Darline Spencer

Skills

Clinical Documentation Review
Medical Record Analysis
Utilization Review
Case Management
Nursing Informatics
Clinical Documentation Improvement (CDI)
Electronic Health Records (EHR)
Healthcare Information Systems
Clinical Decision Support
Care Coordination
Interdisciplinary Collaboration
Regulatory Compliance (HIPAA, CMS, Utilization Review Guidelines)
Medical Terminology
Healthcare Quality Review
Report Preparation
Clinical Data Analysis
Documentation Audits
Healthcare Workflow Analysis
Records Management
Microsoft Excel
Microsoft Word
Microsoft Outlook
Microsoft Teams
Microsoft Power BI (Foundational Knowledge)
SQL (Foundational Knowledge)
Data Visualization (Learning)
Healthcare Data Analytics (Learning)
Problem Solving
Written Communication
Time Management
Organization
Attention to Detail

About

Registered Nurse with more than 20 years of experience in acute care, utilization review, case management, legal nurse consulting, and nursing informatics. Skilled in reviewing and analyzing medical records, interpreting clinical documentation, preparing detailed reports, and coordinating with healthcare providers, insurance carriers, attorneys, and interdisciplinary teams. Earned a Master of Science in Nursing with a specialization in Nursing Informatics. Currently expanding knowledge of SQL, Microsoft Power BI, and healthcare data analytics to support a transition into healthcare informatics and data-driven healthcare operations.