, and Outlook.

Patricia Carroll's Current Company Details

Registered Nurse, Retired
Patricia Carroll Work Experience Details
  • Franco Signor Llc
    Nurse Allocator
    Franco Signor Llc Sep 2019 - Mar 2020
    Remote
    Completed comprehensive review of medical records and composed detailed reports outlining needs for future medical care costs for workers compensation cases. Executed clear, concise, and thorough medical record abstraction for the purpose of inclusion in Medicare Set-Aside and future medical care cost projection.
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  • Hms
    Medical Review Nurse
    Hms May 2017 - Aug 2018
    Remote
    • Performed clinical reviews of medical records and other documentation to determine that services billed to and paid by Medicare were supported.• Completed medical review form, accurately documented findings, and provided policy/regulatory support for determination.• Conducted research on relevant state specific billing/reimbursement regulations.• Integrated knowledge of fraud, waste, and abuse definitions to identify and participate in fraud referral when indicated.• Conducted claim research using the appropriate systems.
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  • Kepro
    Quality Of Care Nurse Reviewer
    Kepro Dec 2015 - Apr 2017
    Tampa, Fl.
    • Conducted reviews for quality improvement organization on behalf of Medicare beneficiaries in accordance with the Centers for Medicare and Medicaid Services (CMS). • Performed quality of care medical record reviews, prepared cases for physician review, and related activities for all cases selected on a timely, accurate and efficient basis. • Communicated with external customers and furnished information pertaining to the review process and results. • Ensured accurate and timely submission of all review related documents to appropriate parties. • Maintained production goals and Quality Assurance standards.
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  • Adreima
    Clinical Chart Review/Clinical Nurse Auditor
    Adreima Jun 2011 - Jul 2015
    Port Charlotte, Fl./Remote
    • Performed concurrent and retrospective medical record reviews and obtained authorizations for Medicaid patients. • Submitted clinical information to the EQ Health system and Managed Care Plans. Documented reviews and approval status in hospital computer systems. • Analyzed clinical information using InterQual and Milliman criteria to determine eligibility andlength of inpatient stay.
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  • National Healthcare Review
    Clinical Nurse Auditor
    National Healthcare Review Aug 2008 - May 2011
    Venice, Fl.
    • Conducted charge audits of medical records at Venice Regional Medical Center in Florida as a contract employee. • Assisted patients telephonically by reviewing accounts and explaining charges. • Performed insurance defense audits. • Prepared and presented audit reports for weekly meetings with hospital administrators.

Patricia Carroll Skills

Microsoft Excel Microsoft Word Outlook Medical Terminology Medical Record Review Charge Auditing

Patricia Carroll Education Details

Frequently Asked Questions about Patricia Carroll

What is Patricia Carroll's role at the current company?

Patricia Carroll's current role is Registered Nurse, Retired.

What is Patricia Carroll's email address?

Patricia Carroll's email address is pa****@****nor.com

What schools did Patricia Carroll attend?

Patricia Carroll attended University Of Tennessee-Knoxville.

What are some of Patricia Carroll's interests?

Patricia Carroll has interest in Social Services, Environment, Science And Technology, Human Rights, Animal Welfare, Health.

What skills is Patricia Carroll known for?

Patricia Carroll has skills like Microsoft Excel, Microsoft Word, Outlook, Medical Terminology, Medical Record Review, Charge Auditing.

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