Reconciled complex client to clinical care time payroll and billing statements. Submitted claims via electronic system to Medicaid, CMS and other Commercial vendors. Wrote complete policy and procedures manual. Built and developed a comprehensive tracking system to ensure each step of Minimum Data Set assessments were completed timely. Created a Comprehensive Quality Assurance program. Interviewed, hired and managed nurses, social workers, CNAs and NA’s, office staff and all area supervisors. Audited Physician, Nursing and CNA progress notes and Care plans to ensure records complete and documentation accurate in accordance with Medicare laws. Worked under supervision of nurses and physicians to call pharmacies and relay and receive patient medication orders and PT, OT and ST orders. Worked directly with Medicare and Medicaid auditors to correct any facility tags and ensure policies updated to prevent future
Reconciled complex client to clinical care time payroll and billing statements. Submitted claims via electronic system to Medicaid, CMS and other Commercial vendors. Wrote complete policy and procedures manual. Built and developed a comprehensive tracking system to ensure each step of Minimum Data Set assessments were completed timely. Created a Comprehensive Quality Assurance program. Interviewed, hired and managed nurses, social workers, CNAs and NA’s, office staff and all area supervisors. Audited Physician, Nursing and CNA progress notes and Care plans to ensure records complete and documentation accurate in accordance with Medicare laws. Worked under supervision of nurses and physicians to call pharmacies and relay and receive patient medication orders and PT, OT and ST orders. Worked directly with Medicare and Medicaid auditors to correct any facility tags and ensure policies updated to prevent future