K imberly K Inskeep, LVN, RAC-CT *.*

**** ** *****

Stanton, Texas 79782

(West Texas area close to Major Airport)

432-***-****

Email: K abjz28@r.postjobfree.com

Work H istory:

Legend Hea lthca re/Di rector of Reimbursement

8 /07 to present

M anage /Oversight of the clinical reimbursement program for now 11 facilities in the

State of Texas. Oversight of 3 Regional Reimbursement Consultants. Perform Mock

M DS audit reviews for regulatory and reimbursement compliance. Oversight / I n-

Service training for facil ity employees related to reimbursement. Screen all facil ity

based MDS candidates for all facilities. Manage the Audits and Appeals

Department which consists of myself only. The department handles the ADR process

for all facil ities which includes managing and participating in the ALJ process.

P rovide training on a quarterly basis to all Administrator / DON’s as related to the

reimbursement processes. Maintain financial impact and rug rate reports on a

weekly basis and communicate with VP of Operations and CFO weekly. Serve as

company trainer for clinical software for all areas of operation. Monitor and assist

facilities with QI /Q M, QRS areas affected by the MDS. Serve as company educator

for the MDS 3.0. Serve on the Compliance Committee for the company which

i ncludes tracking and trending key indicator compliance as it relates to

reimbursement. Monitor and track status of claims in the FISS software.

I have a proven track record for success with ADR’s at the ALJ level as well as at the

p rior level of appeals including re-consideration and re-determination levels.

K nowledge Solutions (Sheri Kennedy)- I ndependent Consultant

Serve as a consultant for LTC facilities in regards to Reimbursement working under

K nowledge Solutions which is owned and operated by Sheri Kennedy. Perform

contract assignments periodically on a prn basis.

Crane Nursing Center/Reimbursement Specia l ist

4 /2006-8 /2007

Responsible for daily functions at the facility level related to TI LE / MDS completion

for both Medicare and Medicaid Reimbursement.

Avalon Nursing Center/ADON/Reimbursement Special ist

1 /2001-4 /2006

Responsible for daily functions at the facility level related to TI LE / MDS completion

for both Medicare and Medicaid Reimbursement. Perform staffing and In-Service

T raining for facil ity nursing employees. Manage Incident / Accident Tracking and

I nfection Control Tracking.

Regency Hospita l (LTAC)/Case M an ager

1 /2000-1 /2001

Case Management Duties to include Physician Compliance, Regulatory Compliance

a nd Reimbursement Compliance. Perform Insurance Defense Audits for Hospital.

Perform pre-authorization and continued stay authorizations with insurance

companies. Develop Critical Care Pathways for LTAC unit in conjunction with

Physician Advisors.

Fort Stockton Nursing Center/ADON/Reimbursement Special ist

5 /1998-1 /2000 (Completed contract)

Responsible for daily functions at the facility level related to TI LE / MDS completion

for both Medicare and Medicaid Reimbursement. Manage staffing and in-service

t raining for facility nursing employees. Manage Incident / Accident Tracking and

I nfection Control Tracking.

Agency Nu rsing, M idl and Texas

Various Times 2001-2007

Hospital relief staffing on both Med /Surg, Ventilator Units and Ortho Units

Ski lls:

Proficient in windows, excel, Power-point, numerous different clinical software’s,

t yping 65 wpm

EDUCATION:

Blinn College, Brenham Texas LVN 1989

RAC-CT 3.0 Apri l 2010

RAC-CT 2.0 Sept 2008

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