Nurse
Joshua Walker
Aperion Consulting
Fairfield,IL
19
years of professional experience
Detail-oriented professional with extensive experience in healthcare reimbursement and interdisciplinary collaboration. Known for strong analytical skills and the ability to identify and resolve discrepancies, resulting in increased revenue and improved compliance.
Work History
Regional Reimbursement Consultant
1 Year- Analyzed reimbursement policies to identify discrepancies and ensure compliance with regulations.
- Assisted clients in understanding complex billing processes and payment structures.
- Coordinated with healthcare providers to gather necessary documentation for claims submissions.
- Researched and compiled data on industry best practices for reimbursement strategies.
- Supported senior consultants in developing training materials for client education sessions.
- Reviewed claims for accuracy, ensuring timely submission and minimizing denials.
- Engaged in continuous learning about evolving reimbursement models and regulatory changes.
- Contributed to team meetings by sharing insights on process improvements and client feedback.
- Improved accuracy of billing codes by conducting thorough audits and providing ongoing education to staff members.
- Increased revenue for clients by identifying underpayments and negotiating with insurance companies.
MDS, Care Plan Coordinator/ADON
8 Months- Coordinated development and implementation of individualized care plans for residents.
- Collaborated with interdisciplinary teams to assess resident needs and preferences.
- Facilitated communication between families, staff, and external healthcare providers.
- Monitored compliance with regulatory standards and best practices in care delivery.
- Developed individualized care plans based on assessments and resident needs.
- Coordinated interdisciplinary team meetings to enhance communication and collaboration among staff.
- Engaged with families to provide updates on resident care and address concerns effectively.
MDS Nurse
17 Years 2 Months- Conducted comprehensive assessments to develop individualized care plans for residents.
- Collaborated with interdisciplinary teams to ensure regulatory compliance and quality of care.
- Implemented MDS updates and maintained accurate documentation in electronic health record systems.
- Trained nursing staff on MDS processes, enhancing understanding and execution of care standards.
- Analyzed resident data to identify trends, contributing to improved patient outcomes and satisfaction scores.
- Optimized patient care through participation in Quality Improvement meetings with interdisciplinary team members.
- Coordinated with billing department to facilitate appropriate reimbursement based on accurate completion of resident assessments.
- Ensured regulatory compliance by maintaining up-to-date knowledge of CMS guidelines and applying them to daily practice.
- Provided comprehensive training for nursing staff on MDS processes, leading to improved assessment quality.
- Strengthened relationships with families and residents through open communication regarding their involvement in the care planning process.
- Enhanced interdisciplinary communication by collaborating with healthcare team members on individualized care plans.
Education
Associate of Science - Nursing
Skills
Appeals handling
HCPCS coding
HIPAA compliance
Healthcare reimbursement
Patient confidentiality
Clinical documentation
Documentation review
Medicaid regulations
Medicare regulations
Pharmacology
Managed care contracts
ICD-10 coding
Microsoft office
Teamwork and collaboration
Time management
Leadership skills
Problem-solving abilities
Multitasking Abilities
Reliability
Excellent communication
Critical thinking
Organizational skills
Team collaboration
Adaptability and flexibility
Task prioritization
Training and development
Analytical thinking
Professionalism
Compliance reporting
Timeline
Regional Reimbursement Consultant
Aperion Consulting
06.2025 - 06.2026Read More
MDS, Care Plan Coordinator/ADON
Meadowbrook Nursing and Rehabilitation
10.2024 - 06.2025Read More
MDS Nurse
Aperion Care
08.2007 - 10.2024Read More
Frontier Community College
Associate of Science from Nursing
Read More