Work:
Integriguard, LLC
Medical Review Nurse
Amara Health Care & Rehab - Augusta, GA
Director of Nursing
Brandon Wilde Life Care Community - Augusta, GA
MDS/Quality Assurance Coordinator
Amara Healthcare & Rehab - Augusta, GA
Assistant Director of Nursing
Interim HealthCare, - Norfolk, VA
Quality Assurance Nurse/Home Care Supervisor
Education:
Winston-Salem State University
Bachelor of Science in Nursing
Skills:
* Experience in ICD-9-CM, CPT, and HCPCS codes * Knowledgeable in CMS guidelines, policies and regulations, as well as SSA, CFR and other federal and state regulations for purpose of medical review for fraud and benefit integrity * Subject Matter Experience in Part A and Part B medical reviews, with strong focus in Part A services for Comprehensive Outpatient Rehabilitation Facilities/Outpatient Rehabilitation Facilities and Skilled Nursing Facilities * Milliman training -September 2012.