Medical Hospital
Resume:
JORGANN L. STEWARD
Fort Wayne, IN 46835
Cellular: 260-***-****
*********@***.***
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
Todd Klinedinst, RN
Dupont Hospital-Perioperative Services Team Leader
Lorri Thompson, RN
120 Corner Stone Pkwy
Fort Wayne, IN 46825-8136
Nancy Lamb, LPN
Lutheran Health Network
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