Licensed Registered Nurse and Certified Professional Coder with extensive experience in medical review, public health, and clinical analysis. Skilled in Medicare Part B claims review, utilization review, coding audits, and CMS policy interpretation. Strong background in provider education, claim adjudication, and compliance. Proven success improving workflow efficiency, supporting reimbursement accuracy, and leading peer training initiatives. Passionate about community health and patient education with over 25 years of experience spanning payer-side review, clinical auditing, and public health nursing.