Ashley Olinger
Scottsboro
Summary
Dedicated audit professional committed to upholding high standards and delivering impactful results. Extensive experience in compliance contributes significantly to team success and aligns with organizational goals. Recognized for reliability and adaptability in dynamic environments, complemented by key skills in risk assessment and data analysis. Proven ability to navigate complex challenges while maintaining a focus on excellence and efficiency.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Auditor Quality
Cotiviti
09.2024 - Current
- Executed comprehensive audits to identify and mitigate non-compliance risks.
- Mentored initial auditors, contributing to their professional development and enhancing team performance.
CCV OPSP Technical Trainer
Cotiviti
10.2023 - 09.2024
- Created and sustained detailed training resources to enhance employee onboarding and development processes.
- Perform QA on OPSP audit review utilizing various platforms
- Monitored and responded to audit submitted questions
- Collaborated with cross-functional teams to identify training needs and gaps.
Associate Manager Clinical Appeals and Hearings
Gainwell Technologies
02.2022 - 10.2023
- Manage and evaluate individual/team performance to ensure performance standards are met and or exceeded.
- Supervised team activities related to clinical DRG validation and payment analytics appeals, enhancing operational efficiency for multiple clients.
- Applied clinical knowledge of InterQual and MCG criteria to evaluate medical necessity in support of appeals and hearing claims.
- Participated in pretrial and trial hearings, representing diverse clients across multiple lines of business.
- Recognized as top talent in 2023, reflecting outstanding dedication and impact within the organization.
Clinical Quality Team Lead
Cotiviti
03.2021 - 02.2022
- Responsible for newly acquired HMS quality department and assisted in transition into Cotiviti platforms and culture.
- Monitor aging inventory, workloads, assignments, productivity, and quality to ensure service level agreements, contract deliverable and timelines are met.
- Responsible for oversight of staff, providing leadership and mentorship to staff to build and improve skills.
Clinical Reviewer
HMS, Irving TX
Irving, TX
08.2012 - 10.2019
- Performed quality and clinical audit reviews on various lines of business such as hospital bill audits, DRG, clinical validations, IRF (production and appeals), CMS outpatient therapy reviews, utilization review, place of service, Pharmacy billing, ALJ quality reviews and PIQC physician reviews.
Education
CPC - Certified professional coder
AAPC
Associates of Applied Science - Nursing
Northeast Alabama Community College
Rainsville, Alabama01.2005
Skills
- Skilled in retrospective and quality reviews
- Skilled in comprehensive audit evaluations
- Supervisory leadership
- Experienced with CMS guidelines and coding systems
- Strong communication skills
- Detail-oriented and self-driven
- Proficient in upholding professional ethics
- Effective interdisciplinary collaboration
Certification
- Registered Nurse in the State of Alabama (Multi-state/Compact License)
- AAPC. CPC- Certified professional coder
Timeline
Senior Auditor Quality
Cotiviti
09.2024 - Current
CCV OPSP Technical Trainer
Cotiviti
10.2023 - 09.2024
Associate Manager Clinical Appeals and Hearings
Gainwell Technologies
02.2022 - 10.2023
Clinical Quality Team Lead
Cotiviti
03.2021 - 02.2022
Clinical Reviewer
HMS, Irving TX
08.2012 - 10.2019
Associates of Applied Science - Nursing
Northeast Alabama Community College
CPC - Certified professional coder
AAPC