Lauri Middleton Email and Phone Number

InfoPathMS Office SuiteSector Experience:Fraud, Waste and AbuseGovernment Oversight Education:Advanced ICD-10 Training Associates Degree in NursingParalegal StudiesCertification/Training:Certificate in Paralegal StudiesCertified Professional Coder-PayerICD-10 ProficiencyRegistered Nurse Relevant Experience:Health Care Consultant and registered nurse with 20 years of critical care experience and 12 years of experience in the health care industry. This experience fraud review and training, clinical research, and medical billing/coding. Excellent skill-set supported by organizational, analytical, and communication (oral and written) skills.Health care payer experience includes clinical research and content development, design/development of new programs and online consumer based tools, and data analysis.. Areas of expertise: Critical Care, Clinical Research and Writing, Medical Billing and Coding, Advanced ICD-10 training, clinical analyt-ics/reporting and medical policy development/auditing.Industry Knowledge:Fraud Waste Abuse• Claims Audit/Review of Claims Processing • Quality Assurance Testing/Training/Documentation• Review of Provider AppealsClinical • Critical Care and Surgical Intensive Care • Development of various types of Clinical Content• Health Care Research and Creation of Summary Document• Home Health Care• Medical Record ReviewAnalytics• Business Requirements/User Interface Design• Episode Treatment Group (ETG) Analysis • Managed the Medical Review of Clinical Content.• Trend Analytics, Including Inpatient Diagnosis-Related Groups (DRGs)