edical Billing & Coding Analysis
 

  • Developed audit templates based on coding and billing requirements and
  • standards of care for executed clinical trials as part as a government
  • investigation at an academic medical center.
  • Developed policies and procedures to reorganize billing office to address
  • backlog of rejected claims, train billing staff and institute performance monitoring tools.
  • Analyzed methodology in assembling billing errors as part of purchase/acquisition.
  • Assessed exposure related to Clinical Trials for large academic medical center.
  • Analyzed SNF services to determine if the minutes of therapy documented were
  • consistent with those reported on the MDS.
  • Assisted new hospital with formulating Charge Master, Billing and Reimbursement.
  • Conducted compliance billing review for seven hospitals on short stay, observation
  • versus inpatient admission versus outpatient visits (APC) only.