Chris Duerr Email & Phone Number

Franklin, Tennessee

• Review and analyze claims as a vendor for Anthem WGS in states all across the country
• Accomplished this by using SQL, Excel and proprietary tools to trend and identify overpaid insurance claims paid by Anthem WGS
• The approved overpaid goal I had each month was $1.5M. For CY 2019, I averaged $1.8M in approved per month for over $21M total savings for our client.

• Plan and manage of all aspects of small to medium sized client engagements and discrete segments of larger projects.
• Delegate assignments to staff, instruct and monitor progress, and review work product for completeness and accuracy.
• Develop analyses and financial models using transactional data and/or financial data.
• Generate client deliverables and make valuable contributions to expert reports.
• Manage client relationships and communicate results and work product as appropriate.
• Demonstrate creativity and efficient use of relevant software tools, analytical methods and computer models to develop solutions.

Greater Nashville Area

• Manager, CDM Services
• Accountable for the strategic development of the Charge Description Manager including timely review of standards for each hospital area. o Responsible for OR, Radiology, Cardiology, Respiratory Therapy, Sleep Lab
• Development and implementation of a process for the timely and accurate CDM maintenance compliant with CPT Codes, CMS regulations and industry standards.
• Keep current on Chargemaster related issues through monitoring of the regulatory environment, review of literature, participation in professional organizations, and continuing education.
• Develop policies and procedures to support the standard CDM
• Works with Health Information Management, Nursing, Information Systems, Finance, and Patient Accounting. Also, provides assistance and analysis to all levels of clinical/ financial management at the facility in support.

Greater Nashville Area, TN

• Analyzed health insurance claims from Blue Cross of California to find overpaid claims paid to healthcare providers using Microsoft Excel and a data-sorting tool created by AIM with similar characteristics to SQL.
• Reviewing of claims consisted of analyzing HCPCS codes, Revenue Codes and Diagnosis Codes from the healthcare providers along with reviewing contracts Blue Cross has with most hospitals in California. Contacting.
• A monthly goal of identified overpaid claims was expected starting at $300,000 in the first year in the job. I regularly exceeded this goal identifying between $400,000 and $600,000 each month. In the last 3 years.

Greater Nashville Area, TN

• Worked in the Small Business/Self-Employed Unit in collections with the IRS.
• Collected delinquent tax accounts and returns from taxpayers and businesses. In doing so financial statements would be required to be taken to determine a taxpayer’s ability to pay.
• Making determinations on filing Federal Tax Levies and Federal Tax Liens and issuing final notices to taxpayers and businesses was also a primary job function.