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.