Pamela Hernandez, MBA-HML, BSCJ, RN, TNCC, ENPC, CPC, LNC

J.S. Held’s Inaugural Global Risk Report Examines Potential Business Risks & Opportunities in 2024

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Pamela Hernandez is an experienced nurse and healthcare consultant who provides policy and procedure documentation review, healthcare consulting, coding and billing review, medical records retrieval and review, audit trail analysis and training, and medical specialty legal nurse consulting expertise. Ms. Hernandez is a former law enforcement officer and corrections nurse. She has assisted with developing and implementing protocol-based nursing systems, HIPAA, and tuberculosis testing in a correctional setting.

With over 30 years of experience in nursing and healthcare within various specialties, Ms. Hernandez has in-depth knowledge of the inner workings of hospitals and facilities and a 360-degree perspective for both plaintiff and defense firms. Her law enforcement background enables her to extend her expertise into corrections, civil, criminal, and some forensic cases.

Ms. Hernandez has held executive and leadership roles at a home health company, a national lab, outpatient surgery, coding edit & claims adjudication companies, a prior authorization organization, and technology-based revenue cycle management companies. She has experience as a clinical coach and trainer of new nursing students in the clinic, urgent care, and hospital settings. Ms. Hernandez has been involved in health and medical policy research and development, process improvement, compliance, safety, and infection control to meet the national JACHO, OSHA, and ACHA standards.

Ms. Hernandez is involved in coding and billing projects, UCR identification, audit review and defense projects, and healthcare consulting projects.

Key Expertise

  • Clinical Coaching/Training
  • Healthcare Policy Development
  • Correctional Health
  • Coding & Billing
  • Medical Malpractice
  • Personal Injury/Wrongful Death Matters
  • Fraud

Professional Affiliations/Memberships/Licenses/Training

  • American Nurses Association (ANA)
  • Texas Nurses Association (TNA)
  • Emergency Nurses Association (ENA)
  • American Academy of Legal Nurse Consultants (AALNC)
  • American Association of Professional Coders (AAPC)