Kevin McGovern

Analyzed medical, dental, and behavioral health documentation and claims data to identify processing errors and data discrepancies. Conducted CPT and ICD-10 coding and documentation audits across payer lines, maintaining a 96% average monthly QA score.

Oversaw daily operational workflows, including scheduling and inventory management, while maintaining high administrative standards. Delivered performance evaluations and documentation support to promote team development.

Managed administrative data portfolios in Epic, RT, and Therapy Source, independently researching and updating account records. Compiled and analyzed clinical documentation and records to support administrative reviews and audit resolutions.

Analyzed delinquent account data to assess status and initiate resolution workflows using CEP and Windows-based systems. Processed account documentation and maintained audit trails in compliance with internal policies and regulatory standards.

Researched and updated unpaid and denied insurance records using Epic, RT, and Therapy Source. Prepared and submitted administrative appeals with supporting documentation to recover outstanding reimbursements.

Led quality assurance and data auditing for a remote and onsite team, monitoring performance metrics and enforcing accuracy standards. Developed documentation and training materials that reduced error rates and improved operational consistency.

Earned an Associate of Arts degree in Liberal Arts from the University of Phoenix from 2009 to 2012.