Bonnie Lewis, RN
Bowling Green
Summary
Dynamic healthcare professional with extensive nursing and auditor experience.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Auditor, Clinical Validation
Cotiviti Healthcare
01.2022 - Current
- Short stay reviews in CAT
- Trained in R3 and DRG
- Proficient in Interqual and MCG guidelines
- Recent CPC-A certification
Audit and Appeals Coordinator
The Medical Center at Bowling Green
Bowling Green
12.2019 - 01.2022
- Coordination of audits within the corporation for all entities
- Appeal of inpatient and outpatient denials
- Maintain regulatory compliance
- Utilize Recovery Audit Management software for appeals tracking
Utilization Management RN
The Medical Center at Bowling Green
Bowling Green
10.2007 - 12.2019
- Inpatient precertification and continued stay authorizations for all payers including Medicare, Medicaid, VA, and commercial plans.
- Case management.
- Discharge planning
- Leader of interdisciplinary team meetings
Education
Associate of Science - Nursing
Western Kentucky University
Bowling Green, KY12-1994
Skills
- Attention to detail
- Strong work ethic
- Honest and dependable
- High productivity and quality scores
- Recent CPC-A certification
Certification
Registered Nurse, State of Kentucky
Certified Managed Care Nurse, ABMCN
CPC-A
Timeline
Auditor, Clinical Validation
Cotiviti Healthcare
01.2022 - Current
Audit and Appeals Coordinator
The Medical Center at Bowling Green
12.2019 - 01.2022
Utilization Management RN
The Medical Center at Bowling Green
10.2007 - 12.2019
Associate of Science - Nursing
Western Kentucky University