Karen Tibbs, RN, MS, HCS-D, COS-C, quality manager, OASIS & coding services, is a registered nurse with a Master of Science in healthcare quality. She is currently the quality and education manager for McBee. She has 22 years of home care experience with extensive knowledge in medical review, regulatory compliance, ICD-10 and OASIS accuracy. Karen has earned the Home Care Coding Specialist – Diagnosis (HCS-D) and the Certificate for OASIS Specialist – Clinical (COS-C).