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Angela A. Steffens MS RN 3450 Emerald Pointe Drive Apt.

211 Cell Phone: 727-457-1153 Hollywood, FL 33021 as8393d6@westpost.net Professional Summary I have been a Registered Nurse for 27 years in three states, New Jersey, Delawar e, and Florida, all in good-standing. My background has been diverse. I have w orked as a medical/surgical nurse with a specialty in GYN/Oncology. I have work ed in Home Health and was certified in Mental Health. Through education and wor k experience became an Education Specialist and a Director of an inpatient psych iatric department. Most recently I have become a nurse auditor in a company con tracted with Medicare. Professional Expertise Proficient research skills Multi-tasking skills Proficient analytical skills Flexible and adaptable Excellent writing skills Sound clinical skills Sound decision-making skills Proficient presentation skills Professional Experience Integriguard LLC January 2010 to Present 2801 South West 149th Ave. Suite 250 Miramar, FL 33027 Medical Review Nurse Research medical records for compliance with Medicare guidelines and the Social Security Act and the Code of Federal Regulations to identify fraudulent Medicare claims, using pre-pay and post-pay methods. Work closely with Fraud Investigat ors and law enforcement at the local, State, and Federal levels. Review a wide range of providers and services, make decisions for denials or allowed claims ac cording to governing regulations. TriCenturion December 2003 to February 2005 Program Safeguard Contractor US 19 N. Palm Harbor, FL 34684 Lead Claims Review Analyst: Audit claims and compare with documented services in beneficiary medical records. I compared this information with established guid elines for correct coding and medical necessity requirements. All types of prov iders are audited, and trending patterns of fraud and abuse are paramount. On-s ite visits and interviewing conducted regularly. I utilize the CPT, HCSPCS, and ICD-9 coding manual daily.

Sun Coast Hospital

April 2001-June 2002 2025 Indian Rocks Road Largo, FL 33774 Director Behavioral Medicine: Scope of practice involved maintaining a balanced budget, increasing revenue, and writing policies and procedures for all unit fun ctions. I supervised 40 staff members, professionals and non-professionals. I w as responsible for clinical competencies of all staff including HR functions, an d ensuring regulatory compliance. Reported to the CEO. BayCare Health System Center for Learning Regional Education Services 601 Main Street Dunedin, FL Education Specialist: January 1999-April 2001 Designed, developed, curricula for a variety of healthcare professionals. Devel oped and provided on-site classroom education such as clinical orientation, skil ls fairs, BLS classes, and arranged special programs as requested by my customer s. Extensive knowledge of regulatory requirements for all internal customers' e ducational needs was essential. Maintained compliance and renewals of each prof essional provider receiving con-ed. BayCare (cont.) February 1997-January 1999 Morton Plant Mease, Dunedin, FL Morton Plant, Clearwater, FL Psychiatric Charge Nurse: Made daily assignments, participated in multidisciplin ary team meetings, and provided the physicians with a 24 hour report. Ensured e xcellence in the delivery of patient care to dually diagnosed patients. HCA Columbia Psychiatric Hospital May 1995- May 1996 Newark, Delaware Supervisor, charge nurse, Utilization Review Worked the Children's unit, the adolescent unit and adults, dually diagnosed pat ients. House Supervisor when needed, charge nurse and Utilization Review duties .