Passionate/results driven healthcare professional with more than 25 years of experience in clinical practice and 12 years' experience in Medicare: Program Safeguards / Provider Education / Data Analysis / Medical Review and Anti-Fraud Investigations. Credentialed as Advanced Registered Nurse Practitioner (FL) and active Multi-State Compact RN License Previously held: Certified Professional Coder / AAPC. Comprehensive background in primary care, pain management, behavioral health, correctional medicine, occupational medicine, urgent care and telemedicine / remote care. Expertise in medical documentation / review, ICD-10/CPT/HCC/RAF, patient / staff education, chart auditing, risk management and medical billing / coding, Medicare regulations/government regulations, national health policy, Medicare Managed Care Organizations/MCO, anti-fraud risk management, compliance, creation of educational programs and public speaking. Proficient in Microsoft Office Suite. EMR's include Athena, NexGen and other applications. My goal has always been to provide the best quality of life for my patients while creating a safe environment for myself and my coworkers. A true team concept is key to building effective teams that strive for excellence in patient care at all levels and this is the foundation I live by. I am currently at a point in life where I would like to move toward remote work that challenges me and pushes me outside my box and am seeking positions which will allow for this.
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