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Online Resumes with "Recovery Audit Contractor"
Seeking fulltime employment as a Recovery Audit Contractor or Compliance Auditor
To obtain a position as a Healthcare Professional using specialized knowledge and skills to assist hospitals and physicians other providers of service in optimizing their reimbursement potential.
Tags for this Online Resume: Nurse Case Manager, Medical Record Auditor, Recovery Audit Contractor, Clinical Documentation Improvement Specialist, HEDIS Reviewer, Medical Billing, Medical Coding, Medical Compliance Officer
Help company improve efficiencies and incomes
Establish the strategic direction of a finance or audit function for a dynamic organization enhancing governance and operational performance.
Tags for this Online Resume: Audit, Evaluate, Compliance, Finance, Budget, Establish Policy, Establish Strategy, Manage, Direct, Supervise, MS Office, MS Excel Expert, HBOC, Meditech, Certified Internal Auditor, Save Millions of Dollars
I'm a RN with more than 25 years experience. Greater than 10 years in home health auditing/coding/OASIS. Current experience includes recovery audit contractor, review of hospital medical record for medical necessity/correct billing.
PROFESSIONAL SUMMARY Over 25 years of Healthcare experience including: Coordination of the annual CPT/HCPCS adds/changes and deletions Maintaining the integrity of the Corporate Charge Description Master (CDM) Education of clinical staff on all annual changes that would impact their department for capture of billing Communication with Business Office to resolve claim rejections and/or denials Reinforcement of the CDM polici...
Summary A seasoned professional with years (since 1994) experience in the management and administration of day-to-day operation for the insurance industry and a local non-profit organization. Significant experience in Medicare Part A and B Claims analysis, Recovery Audit Contractor Data Warehouse (RACDW), HIPAA assessments and implementations including impact assessments, gap analysis, requirements documentation, transactio...