Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kristen Boargoub

Hattiesburg

Summary

Detail-oriented and analytical Registered Nurse with 6+ years of clinical experience in acute care, outpatient, and telehealth settings, including Oncology, Pediatrics, Mother/Baby, and surgical step-down units. Certified Professional Medical Auditor (AAPC) with expertise in reviewing clinical documentation, supporting appeals, and ensuring compliance with AMA and CMS coding guidelines. Skilled in identifying potential billing discrepancies, performing preliminary chart audits, and supporting claims review processes. Adept in medical necessity determinations, regulatory compliance, medication prior authorizations, and multidisciplinary collaboration. Experience with Epic EMR, code auditing tools, and payer policy research. Currently working on CPC certification.

Overview

6
6
years of professional experience
1
1
Certification

Work History

RN

The Pediatric Clinic
Hattiesburg
01.2024 - Current
  • Review medical charts for documentation accuracy and coding compliance in alignment with AMA/CMS standards
  • Triage phone calls and patient cases, effectively identifying urgent care needs and streamlining documentation for claims processing
  • Collaborate with providers to clarify documentation and ensure billing consistency with medical records
  • Train new nurses and orient them to the clinic, enhancing team performance and maintaining high standards of patient care
  • Work with multiple different doctors as a float nurse by filling in wherever needed, proving my ability to work as a team as well as adapt to change quickly and effectively

RN

Slidell Memorial Hospital Regional Cancer Center
Slidell
01.2022 - 12.2023
  • Reviewed medical records and treatment plans, ensuring documentation supported prior authorization and coding requirements
  • Gained experience in identifying documentation gaps that could affect claim accuracy or lead to denials
  • Educated patients and families about medical procedures and health management, enhancing their engagement and adherence to treatment plans
  • Mentored nursing students through hands-on training and guidance, fostering the next generation of healthcare professionals
  • Supported the nurse practitioner with prior authorization tasks and appeals for patient medications
  • Facilitated collaboration between providers, infusion nurses, and case managers to streamline care

RN

Ochsner Baptist
New Orleans
02.2020 - 10.2021
  • Ensured clinical documentation aligned with payer requirements for postpartum care and newborn admission
  • Delivered timely and accurate EMR charting for high-volume caseloads
  • Supported compliance through ongoing documentation of assessments, procedures, and patient education
  • Educated patients on discharge care, ensuring understanding and safety post-hospitalization

RN

Ochsner Medical Center
New Orleans
01.2019 - 02.2020
  • Reviewed detailed clinic data for high-acuity patients and ensured accurate documentation across transitions of care
  • Used Epic to update care plans and document procedures, helping to support billing accuracy and medical review
  • Communicated effectively with multiple doctors to implement and adjust patient care plans as needed
  • Adapted to multiple units during my tenure and provided care for multiple critical care patients with a wide range of medical conditions simultaneously, demonstrating versatility and a broad skill set

Education

Associate of Science - Nursing

Delgado Community College
New Orleans, LA
12-2018

Skills

  • EMR proficiency
  • Coding compliance
  • Medical record review
  • Patient education
  • Telehealth triage and communication
  • Prior authorization
  • HIPAA and regulatory compliance
  • Interdisciplinary team collaboration
  • Time management
  • Attention to detail
  • Chronic disease management
  • Adaptability

Certification

  • Registered Nurse (RN), Mississippi State Board of Nursing, Multi State license #925384, EXP 12/31/2026
  • Basic Life Support (BLS), American Red Cross, EXP 06/2027
  • Tuberculosis Surveillance and Testing Certification, Mississippi State Department of Health, EXP 05/08/2030
  • Certified Professional Medical Auditor, AAPC, ID #02324566, renewal date 01/2027

Timeline

RN

The Pediatric Clinic
01.2024 - Current

RN

Slidell Memorial Hospital Regional Cancer Center
01.2022 - 12.2023

RN

Ochsner Baptist
02.2020 - 10.2021

RN

Ochsner Medical Center
01.2019 - 02.2020

Associate of Science - Nursing

Delgado Community College
Kristen Boargoub