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
Similar Profiles
Isaiah WilliamsIsaiah Williams
Medical Data Entry Specialist Remote at Cotiviti HealthcareMedical Data Entry Specialist Remote at Cotiviti Healthcare
Sashoy AllenSashoy Allen
Records Retrieval Agent at Cotiviti HealthcareRecords Retrieval Agent at Cotiviti Healthcare
Betty WhiteBetty White
Team Lead Payment Accuracy at Cotiviti HealthcareTeam Lead Payment Accuracy at Cotiviti Healthcare