Michele Sudina

**** ******** **** *** ***** Gilead, Ohio 43338

419-***-**** Home 419-***-**** Cell

abl56g@r.postjobfree.com

Profile 3+ years experience as Director of Auditing for a growing

firm.

Ability to direct complex projects from concept to fully

operational status.

Goal-oriented individual with strong leadership capabilities.

Organized, highly motivated, and detail-directed problem

solver.

Proven ability to work in unison with staff, volunteers, and

board of directors.

Sale experience

Current CMAS (Certified Medical Audit Specialist)

Knowledge in Medicaid, Medicare and HMO standards

Great understanding of insurance claim payment process from

POC to DRG for inpatient, outpatient and pharmacy

Education Associate in Business, Columbus State Community College

1998-2000

Associate Nursing Degree, Columbus State Community College

2002-2004

Bachelor in Health Care, University of Phoenix, 2008 to 2010

MBA, University of Phoenix, 2010 to current

Relevant Experience & Accomplishments

Program Coordination

Successfully established new Auditing process for a major

insurance company.

Formulated, wrote, and implemented new employee orientation

manuals.

JACHO, CMS and CCI standards for insurance companies and

hospitals

Managed $3 million dollar a month revenue savings.

Establish a new CSR process to make call holding time less

then 10 minutes.

Negotiated compliance issues between Hospital and Insurance

Company.

Management/Supervision

Directed recruitment and retention of supervisors and staff

of 30-40 employees.

Trained, supervised and evaluated staff, coached improvement

management skills.

Resulted in multilateral staff achievement of work

objectives.

Employment Director of Charts and Auditing, Health 2006-present

Compliance Associates, Ohio

Traveled to MD and DC Hospitals to negotiate

billing compliance issues.

Review payments per contract and CCI standards

Sales experience- Traveling to potential clients

to close contract deals

Reviewed submitted claims to federal billing

compliance standards

Reviewed Medical Records according to CMS

guidelines

Client relation

Process payroll and employee hiring

Oversee daily operation

Processed monthly revenue.

Data Analyst/ Chart Auditor, Med Cost, Ohio 2002-2006

Reviewed Medical Records for billing errors

Client relation

Payroll, employee hiring, supervised 35 nurse

auditors

Oversaw daily operation

Process incoming finical records and reconciled

data.

Established new financial analysis procedure for

marketing plans

Created internal report-writing resources (i.e.,

manuals, style guides)

Participated in a task force that created a new

performance-management system for entry-level

employees

Client Liaison, OSI, Ohio 1998-2002

Client relation between OSI collection and

government held student loan company

Annuity Specialist, Nationwide Insurance, Ohio 1997-1998

401K transfer, stock investments changes,

retirement packages

United State Army, Supply, USA 1995-1997

Trained and supervised traffic control operators

and wrote new employee manuals.

Computer Word, Excel, Power Point and Access.

Experience:

Reference: Upon Request

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