Jeannie Falk

WORK HISTORY

EDUCATION

ABOUT JEANNIE FALK

I’m a licensed Certified Occupational Therapy Assistant (COTA/L) and healthcare leader with over eight years of experience in post-acute rehabilitation, clinical documentation review, and regulatory compliance. My background spans hands-on patient care to corporate-level quality assurance and appeals management.I specialize in ensuring documentation accuracy, medical necessity justification, and adherence to CMS, NCQA, and state regulatory standards. Throughout my career, I’ve partnered with interdisciplinary teams and medical directors to improve audit outcomes, streamline appeal processes, and strengthen clinical documentation integrity.Driven by a commitment to quality and compliance, I take pride in helping organizations achieve operational excellence while ensuring fair and accurate patient-centered care decisions.Core Strengths:Clinical Documentation Integrity | Appeals & Denial Management | Regulatory Compliance (CMS, NCQA, Medicaid/Medicare)| Audit Preparation | Payer Communication | Interdisciplinary Collaboration