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Pamela Hernandez, MBA, BS, RN, TNCC, ENPC, BCPA, CPC, FMC, LNC

J.S. Held Examines Multifaceted, Global Business Impacts of Tariff and Trade Policies

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Pamela Hernandez is an experienced nurse and healthcare consultant with over 30 years in the field. She specializes in policy and procedure review, healthcare consulting, coding and billing review, medical records retrieval, Audit Trail analysis, and legal nurse consulting. Pamela's background includes roles as a law enforcement officer, state investigator, and corrections nurse, where she developed and implemented nursing protocols, HIPAA compliance, and tuberculosis testing.

Her extensive experience spans various healthcare specialties, giving her a comprehensive understanding of hospital operations and a unique perspective for both plaintiff and defense firms. Pamela has held executive roles in healthcare companies, national labs, outpatient surgery centers, and revenue cycle management firms. She has also served as a clinical coach and trainer for new nursing students in clinics, urgent care, and hospitals.

Pamela has contributed to health and medical policy research, process improvement, compliance, safety, and infection control to meet national standards. She has presented written and oral testimony in criminal cases and expert reports for personal injury cases. Additionally, she is involved in coding and billing projects, UCR identification, audit review and defense, and various 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)
  • Forensic Medical Coder (FMC)
  • Alliance of Professional Health Advocates (APHA)

Insights by Pamela Hernandez

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Inside the Healthcare Industry: The Critical Role of Medical Coding, Billing & Nurse Review
This Q&A explains the crucial role billers, coders, and nurse reviewers play in insurance claims, reimbursement disputes, and fraud probes...
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Understanding the Complexities of Medical Records Review In Legal Cases
This article focuses on the steps required for reviewing patient files that meets legal standards for personal injury cases.
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