Monica Jeremich, Rn Bsn Ccs

Monica Jeremich, Rn Bsn Ccs

Associate Director Of Hospital Billing Compliance @ NYU Langone Health

About Monica Jeremich, Rn Bsn Ccs

Monica Jeremich is the Associate Director of Hospital Billing Compliance at NYU Langone Health, with extensive experience in medical necessity denials, appeals, and hospital revenue recovery.

Current Role at NYU Langone Health

Monica Jeremich serves as the Associate Director of Hospital Billing Compliance at NYU Langone Health. She has been in this role since 2014, working in New York, NY. Her responsibilities include ensuring compliance with hospital billing regulations and overseeing the billing procedures to align them with healthcare standards.

Previous Experience with McBee Associates, Inc.

Before her current role, Monica worked as the Director of Denial Management and E.D. Concurrent Review Services at McBee Associates, Inc. from 2006 to 2014. During her tenure, she specialized in managing hospital claim denials and implemented strategies for effective concurrent review services in New York, NY.

Role at MedAssets

From 2004 to 2006, Monica was the Director of Clinical Services at MedAssets. In this capacity, she focused on optimizing clinical service operations, contributing to better utilization of resources and enhancing the clinical efficiency of healthcare services.

Position at WellCare Health Plans

Monica worked as the Manager of Utilization Review at WellCare Health Plans from 2003 to 2004 in New York, NY. Her job involved overseeing the utilization review processes, ensuring effective management of healthcare resources, and conforming to managed care regulations.

Educational Background in Nursing

Monica graduated from Seton Hall University with a Bachelor of Science in Nursing (BSN). Her education has provided her with a strong foundation in nursing, enabling her to excel in various healthcare management roles.

Expertise in Hospital Revenue Recovery

Monica has extensive expertise in managing medical necessity denials and appeals, which has significantly contributed to hospital revenue recovery. Her knowledge in ICD-10-CM and CPT coding is crucial for maintaining compliance in hospital billing procedures.

Knowledge of Managed Care Regulations

With a robust understanding of managed care regulations, Monica has effectively addressed the impact of these regulations on healthcare delivery systems, ensuring that services are compliant and efficient.

Experience in Medical Record Auditing

Monica has a diverse background in medical record auditing and case management. Her experience allows her to ensure that medical records are accurate and meet the necessary compliance standards.

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