CARRIE BUSTAMANTE

Reimbursement Nurse Consultant

Contact Information

Phone: 585-***-****

Email:add149@r.postjobfree.com

Profile:

Accomplished MDS Nurse Consultant providing various external/internal compliance audits,appeals and QI/QM. MDS 3.0 scheduling and completion, PDPM and ICD 10 coding and compliance. Ten years plus experience working with skilled nursing facilities, and HMO plans.

Skills:

Medicare/ Medicaid compliance for Skilled Nursing Facilities

Filing of appeals

ICD- 10 coding guidelines

PDPM

Quality assurance/Improvement

Performance and System audits/Audit reporting

Wound

Strong knowledge of the Resident Assessment Instrument MDS 3.0

Knowledge of HCPCS, CPT, UBO4

Medical rules and regulations followed by state, and federal governments

Team building and communication

Dedicated compassionate trustworthy reliable

Experience:

MDS Coordinator/Consultant

Elm Manor 3/18 to

Chart analyst for health concerns/compliance

Minimum Data Set MDS 3.0 completion

Minimum Data Set MDS 3.0 scheduling; OMRA and OBRA

EMAR implementation

Education

MDS Reimbursement Nurse Consultant 11/13 to 3/18

MDS Consultants- Rae Drive, Greece, N.Y. serving long term care facilities in NY

Provided assistance to long term care facilities, dependent on service need

Conduct Medicare/Medicaid clinical records review for large and small long term care facilities

Consulting to clients in the areas of Medicare compliance, clinical documentation, the Minimum data set following state/federal regulations as they impact reimbursement and regulatory issues for Medicare/Medicaid/Medical

Experience in Medicare Administrative contractors and recovery Audit reviews (MAC, RAC)

Minimum Data Set MDS 3.0 completion

Minimum Data set MDS 3.0 scheduling; OMRA and OBRA

MDS Coordinator/Coder 11/09- 11/15

Blossom View Nursing Home and Rehabilitation- Sodus, New York

Chart analyst for health concerns/compliance

Minimum Data Set MDS 3.0 completion

Minimum Data Set MDS 3.0 scheduling; OMRA and OBRA

References:

1.Kevin Dougherty

Phone: 585-***-**** Email:add149@r.postjobfree.com

2.Lori Genrich

Phone: 585-***-**** Email:add149@r.postjobfree.com

3.Jennifer Gorman-Fecco

Phone: 315-***-**** Email: add149@r.postjobfree.com

4.Malikah Shahid

Phone: 585-***-**** Email: add149@r.postjobfree.com

5.Tonya A'gostino

Phone: 585-***-**** Email: add149@r.postjobfree.com

Contact this candidate