Oneita Bowens

Clinical Review Auditor Rn @Change Healthcare

Performs Hospital Billing Validation Audits by applying extensive knowledge of clinical criteria and guidelines accurately and objectively while maintaining productivity targets.+ Demonstrates ability to appropriately apply clinical criteria to a variety of claims scenarios and effectively utilize audit tools to maximize savings.+ Works independently to meet or exceed productivity and accuracy goals.+ Communicates audit findings with excellent grammar and writing skills.+ Performs appeal reviews and responds to provider disputes for Hospital Billing Validation Audits.+ Interfaces with Physician advisors and other members of the audit team.+ Maintains current knowledge of clinical guidelines, reimbursement trends, and client expectations.