Avia Newton

Outcomes-driven Registered Nurse with 10+ years spanning acute care, behavioral health, quality improvement, and Clinical Documentation Integrity. Expert in concurrent and retrospective record review, ICD-10 diagnosis/DRG validation, and compliant provider queries that capture true SOI/ROM, support risk adjustment, and strengthen case mix. Lead physician communication and education (1:1 education, tip sheets, service-line rounds) to elevate documentation quality and reduce rework. Skilled in clinical data abstraction, validation, and submission for regulatory and quality programs, with a history of collaboration with HIM/coding, case management, revenue integrity, and compliance to improve audit readiness and mitigate denials—including collaborative communication with BFCC-QIO on claims and care-quality opportunities. Consistently meet/exceed remote productivity and accuracy benchmarks; known for analytic rigor, root-cause problem solving, and change management. Proficient in Microsoft Excel, PowerPoint, and Teams, and experienced in project management, training, and workflow optimization.

Bachelor of Science in Nursing (BSN) — Capella University, 2023

Lean Six Sigma Green Belt (LSSGB) — Augusta University Medical Center 2019

ACDIS – Clinical Documentation Integrity (CDI) - Apprenticeship 2024 and Bootcamp 2024