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Mary Pritchard

@marypritchard

I optimize healthcare charge capture, reimbursement, billing compliance, and Chargemaster accuracy.

United States
Message

What I'm looking for

I'm seeking a revenue integrity opportunity where I can apply my billing, coding, Chargemaster, and compliance knowledge to strengthen charge capture and reimbursement processes.

I've led Chargemaster review and updates at North Mississippi Health Services and the University of Mississippi Medical Center, supporting optimal reimbursement and federal regulatory compliance.

I bring more than 20 years of healthcare billing, coding, auditing, and revenue integrity work, including Medicare Part B medical-record review, departmental audits, denial support, and cost-report activities.

I'm also an experienced RN who has provided acute, hospice, home health, palliative, and supervisory care, bringing a practical clinical perspective to charge capture and documentation.

Experience

Work history, roles, and key accomplishments

HH
Current

Senior Staff RN, BSN

Help At Home

Jan 2023 - Present (3 years 8 months)

Provides comprehensive nursing care for clients requiring 24-hour home support, including a 17-year-old with Muscular Dystrophy. Manages CPAP-dependent trach, G-tube feedings, and multiple respiratory treatments, documenting detailed nurse's notes.

NS

Chargemaster Coordinator

North Mississippi Health Services

Apr 2003 - Apr 2024 (21 years)

Oversaw continuous review and updating of the Chargemaster to ensure optimal reimbursement and compliance with federal regulations. Served as a resource for departments, assisting with billing inquiries and denial management, and contributed to cost report activities.

BH

Staff RN

Baptist Hospital

Sep 2001 - Apr 2003 (1 year 7 months)

Functioned as a Staff RN on the cardiac step-down unit, advancing to charge nurse within six months. Gained experience in the Cardiac Observation Unit and Emergency Department.

UC

Chargemaster Coordinator

University of Mississippi Medical Center

Feb 2000 - Sep 2001 (1 year 7 months)

Orchestrated Chargemaster coordination at University Hospital and Clinics. Conducted ongoing reviews and departmental audits of the Chargemaster and Revenue and Usage Reports to ensure maximum reimbursement and regulatory compliance.

SJ

Weekend Call RN

Sta-Home Hospice of Jackson

May 2000 - May 2001 (1 year)

Fulfilled the role of Weekend Call RN for hospice patients across multiple cities. Administered pain management, provided support, and offered technical assistance using a holistic approach.

NU

Nurse Auditor

National Healthcare Review – UMC

Aug 1999 - Jan 2000 (5 months)

Established and executed audits at the departmental level to evaluate coding, billing, and documentation accuracy. Supplied insights regarding revenue-generating practices and compliance challenges.

UB

Nurse Analyst / Data Analyst

United HealthCare - Medicare Part B

Jan 1998 - Nov 1999 (1 year 10 months)

Managed the review and auditing of medical records to uphold the integrity of the Medicare Program. Conducted chart audits, facilitated development of Medicare policies, and participated in provider education initiatives.

DC

Nursing Supervisor

Delta Regional Medical Center

Nov 1995 - May 1998 (2 years 6 months)

Initiated as a floor nurse in a medical-surgical unit before advancing to Nursing Supervisor. Executed management activities including staffing, employee in-services, client advocacy, and preparation for JCAHO surveys.

SI

Staff RN

Sta-Home Health Agency, Inc.

Mar 1991 - Nov 1997 (6 years 8 months)

Transitioned from secretary to Staff RN, responsible for assessing, planning, teaching, implementing, and evaluating client care. Crafted care plans and updates, demonstrating familiarity with compliance preparations during state and JCAHO surveys. Served as a Palliative Care Nurse Specialist.

PI

PRN Staff Nurse

Prime Care Agency, Inc.

Jan 1992 - Sep 1997 (5 years 8 months)

Operated as a PRN staff nurse across all areas of acute care, including ICU and telemetry.

HH

Floor RN and Supervisor

Humphreys County Nursing Home

May 1993 - Mar 1995 (1 year 10 months)

Served as floor RN and Supervisor at a long-term care facility on weekends, ensuring seamless care for over thirty residents. Oversaw a team of nurses and nursing assistants to guarantee continuity of care.

Education

Degrees, certifications, and relevant coursework

Delta State University logoDU

Delta State University

Bachelor of Science in Nursing, Nursing

1996 - 1997

Graduated with a BSN in May 1997.

MC

MS Delta Community College

Associate Degree in Nursing, Nursing

1990 - 1991

Passed State Boards in September 1991.

Delta State University logoDU

Delta State University

None, Business Management

1981 - 1983

Completed two years and one semester toward a major in Business Management.

Tech stack

Software and tools used professionally

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