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Reimbursement Specialist Nurse Consultant

Location:
Madison, MS
Posted:
August 02, 2022

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Resume:

SHANNA DAVIS, MSRN

601-***-**** adrzb9@r.postjobfree.com

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-***-**** adrzb9@r.postjobfree.com

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-***-**** adrzb9@r.postjobfree.com

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-***-**** adrzb9@r.postjobfree.com

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

601-***-****

adrzb9@r.postjobfree.com



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