Summary
Overview
Work History
Education
Skills
Timeline
Generic

Christine Szudrowicz

Pingree Grove,IL

Summary

Dynamic and results-oriented Complex Bill Review Nurse at Zurich NA, skilled in validating treatment accuracy and identifying fraudulent billing. A collaborative team player with strong attention to detail, I enhance service efficiency through process improvements and critical thinking, ensuring compliance with regulations while delivering high-quality outcomes.

Overview

19
19
years of professional experience

Work History

Complex Bill Review Nurse

Zurich NA
11.2015 - Current

Validate appropriate treatment and billing charges against compensable injury.

Review ICD 10 codes and CPT codes against the medical documentation submitted for accuracy.

Assist in identification of fraudulent billing by reporting suspicious activity to the special investigation unit.

Ensure legal compliance by following regional, country and or local laws and regulations and internal control requirements.

Meet quality standards and complete monthly peer review audits.

Improve accuracy and timeliness of services by identifying problems, providing solutions and implementing procedural and process improvements.

Resolve escalated issues using critical thinking skills, applying medical expertise, and referring to policies, procedures and specifications.

RN

Sherman Hospital
01.2009 - 05.2015

Prepare patients for examinations and document medical histories.

Assist physician during the examination and procedures.

Triage phone calls and provide clinical information and guidance.

Collect laboratory specimens, perform point of care lab testing, phlebotomy services, suture removal and obtain electrocardiograms.

Medical Assistant

Focus on Women/Delcom
01.2007 - 01.2009

Obtain patient vital signs and document patient information in EMR.

Assist physicians with in-office procedures.

Perform phlebotomy services.

Clean and sanitize all equipment.

Scan medical records, schedule appointments, enter daily charges, and perform any additional clinical and clerical office procedures as needed.

Education

Associate of Applied Science - Nursing

Elgin Community College
Elgin, IL

Bachelor of Science - Health Care Management

Maryville University of Saint Louis
St. Louis, MO

Skills

    Collaborative team player

    Self-motivated

    Attention to detail

    Adaptability and organization

    Results-oriented

    Computer skills- Microsoft Word, Excel, Claims Connect, EZAccess, Smart Advisor, and Teams

Timeline

Complex Bill Review Nurse

Zurich NA
11.2015 - Current

RN

Sherman Hospital
01.2009 - 05.2015

Medical Assistant

Focus on Women/Delcom
01.2007 - 01.2009

Associate of Applied Science - Nursing

Elgin Community College

Bachelor of Science - Health Care Management

Maryville University of Saint Louis
Christine Szudrowicz