Director Of Operations, Hospital Consulting Services
CurrentClinical Documentation Improvement and Case ManagementClinical Documentation Improvement to help maximize accuracy, reimbursement, risk adjustments, and quality ratings for hospital inpatients and physician profiles.Case Management Consulting. Developing and improving CM departments, medical necessity/utilization review processes, payor denial prevention, CM/interqual education.Medical necessity audits, denial reviews and appeals including Medicare, Medicaid, and private payors.