Reimbursement Specialist Nurse Consultant
Resume:
SHANNA DAVIS, MSRN
601-***-**** ***************@*****.***
PROFESSIONAL SUMMARY
Credentials
Registered Nurse, Mississippi
R886849
Certified Associate in Health Information Management Systems (CAHIMS) AADNS Director of Nursing Services–Certified (DNS-CT) AANAC Certified Resident Assessment Coordinator (RAC-CT) Education
Excelsior College, New Albany, New York
Master of Science in Nursing, Specialized Nursing Informatics BS Health Science - End of Life Care, June 2011
Holmes Community College, Ridgeland Mississippi
Associate in Nursing, December 2010
Practical Nursing, July 2004
General Education, 1999-2007
Hinds Community College, Raymond, Mississippi
General Education, 08/2007 – 05/2008
Oklahoma State University, Okmulgee, Oklahoma
General Education/Photography, 01/2000 – 07/2000
Employment History
Briar Hill Management
Ridgeland, Mississippi
05/2014 - 07/2022
Director of Health Information Systems
Reimbursement Specialist/Corporate Consultant
Oversee Health Information Systems
- Implementation Lead/Project Manager for new systems and components
- LTC- Clinical/QA/Smart charting modules
- Daily clinical support (answering questions, assistance, monitoring, etc )
- Building forms, smart-charting, UDAs, etc.
- Training and implementing new modules in LTC & Work Center
- Periodic review of documentation from nurses and CNAs in Smart Charting
- Evaluate and Update Smart-Charting questions as needed
- Work with AHT for any Clinical issues identified (such as the incorrect date when transmitting for specific facilities, etc)
- Remain up to date with any changes or clarifications from CMS
- Oversee Clinical Reimbursement
SHANNA DAVIS, MSRN, DNS-CT, RAC-CT, CAHIMS
601-***-**** ***************@*****.***
MDS:
- Oversee MDS nurses completion of MDS, Medicaid RUG forms, clinical documentation and therapy documentation
- Conduct periodic offsite reviews of MDS for accurate coding, accurate ARD, timely completion and submission.
- Oversee transmission process of MDS assessments to ensure all assessments are accepted and ensure any rejected MDS assessment is corrected for timely re- submission.
- MDS/Billing Questions- assist with MDS and or Medical record issues/questions for all 8 facilities
- Review referrals as necessary
- Case mix- (6 Mississippi homes)
Billing:
- Investigate all AAAs to find the solution
- Investigate any other issues with billing, i.e. rejections, etc.
- Documentation & Compliance Audits
Medical Records:
- Electronic Signatures/WorkCenter
ICD-10/billing:
- Periodic review of ICD-10 codes used on claims
- Trouble-shoot RUG and/or MDS issues with billing recertification. The Nichols Center
Madison, Mississippi
06/2009-present (with position/title change)
Utilization Review / MDS coordinator- Informatics
- Coordinated Admissions, case management, utilization review and discharge planning.
- Monitored and evaluated all aspects of resident care, functional status, quality of care and Quality of life.
- Enforcement OBRA regulations.
- Coordinated Interdisciplinary Care Team
- Coordinated, monitored and reported continuous Performance Improvement
- Member of QA Committee, Chair-UR Committee, Patient Safety Team, Nursing Administration.
- Maintenance of MDS schedule, completion, transmission.
- Coordinated care conferences
- Care plan completion
- Train and In-service all employees with electronic record procedures
- Coordinated ancillary services and supervision of aides
- Monitored to insure clinical outcomes were met.
- Monitored to meet private insurance, HMO, and Medicare regulations, certification and recertification. Director of Nursing
- Implementing compliance and quality improvement policies, programs and procedures
- Ensuring that all nursing personnel in our facility comply with established standards, practices SHANNA DAVIS, MSRN, DNS-CT, RAC-CT, CAHIMS
601-***-**** ***************@*****.***
and regulatory requirements
- Maintaining and improving the quality of patient care and standards of care
- Developing and implementing nursing department budgets in coordination with our management team
- Ensuring that patient care plans contain accurate documentation and are amended as needed RN Supervisor
- Scheduled and supervised licensed nurses and CNAs
- Supervised Licensed staff and nursing assistants
- Monitored and evaluated all aspects of resident care
- Admitted and discharged residents.
- Initiated evaluation and assessment of patients and eligibility. Medication Nurse (LPN)
- Also previously employed by this company, 08/2004 - 04/2005
(Briar Hill Management is the company of The Nichols Center; promoted to corporate nurse May 2014)
The Arbor
Ridgeland, Mississippi
04/2008 – 09/2009,
1st Shift Medication Nurse
- Providing daily care to gerontological patients.
- Responsible for managing all assigned personnel on the unit and for promoting team work
- Responsible for ensuring continuity and quality care on the assigned unit.
- Previously employed, 03/2005 - 06/2006
Yazoo Family Healthcare
Yazoo City, Mississippi
06/2006 – 05/2008
Office/Triage Nurse
- Patient care including counseling, education regarding medications and treatment
- EKG's, phlebotomy, clinical radiology (x-rays only), operating laboratory equipment,
- Collecting data for performance improvement activities.
- Administration of medication and treatment procedures.
- Managing heavy daily patient volume
- Telephone triage, appointment scheduling, and patient referral
- Documentation/record maintenance/paperwork
- Assisting all areas of minor surgical procedures performed in clinical environment
- Sterilization of supplies and equipment
King’s Daughter’s Hospital
Yazoo City, Mississippi
SHANNA DAVIS, MSRN, DNS-CT, RAC-CT, CAHIMS
601-***-**** ***************@*****.***
08/2007 – 2010
PRN Floor
Nurse
- Assisting with admissions, transfers, and discharges
- Communication with clients, family members, and management
- Participating in development and implementation of care plans
- Patient care- med/surge and gero-psych
Manchester Academy Yazoo City, Mississippi
08/2001 – 05/2003,
Assistant Teacher
Kmart Pharmacy
Yazoo City, Mississippi
04/2000-01/2001,
Pharmacy Technician
Other:
2019: CMS Technical Expert Panel contributor
Contract: Development and Maintenance of Symptom Management Measures (Nursing Home Quality Measures)
References Available Upon Request
***************@*****.***
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