Qualified and hardworking Reimbursement Specialist with expertise in reimbursement optimization and customers service. Offering experience in clinical reimbursement consulting and MDS coding accuracy.
Overview
16
16
years of professional experience
Work History
Clinical Reimbursement Specialist
MDS Solutions
Murfreesboro, TN
02.2024 - Current
Daily oversight and management of clinical reimbursement
Completion of orientation for new MDS Coordinators
Quality Measure Monitoring and education
Maximization of Clinical Reimbursement
MDS Completion
Car Plan completion
PDPM education
ICD 10 coding
Over site and education of documentation compliance
Admission Reviews for enhanced clinical reimbursement
Regional Director of Clinical Reimbursement
Arboreta Health Care
Sarasota, FL
02.2016 - 02.2023
Daily oversight and management for MDS Coordinators and clinical reimbursement for 14 skilled nursing facilities
Completion of orientation for all new MDS Coordinators
Quality Measure Monitoring and education
Maximization of clinical reimbursement
MDS completion
Care plan completion
PDPM education
ICD 10 coding
Oversight and education of documentation compliance
Insurance authorizations and re-certifications
Regional Nurse Consultant
HCM Health Care Management
Jackson , MS
12.2010 - 02.2016
Oversight and monitoring of clinical programs and systems
DON orientation
Clinical oversight and compliance monitoring
Plan of correction oversight and audits for continued regulatory compliance
Mock surveys
Director of Nursing
HCM Health Care Management
Dayton, IA
08.2008 - 12.2010
Oversight and management of Nursing staff
Oversight and management of clinical processes and systems