Revenue Integrity Specialist
CurrentAudit numerous outpatient and inpatient services by review of clinical documentation to ensurecompliant reimbursement regarding CPT/ HCPCS, ICD-10 CM & PCS codes, revenue codes, andmodifiers and their compliant use.• Created and administered an ongoing educational training program to clinical and non-clinicaldepartments as a result of charge capture audit results and root cause analysis.• Improve payments flow and cash management for government and non-government payers… Show more Audit numerous outpatient and inpatient services by review of clinical documentation to ensurecompliant reimbursement regarding CPT/ HCPCS, ICD-10 CM & PCS codes, revenue codes, andmodifiers and their compliant use.• Created and administered an ongoing educational training program to clinical and non-clinicaldepartments as a result of charge capture audit results and root cause analysis.• Improve payments flow and cash management for government and non-government payers byfacilitating correct and timely claim submissions in coordination with hospital accountingdepartments.• Manage Medicare, additional documentation requests (ADRs).• Ensure compliant, accurate, and optimal claim submission.• Strategically planned and forecasted for Medical Coding Department Show less