Description
"Because of my extensive background as an independent contractor health care provider in the outpatient setting, by identifying potential fraud risks in the work place, and assisting in anti-fraud state and federal investigations, I desire to assist an investigative team with the growing and challenging problem of detecting fraud, waste and within the Medicaid and Medicare systems. As the only Arizona state licensed physical therapist and credentialed certified fraud examiner, my observational and in-depth evaluation skills have allowed me the opportunity, to identify the risks of health care fraud, waste, and abuse first hand. I anticipate being a valuable asset to your organization in order to assist in identification, collection, preservation, analyzing and summarizing evidence in fraud cases with integrity, and in an ethical, efficient manner. - Karen Stewart PT CFE Certified Fraud Examiner (CFE) | Health Care Fraud | OSHA-30 | Rehabilitation | Identify Aberrant Billing Patterns Functional Capacity Evaluations for Medicaid, Disability, and Worker's Compensation Clients | Reid Interview Technique | Physical Therapy | Case Analysis Research: Collect and Investigate Evidence | Medicare | Claims Investigation | Written and verbal Communication | Utilization and Records Review | EMR- Electronic Medical Records | Problem Solving | Outpatient Private Practice | Clinical Judgement | Medical Coding | Medicaid | Team approach Worker's Compensation | Personal Injury | Risk Assessment | Report Writing and Documentation | Compliance Clinical Mentor | Teamwork | Promote ethical, efficient and effective investigations
Work Experience
COMPANY | POSITION HELD | DATES WORKED |
---|---|---|
Measur Abilities Llc | Cdms Managing Director | 2/2017 - 9/2018 |
Thomas Barklay | Certified Fraud Examiner | 9/2007 - 8/2014 |
Sebia Investigations L.L.C. | Private Investigator Private Investigator Mentorship Staff Physical Therapist | 8/2005 - 2/2007 |
(Confidential) | Physical Therapist | 1/1998 - Present |