Conducted thorough evaluations for better compliance and risk mitigation.
Analyzed complex data sets, providing valuable insights for decision-making purposes.
Coding and OASIS Review Specialist
Health Care Answers, Inc
03.2019 - 03.2024
Perform comprehensive coding reviews and analysis to ensure accuracy and compliance with coding guidelines and regulations
Collaborate with interdisciplinary team members to facilitate proper coding and OASIS documentation practices, ensuring high-quality patient outcomes
Provide education and training to healthcare professionals on coding updates, OASIS guidelines, and best practices to enhance documentation accuracy
Utilize coding software and electronic health records systems to track and monitor coding and OASIS review activities for reporting and quality improvement purposes.
Coding and OASIS Review Specialist
Blacktree Healthcare Consulting
03.2018 - 03.2019
Conduct thorough reviews of OASIS documentation to ensure accuracy and completeness in adherence to state and federal regulations
Assign appropriate ICD-10 diagnosis codes based on OASIS assessments for accurate billing and reimbursement
Stay current with updates and changes in coding guidelines and regulations to maintain compliance and accuracy in coding practices
Utilize coding software and tools effectively to streamline the coding and review process for increased efficiency in documentation management.
Coding and OASIS Review Specialist
Multiple Contracting Positions: Healthcare First; VNHS- Atlanta; McBee Associates; Home Health Solutions
01.2010 - 03.2018
Conduct comprehensive reviews of patient medical records to ensure accurate coding and documentation for OASIS assessments
Collaborate with interdisciplinary team members to clarify coding discrepancies and ensure compliance with regulatory requirements
Provide education and training to staff on OASIS guidelines and coding best practices to enhance overall performance and accuracy.
Clinical Nurse Manager
Cobb Nephrology/Hypertension Associates
01.2005 - 01.2009
Conducted rounds with physicians, advising physicians on patients' conditions and assisting in coordinating diagnostic testing and follow up appointments to achieve optimal patient outcomes.
Ensured compliance with regulatory requirements by maintaining accurate documentation and adhering to established policies and procedures.
Supervised professional and paraprofessional nursing staff and delegated tasks to maintain continuum of care.
Contributed to policy development efforts within the organization, ensuring alignment with best practice guidelines in nursing management roles.
Developed anemia management program targeting CKD patients and family education.
Assistant Director of Clinical Services
Central Home Health Care
01.2000 - 01.2005
Shared input on staffing, resource allocations and staff development to help director improve clinical operations.
Facilitated effective communication among clinical staff, patients, families, and external agencies to promote optimal patient outcomes.
Developed strong interdisciplinary teams by fostering collaboration, communication, and professional development opportunities.
Coached and trained newly hired employees so that each understood job responsibilities and requirements of positions.
Ensured compliance with regulatory standards through meticulous documentation and adherence to established protocols.
Clinical Supervisor
ABC Home Health/First American Home Care
01.1992 - 01.1996
Collaborated with multidisciplinary teams to coordinate care for clients with complex needs, ensuring comprehensive support was provided across all domains of life functioning.
Assessed patients, determined needs, and managed care.
Enhanced team collaboration through regular staff meetings, case conferences, and training sessions.
Responded to crisis situations with calm and professional approach to optimize support.
Education
RN - Diploma in Nursing -
Georgia Baptist School of Nursing At Atlanta, Ga
03.1988
Skills
Attention to detail
Proficient in multiple electronic medical record systems
Productive in remote work environment
10 years background in Home Health Care prior to coding and OASIS review
Reliability
Certification
Registered Nurse State of Georgia, RN #090001 HCS-D, 03/01/25
HCS-O, 09/01/24
Personal Information
Title: RN
Timeline
Coding and OASIS Review Specialist
Tidal Healthcare Consulting
04.2024 - Current
Coding and OASIS Review Specialist
Health Care Answers, Inc
03.2019 - 03.2024
Coding and OASIS Review Specialist
Blacktree Healthcare Consulting
03.2018 - 03.2019
Coding and OASIS Review Specialist
Multiple Contracting Positions: Healthcare First; VNHS- Atlanta; McBee Associates; Home Health Solutions