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# Denise Turreck

**Headline:** Proven PATIENT CARE COORDINATOR \- Helping Companies Translate Their Healthcare Goals to Reality
**Profession:** Remote Medical Review Auditor
**Location:** Detroit Metropolitan Area

## About

Denise Turreck is a Remote Medical Review Auditor at Inovalon who helps healthcare organizations meet billing, regulatory, and compliance requirements through detailed medical\-record review and insurance auditing\. Denise’s work centers on evaluating CMS and commercial insurance billing, diagnosis data, clinical documentation, coding, and reimbursement guidelines\. She collaborates with medical professionals and organizations to conduct audits aligned with company protocols and healthcare compliance expectations\. Denise is particularly strong in researching medical records to assess the accuracy of coding, billing, and supporting clinical documentation\. She also performs HEDIS abstraction and produces detailed audit reports containing key fields and identifiers that support efficient upper\-management review\. Her background combines healthcare administration and clinical\-assistant education with hands\-on work reviewing physician and hospital records for billing and documentation accuracy\. Denise earned an associate’s degree in Medical/Health Management and Clinical Assistant/Specialist from Carnegie Institute\.

## Highlights

- Serves as a Remote Medical Review Auditor at Inovalon\.
- Performs insurance audits with medical professionals and organizations to meet company protocols, billing requirements, government regulations, and healthcare compliance expectations\.
- Audits CMS and commercial insurance billing using diagnosis data from physician and hospital medical records\.
- Reviews coding and reimbursement guidelines in connection with medical\-record data collection and analysis\.
- Researches medical records to determine the accuracy of coding, billing, and supporting clinical documentation\.
- Performs HEDIS abstraction\.
- Generates detailed audit reports containing key fields and identifiers to support efficient upper\-management review\.
- Earned an associate’s degree in Medical/Health Management and Clinical Assistant/Specialist from Carnegie Institute\.

## Experience

- **Remote Medical Review Auditor at Inovalon** (2008\-06\-01–2019\-12\-01) — Perform insurance audits with array of medical professionals and organizations to meet company protocols and guidelines for billings, government regulations, and healthcare compliance ▪ Generatedetailedreportsfromauditscontainingkeyfieldsandidentifiersthatenableuppermanagementreviews with high efficiency ▪ AuditingCMS&orCommercialInsurancebillingfordiagnosisdatacollectedfromphysicianandhospitalmedical records with collection and analysis coding and reimbursement guidelines ▪ Review and research medical records to determine the accuracy of coding, billing and supporting clinical documentation ▪ HEDISAbstraction

## Education

- Associate's degree, Medical/Health Management and Clinical Assistant/Specialist — Carnegie Institute

## FAQ

### What does Denise do?

Denise is a Remote Medical Review Auditor at Inovalon\. She performs insurance audits with medical professionals and organizations to support company protocols, billing requirements, government regulations, and healthcare compliance\.

### What does Denise do at Inovalon?

At Inovalon, Denise audits CMS and commercial insurance billing using diagnosis data collected from physician and hospital medical records\. Her work includes applying coding and reimbursement guidelines to collected and analyzed data\.

### What are Denise’s medical\-record review responsibilities?

Denise reviews and researches medical records to determine whether coding, billing, and supporting clinical documentation are accurate\.

### What reporting does Denise produce?

Denise generates detailed audit reports with key fields and identifiers that enable upper management to review audit findings efficiently\.

### Does Denise have HEDIS abstraction experience?

Denise performs HEDIS abstraction as part of her medical review auditing work\.

### What is Denise’s education?

Denise earned an associate’s degree in Medical/Health Management and Clinical Assistant/Specialist from Carnegie Institute\.

## Links

- LinkedIn: https://www\.linkedin\.com/in/denise\-turreck\-98bb621a0

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