Alphena Lawrence, Msn, Rn Informatics Email & Phone Number

West Palm Beach, Fl, Us

Ellicott City, Maryland, United States

• Analyzed healthcare documents and artifacts, ensuring accuracy and compliance with healthcare guidelines.• Applied language expertise and formatting skills to enhance document usability for providers.• Conducted document reviews to align content with Plain Language Act principles for clarity and accessibility.

Dallas, Texas, United States

-Oversaw patient assessments, scheduling, and accuracy assurance within the MDS process.-Maintained up to date knowledge of regulatory criteria and provided staff training on compliance updates. -Identified potential reimbursement risks and addressed changes to optimize financial outcomes.-Accuracy of ICD 10 Coding.-Streamline admissions process and monitored nursing documentation for Medicare compliance.-Ensured strict adherence to client confidentiality and HIPAA regulations.

Orlando, Florida, United States

-Proficiently train and support diverse disciplines and technologies withing the healthcare setting.-Proactively troubleshoot and analyze EHR and device-related issues to ensure optimal system performance.-Drive improvement in patient outcomes through data and analytics insights. -Manage service requests and tickets promptly, escalating to designated support tiers as needed.-Generate SQL reports and execute queries for mediation, orders and other critical information.-Conduct training sessions on the PointClickCare application for clinical users.-Exhibit innovative problem-solving skills and take initiative to enhance processes.

West Palm Beach, Florida, United States

-Collaborate with oncologist and multidisciplinary teams to develop individualized treatment plans for patients.-Administer cancer treatments, monitored patient outcomes and identified potential complications.-Provide compassion and emotional support and address patients queries regarding treatments and care. -Managed and tracked of lab results, pathology reports and imaging studies for accurate treatment planning.-Facilitated seamless coordination of care among all healthcare providers involved.

West Palm Beach, Florida, United States

-Facilitated Medicare Part A certification process and performs ongoing evaluations from pre-admission through discharge to ensure an accurate reimbursement level for each resident through care evaluation and services. -Accuracy of ICD 10 Coding.-Trained staff on electronic health records and policies-Oversaw the development of medical records, care plans, and charting to documentation-Monitored multiple facilities practices to ensure compliance with guidelines for participation in Medicare & Medicaid, HIPPA and EHR-Tracked and reviewed all claim denials to identify problems. Assists in the preparation and timely submission of any additional development requests, reconsiderations, and administrative law judge hearings.-Chaired all evaluation and continuing education regarding the intervention and support for Medicare, RAI, state-specific, and special contract reimbursement. Reviewed state MDS validation reports to identify issues and or processes to ensure accuracy of submitted MDSs.-Used PointClickCare

Florida, United States

-Assigned and completed Medicare reimbursement assessments. Communicated with nursing and clinical personnel on the implementation of the resident Care Plan. -Ensured patient-driven outcomes, financial results that mirror the care given.-Ensured that the facility and staff remain in compliance with organization, HIPPA, local, state, and federal. -Trained staff on electronic health records and policies.-Accuracy of ICD 10 Coding.-Used Point Click Care, RehabOptima, Greymar, and Microsoft Office Windows.

West Palm Beach, Florida, United States

-Provided innovation with the creation and implementation of ideas and concepts that improved systems and processes to achieve superior results.-Primary organizer in patient planning services along with interdisciplines and other stakeholders. -Management of Medicare and Managed Care patients in collaboration with facility team members. -Negotiated rates by managing levels, outliers, carve-outs, and durable medical equipment. Provided updates on an ongoing basis to managed care case management to facilitate residents' stay and contributed to the average length of stay.-Accuracy of ICD 10 Coding.-Used PointClickCare, Rehab Optima

Framingham, Massachusetts, United States

-Managed overall process and tracking of all Medicare PPS and Managed Care assessments as well as -Medicare Meetings, end-of-month processing, and PPS meetings. Chair morning meetings, PPS meetings.-Accuracy of ICD 10 Coding.- Triple Check, monthly and quarterly QI/QM reports, monitor and manage 5-star ratings and quality measures. -Ensure patient-driven outcomes, financial results that mirror the care given. Ensured that the facility and staff remain in compliance with organization, HIPPA, local, state, and federal. -Use of PointClickCare, NTT Data NetSolutions, CareWatch.

Framingham, Massachusetts, United States

-Coordinated management of care for long-term and short-term patients.-Accuracy of ICD 10 Coding.-Follow patients through the continuum of care and ensure optimum utilization of resources. -Provided ongoing support and expertise through comprehensive assessments, care, and discharge planning. -Evaluated patients’ safety and ability to live at home or in other settings and establish discharge plans as well as their needs, ensuring successful discharge plans which included education on functional maintenance programs, medication management, disease management, and physician follow-up.-Used of Matrix EHR

Masters In Nursing Informatics

Bachelor Of Science - Bs, Registered Nursing/Registered Nurse