JORGANN L. STEWARD

**** ******** ****

Fort Wayne, IN 46835

Cellular: 260-***-****

acaens@r.postjobfree.com

CAREER SUMMARY: Unique professional who combines medical, insurance,

investigative, analytical and paralegal skills. I'm

described by others as quality conscience and detail-

oriented.

EXPERIENCE:

August 18, 2009 LHN BUSINESS OPERATIONS CENTER

To Fort Wayne, IN

Present NURSE AUDITOR-APPEALS

-Performs audits of selected medical records and charges

prior to billing

-Identifies incorrect and incomplete charge forms, charging

systems, charge master items and charging

procedures

-Works with departments in the business office, case

management and patients on clinical denials and appeals

-Works Medicare clinical denials and appeals as necessary

-Communicates with department management monthly on issues

related to late charges and other issues that can adversely

impact proper billing and collection processes.

-Reviews coding with the aid of CareMedic System and

Revenue Cycle Pro

-Monitors CMS for updates for (LCD) Local and (NCD)

National Coverage Determination Policies; weekly and

monthly review of Medicare rules and regulations

August, 2005 DUPONT HOSPITAL

To Fort Wayne, IN

July 17, 2009 NURSE-COMPLIANCE AUDITOR

-Maintains hospital Charge Master with updates, additions,

deletions

-Maintains Community Health System's CDM File for Dupont

Hospital

-Audits all Inpatient and Outpatient surgeries daily

-Reviews all CPT & HCPCS codes for compliance

-Reviews all Medicare updates for compliance

-Assists with audits from outside auditing companies

-Performs random monthly hospital department audits for

accuracy and compliance. The departments include ER, Lab,

Special Procedures, X-ray, Inpatient Surgery, Ambulatory

Surgery, Recovery Room, Med Surg, Respiratory Therapy, OB,

Nursery, NICU and Pharmacy

March, 2000 MAGELLA Healthcare Corporation/PEDIATRIX Medical Group

To Dallas, Texas/Sunrise, FL

August, 2005 NURSE/MEDICAL DATA COORDINATOR

HOSPITAL ASSOCIATE TRAINER/SUPERVISOR

-Coding of medical procedures in a Hospital setting

-Set up and application of MAGELLA data algorithm for

research study

-Responsible for traveling off site to provide

supervision, training, site coverage and

departmental support. Training of new hospital associates,

helping with acquisitions, timely account billing and

registration, training of associates on new programs and

upgrades, retaining of associates related to poor job

performance and providing site coverage for approved PTO.

References: Sue Fittro, RN

Dupont Hospital-Risk Mgmt Team Leader/Director Case

Management

260-***-****

Todd Klinedinst, RN

Dupont Hospital-Perioperative Services Team Leader

260-***-****

Lorri Thompson, RN

120 Corner Stone Pkwy

Fort Wayne, IN 46825-8136

260-***-****

Nancy Lamb, LPN

Lutheran Health Network

260-***-****

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