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HEALTH INSURANCE INDUSTRY

Accomplished and dynamic professional committed to pursuing a career in the Health Insurance Industry. Highly dedicated and dependable, consistently recognized for achieving company goals. Highly motivated, dependable, and demonstrates professionalism in handling various organizational functions with proven ability to work in busy environment with positive results. Innovative and reliable individual with proven ability to achieve organizational goals while displaying effective multi-tasking and time management skills. Excellent analytical skills with keen attention to detail, ability to analyze situations, and research information to develop sound and ethical solutions. Dependable with acknowledged reputation for integrity, sound business acumen and versatility in adapting to new roles, tasks, applications, and environments. Enthusiastic individual and an excellent communicator recognized ability to establish and maintain effective working relationships across cross-functional teams and diverse individuals at any levels and build strategic relationships with clients.
Core Competencies
Organizational Leadership • Customer Service • Client Relations Management • Quality Control • Project Management • Medical Data Coding • Pharmaceutical • Process Improvement • Problem Resolution • Managed Care

PROFESSIONAL EXPERIENCE

Covance Clinical Development Services, Conshohocken • PA 5/2008 – 8/2012
Dictionary Specialist II 5/2008 – 8/2012
Performed clinical medical data coding of assigned projects on a global basis. Collaborated with technical leader on all coding aspects for projects including start-up, maintenance, and completion activities. Assisted in completing the Covance Data Management Systems Configuration Document to ensure accurate, timely, consistent, and quality medical coded data. Assisted in identifying and enforcing solutions to project data management coding issues and concerns. Acted as project liaison and handled provisioning of project specific coding status. Reviewed data acquisition conventions, data review guidelines/diagnostic specifications and CRF (eCRF) completion/monitoring conventions applicable to medical coding of clinical data. Coordinated with project and specialty team members to support set-up, maintenance, and closure of data management of projects to ensure consistent, cohesive data handling and quality of coded clinical data. Contributed in the development and implementation of Standard Operating Procedures and Work Instructions within functional area. Verified dictionary from Covance standard dictionaries and client dictionaries. Utilized Oracle Clinical TMS, Inform and Central Coding, DS Navigator and Medidata Rave systems as well as MedDRA and WHO drug dictionaries to complete tasks.

Clinical Data Coordinator 8/2009 – 11/2010
Performed clinical data review, query generation and resolution and reconciliation activities to support delivery of clinical data according to client quality and integrity specifications, project timelines and productivity targets. Identified erroneous, missing, incomplete, or implausible data by reviewing study data in accordance with the Data Management Plan and applicable standardized data management processes. Performed ancillary programs including diagnostics, special listings and reconciliation discrepancy listings to support the review of study trial data. Handled queries, resolved problematic data identified during data review activities and modified the database. Evaluated clinical data by patient, site, and study to determine data trends and inconsistencies that require further investigation. Conducted quality control to ensure data quality standards, both client and Covance are achieved.

Covance Periapproval Services Radnor • PA 5/2000 – 7/2006
Medical Data Coordinator II 11/2003 – 7/2006
Coordinated with data management, project teams and clients to conduct coding applications, map company and client dictionaries, provide documentation, and complete all medical coding. Created test scripts and validated coding systems for new projects. Handled all projects related coding. Performed quality checks to review coding and submitted coding reports to both internal and external clients. Maintained company and client dictionaries. Established and provided ATC training to in-house staff. Handled studies across all therapeutic disciplines.

Safety Surveillance Associate 2/2006 – 4/2006
Assisted safety department in writing narratives for adverse events. Maintained and updated system to monitor and file investigator SAE forms, medical records and queries. Reviewed incoming call center report forms for SAEs and performed follow up with appropriate providers. Reconciled database for Adverse and Serious Adverse Events. Ensured proper reporting of SAE information regarding content and timing. Handled and resolved outstanding SAE and site issues. Maintained investigator safety application.
Keyhighlight:
• Successfully reduced in-house backlog by 100%.

Medical Data Coordinator 5/2000 – 11/2003
Coded adverse events, medical histories, medications, medication indications and other project-related coding to facilitate summarization, analysis, and reporting of data.

OTHER EXPERIENCES (1984 – 2000)

IBAH, Inc., Blue Bell • PA 1/2000 – 4/2000
Clinical Data Analyst

Aetna (US Healthcare, Inc.), Blue Bell • PA 5/1990 – 8/1996
Pediatric Team Leader 5/1992 – 8/1996
Pediatric Case Manager 5/1990 – 8/1996

Medford Pediatric and Adolescent Medicine, Medford • NJ 10/1988 – 5/1990
Staff Nurse

Children’s Hospital of Philadelphia, Philadelphia • PA 5/1988 – 8/1989
Staff Nurse

Franklin Square Hospital Center, Baltimore • MD 6/1986 – 5/1988
Primary Staff Nurse

Kennedy Krieger Institute Baltimore • MD 8/1984 – 6/1986
Primary Staff Nurse

CLINICAL TRIAL THERAPEUTIC EXPERIENCE

Pediatrics Phase 4
Anesthesiology Phase 4
Dermatology Phase 4
CNS/Insomnia Phase 4
Cardiovascular Phase 2-4
Endocrine/Diabetes Phase 2-4
GI/GERD Phase 4
Infectious Disease Phase 4
Ophthalmology Phase 4
Pulmonary/Respiratory Phase 2-4
Psychiatric Phase 4
Women’s Health Phase 4
Oncology Phase 2-4

EDUCATION AND CREDENTIALS

Bachelor of Science in Nursing
University of Delaware, Newark, DE

TRAININGS, LICENSES & CERTIFICATIONS

Licensed Registered Nurse, PA
Computers in Healthcare, AHMIA, 3/2008
Advanced Coding: Coding Conventions and the MedDRA “Points to Consider” Document, MSSO, 6/2003
Interpreting Data and Query Development, MSSO, 6/2003
Certified in Pediatrics by American Nurses Credentialing Center, 1994-2002
Introduction to Clinical Research Operations, Covance, 12/2001
MedDRA for Coders, PSI International, 2/2001
Developing Clinical Research Associate Skills, Villanova University, 1997
Interqual Certification, 1996
McHugh, EM.(Publication) Improved outcomes of outpatient pediatric asthma patient management program-IPA/HMO.
American Journal of Managed Care, v.2, 4. 4/1996

PROFESSIONAL AFFILIATIONS

MedDRA User Group, Philadelphia, PA, 6/2006
MedDRA Safety Data Analysis and SMQs, 12/2010
WHO Drug Dictionary User Group, Woodcliff, NJ, 2010

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