I am a dedicated Registered Nurse with over 20 years of experience in healthcare reimbursement, ICD-10 coding, clinical validation, and DRG review. My expertise lies in analyzing clinical documentation, ensuring accurate coding practices, and maintaining compliance with state and federal regulations. I have a strong background in medical record documentation requirements and coding guidelines, along with exceptional communication skills to collaborate effectively with healthcare professionals. With a proven track record of working independently and in leadership roles, I am proficient in various software applications and have a passion for continuous learning and professional development.
- Conducted clinical validation and DRG reviews for a new line of business - Analyzed clinical documentation for coding accuracy and reimbursement compliance - Identified and addressed repricing issues leading to policy changes