KATHRYN W LOWERY
Nursing at 100 Ave, Vero Beach, FL

Outcomes Health Information Solutions
On-Site Medical Record Reviewer Self
EMR Implementation Consultant Lawnwood Regional Medical Center & Heart Institute - Fort Pierce, FL
Director, Inpatient Rehabilitation Services MedAssurant, Inc - Bowie, MD
Site Review Consultant Mederi-Caretenders Homecare Agency - Vero Beach, FL
Director of Professional Services Resource Association - Vero Beach, FL
Senior Resource Association Milestone Healthcare, Inc - Richardson, TX
Regional Director of Clinical Services Lawnwood Regional Medical Center & Heart Institute - Fort Pierce, FL
Program Director, Inpatient Rehabilitation Unit

Indian River State College - Fort Pierce, FL
Nursing Indian River State College - Fort Pierce, FL
HIT-Pro Implementation Manager Course in EHR implementation Nova Southeastern University - Fort Lauderdale, FL
BS in Management

1. Met all program objectives related to CMS regulations, including accurate, appropriate clinical documentation. 2. Coordinated with physicians, clinical staff and HIM personnel to ensure accuracy of information included on the IRF-PAI, such as, comorbidities, diagnosis, impairment group, ICD9 codes, and FIM scores. 3. Assured continuity of information between IRF-PAI, clinical documentation, billing, and reimbursement through program-based audits. 4. Responded to third party payor denials through formal written appeals. Ensured that written appeals were thorough, complete and detailed and included the identification of factors that supported the need for admission. Testified at ALJ level hearings. 5. Provided ongoing assessment of care and services through performance improvement, quality assurance, infection control and risk management activities. 6. Developed and implemented plans of action for areas identified for improvement. 7. Performed program evaluation through data collection and analysis. Developed and implemented plans of action for areas identified for improvement. 8. Analyzed actual budget performance variances against projected budget. Identified areas of opportunity. Made recommendations and implemented corrective actions for resolution of identified issues. 9. Consistently met census, CMI, transfer reduction, and comorbidity goals to ensure that reimbursement and resource utilization were aligned. 10. Served as liaison between program and executive leadership of hospital. 11. Provided education regarding regulatory requirements to staff, physicians, and hospital administration on an ongoing basis. 12. Responsible for overseeing the prescreening and admission processes to ensure that patients met admission criteria and ongoing compliance with CMS designated ratios. 13. Ensured the timely completion and submission of information to CMS as required by regulatory standards. 14. Developed an annual comprehensive strategic business plan, risk management plan, and accessibility plan in support of the hospitals mission, JCAHO standards, and CARF standards. 15. Successfully led program through JCAHO and CARF surveys over a ten year period resulting in accreditation. Program received Specialty Accreditation in Stroke Care and Case Management (2007). 16. Ensured that program addressed staffing needs. Developed orientation, education and training activities for program staff. Ensured all employees met annual mandatory in-service training. Performed annual performance appraisals for staff. 17. Ensured the rights of persons served by program. 18. Ensured appropriate placement in and movement through the continuum of care. Participated in weekly team conferences for persons served by program. 19. Developed Portable Profiles for persons served by program to enhance information and care throughout the continuum. 20. Conducted monthly staff meetings. 21. Active participant on hospital wide Falls Team, Stroke and Patient/Staff Safety, Skills Fair, and Documentation Rebuild Committees. 22. Responsible for policy and procedure review, revision, creation, and implementation. 23. Ensured HIPPA compliance and ongoing education of program and staff.

Consultant at HIT Pro Consultants

Melbourne, Florida Area

Hospital & Health Care

HIT Pro Consultants since Jan 2013 - Consultant Lawnwood Regional Medical Center & Heart Institute - Ft. Pierce, FL Apr 2011 - Apr 2012 - Director, Inpatient Rehabilitation Unit MedAssurant, Inc Nov 2010 - Apr 2011 - Site Review Consultant Mederi-Caretenders Homecare Agency - Vero Beach, FL Mar 2010 - Aug 2010 - Director of Professional Services Senior Resource Association Aug 2009 - Mar 2010 - Program Manager Milestone Healthcare, Inc Oct 2007 - Apr 2009 - Regional Director Lawnwood Regional Medical Center & Heart Institute Mar 1999 - Oct 2007 - Program Director

Indian River State College 2012 - 2012
National Certification HIT Pro - IM, Electronic Medical Record Implementation Nova Southeastern University 1998 - 2000
BS, Management Indian River State College 1996
Graduate, AS Nursing Indian River State College 1984
Graduate, Nursing Science

Project Management, Microsoft Word, Healthcare Management, Public Speaking, Healthcare Information Technology, Team Leadership, Leadership, Outlook, Program Management, Research, Coaching, Business Analysis, Business Strategy, Employee Relations, Operations Management