Nurse Auditor - Revenue Integrity

• Aug 2022 - Present

Nurse Auditor, Revenue Integrity

• Nov 2021 - Jul 2022

Nurse Auditor

• Mar 2020 - Nov 2021

● Audit medical charts: compare medical records and UB-04 to hospital detail bills for lost charge recovery at various facilities for Surgery, Endoscopy, Cardiac Cath Lab and IR ● Review injection, infusion and hydration charges per CPT guidelines and facility policies ● Determine if the correct CPT, HCPCS and procedure codes are being utilized by facilities ● Audit medical charts: compare medical records and UB-04 to hospital detail bills for lost charge recovery at various facilities for Surgery, Endoscopy, Cardiac Cath Lab and IR ● Review injection, infusion and hydration charges per CPT guidelines and facility policies ● Determine if the correct CPT, HCPCS and procedure codes are being utilized by facilities

RN Charge Capture Analyst Surgery Auditor

• Oct 2015 - Mar 2020

• Performed charge audits and documentation reviews for all Operating Room records • Maintained a 0% error rate for Surgical Services Charge Audit • Worked closely with the OR director, managers and clinical coordinators to look for surgery trends and areas of improvement • Audited and corrected unbilled patient charges • Activated and maintained the facility charge description master (CDM) • Advanced the education of RNs on proper documentation of the surgical record via Power Point presentations and one on one training • Completed Physician Peer Reviews for Surgical Services, Cath Lab and Endoscopy • Tracked first case starts and surgeon tardiness for OR Director • Completed chart data and timeline review for infection control, risk management, trauma and quality management • Assisted revenue integrity and hospital billing and coding to obtain proper reimbursement for surgical procedures Show less

Staff RN, Operating Room

• Jan 2008 - Aug 2015

• Circulated and scrubbed for specialties including: ENT, General, GYN, Orthopedic, Plastic, Vascular, DaVinci Robot, Spine, Neuro, Urology and Bariatric• Precepted, educated and assessed new employees and nursing student learning needs• Designed new sponge, sharp and instrument count sheets based off AORN recommended practices• Led a hospital wide conversion to new graduated sequential compression devices

Specialty Team Coordinator ENT/General

• Aug 2011 - Jul 2015

• Collaborated closely with surgeons, RNs, OR manager, central sterile, OR scheduling and materials management• Participated in Surgical Services value analysis committee• Assisted surgeons with new product evaluations and trials• Participated in continuous audits for research on surgical services including medication safety,surgical counts, joint commission audit tools and central sterile processing efficiency• Oriented new hires to General and ENT surgeries including scrubbing and circulating• Updated and created doctor preference cards Show less