Nicole C.
Senior Healthcare Operations Specialist
Open to offersNew to PlatformAbout
Nicole C. is a seasoned Medical Records & EMR Compliance Specialist with extensive experience in U.S. healthcare operations. Based in the UK and adept at working remotely, Nicole offers deep expertise in U.S. medical records, EMR systems, and insurance billing compliance. With over a decade of experience, she has a proven track record in processing and auditing records for U.S. insurers, DME suppliers, and rehab providers, ensuring adherence to strict HIPAA standards. Nicole combines her clinical background as a licensed physical therapist in New York with operational proficiency in CPT, ICD-10, and HCPCS coding. She is skilled in using EMR platforms such as WebPT, Brightree, and PicnicHealth. Her work involves collaborating with U.S. healthcare providers and conducting utilization reviews to support medical necessity and care decisions. Nicole is also experienced in remote collaboration tools, ensuring efficient communication and project management across continents.
Experience
Physical Therapist Auditor
NY Homeside Rehab — Limitlessli · 2023 — 2025Reviewed documentation for physical therapy, occupational therapy, and speech therapy to ensure compliance with insurance and billing regulations across U.S. patient cases. Verified patient records and treatment notes for accuracy based on payer standards. Worked closely with therapists to address discrepancies in documentation. Conducted utilization reviews to evaluate medical necessity relevant to continued care and discharge decisions.Virtual Practicum Coordinator
Academy of Healthcare Services · 2025 — 2025Coordinated the placement of students in practicums and oversaw compliance with portfolio requirements. Maintained consistent communication with healthcare facilities to facilitate training opportunities. Administered student schedules and maintained documentation and regulatory compliance records.Physical Therapist
VisayasMed Hospital · 2023 — 2025Evaluated patient mobility, strength, and function, creating tailored treatment plans. Implemented pain management strategies, including manual therapy and various modalities. Provided supervision and mentorship to student physical therapists.Medical Records Processor
HealthBOS, LLC · 2020 — 2023Collaborated with U.S. providers to secure medical records necessary for CPAP supply processing and addressing patient equipment needs. Conducted reviews and validations of medical records within SNAP Resupply to ensure correct CPAP documentation. Processed prescriptions and shipments using Brightree.Home Health Physical Therapist
Self-employed · 2012 — 2023Provided home-based therapy and rehabilitation for mobility, while maintaining necessary clinical documentation and family progress reporting.Medical Records Processor
PicnicHealth · 2018 — 2020Uploaded and verified U.S. medical records within the PicnicHealth platform to ensure patient mobile access. Reviewed electronic medical records including evaluations, treatment notes, laboratory results, and imaging reports. Identified relevant ICD-10 codes and SNOMED CT terms, conducting quality assurance checks to support audits and training.Sports Physiotherapist
Plyobox Performance Sports Center · 2016 — 2018Evaluated and treated sports-related injuries, developing programs for injury prevention and rehabilitation.Physical Therapist Associate
Medicall Philippines Inc. – Cognizant · 2013 — 2016Processed orders for durable medical equipment, home health, and physical therapy within U.S. Workers' Compensation claims. Conducted high-volume data entry across multiple systems, ensuring verification and follow-up on DME deliveries.Physical Therapist
Rehab Medics Inc. – Chong Hua Medical Arts Center · 2013 — 2013Evaluated patients and devised rehabilitation plans in collaboration with a multidisciplinary clinical team.
Skills & Expertise
Education
- Bachelor of Science in Physical TherapyVelez College · — — 2012