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Online Resumes with "DRG"
Controller - 11 Years of Experience - Near 44053
Experienced with insurance contracts and interpreting claim reimbursement situations such as DRG, Coordination of Benefits (COB), adjustment to charges etc. * Knowledge of hospital computerized accounting systems (SMS, McKesson, Epic, etc.) and ability to navigate insurance systems (Availity, Navinet, Diamond, Facets, etc.). * Conducted meetings with health insurers and healthcare providers to report audit results. * Exceed...
Tags for this Online Resume: Audit, Financial, Financial Systems, Fraud, Internal audit, Security, Support, System Support, Test, Test Plans
Billing/Coding Specialist
SUMMARY OF QUALIFICATIONS Over 25 years experience in position of increasing responsibility, including more than 8 years in intensive care, and cardiac care unit More than 8 years experience in emergency medicine and ICU. Five years experience working as CDI More than 8 years experience as Manager One and half year experience in doing Rac denial appeal and success rate is over 78% Solid experience in administration in prima...
Tags for this Online Resume: Documentation, Management, Surgical, Emergency Room, ER, Coding, Medical, Query, Audit, Cardiology
Medical Office Manager
Summary As an experienced, innovative, strong & creative leader among my accomplishments are: * Maximizing operational efficiencies & reducing costs while assuring quality & customer satisfaction. * Designing databases, analytic models & reporting to identify & quantify opportunities to increase profitability spread "best practices" & improve service. * Perform numerous database analytics to quantify critical metrics. * Sav...
Tags for this Online Resume: Benefits, Complaints, Managed Care, Services, Billing, Provider Operations, Long Term Care, Medicare, Transportation, Account Management, Revenue Cycle, Contracting, Network Development, Provider Relations, Management
Case Manager - 6 Years of Experience - Near 01033
To obtain a position that will showcase my skills and diverse background in the healthcare industry while allowing my continued professional growth and goal attainment within the company's vision. Background Qualifications: -Detailed oriented, with extensive experience in case management at the Ltach and SNF levels of care -Ability to work in high stress positions dealing with peers, patients, families, medical staff, and p...
Tags for this Online Resume: Dialysis, Management, Pulmonary, Utilization Management, Insurance, Medicare, Assessments, Documentation, Marketing Management, Referrals
Sales Representative - 20 Years of Experience - Near 34685
AREAS OF EXPERTISE Territory Management/Development * Strategic Planning * Prospecting * Account Management * Revenue Growth * Market Penetration & Expansion * Product Launches * Relationship Building * Negotiations Summary of Professional Experience DRG Laboratory-Field Consultant-St. Petersburg, FL 2015 - July 2016 Launched new territory from St. Petersburg to Brooksville, for startup laboratory through consultative selli...
Tags for this Online Resume: Account Management, Complaints, Distribution, Forecasting, Management, Wholesaler, Budgeting, Cold Calling, Dermatology, Endoscopy, outside sales, sales representative, marketing, business development, account manager, sales
Billing/Coding Specialist - 10 Years of Experience - Near 91786
My objective is become a Coding Manager at a progressive acute care facility and lead a successful department and embracing ICD-10 for the purpose of greater statistical gathering and more accurate reimbursement and DRG reporting.
Tags for this Online Resume: Coding, Medical, Medical Records, Radiology, Surgical, Compliance, 3M, Billing, Cardiology, Dialysis
Admissions Director - 20 Years of Experience - Near 75707
PROFESSIONAL SUMMARY I have 30 years combine experience in the Healthcare Profession working as a Medical Office Manager, Licensed Workers Compensation Case Manager, Contract Negotiation, Contract Analysis, Billing, Collections and Denials Management Manager, Healthcare Consultant, Human Resource and Payroll function and Senior-Level Revenue Cycle Analyst for Hospital and Physician. I have successfully trained and mentored ...
Tags for this Online Resume: Coding, Payment Processing, Billing, Management, Medical, Audit, Compensation, Insurance, Managed Care, Chiropractic, healthcare
Medical Records Technician - 20 Years of Experience - Near 43081
Integration of information technology skills, medical auditing expertise, and healthcare industry experience so that a true "team approach" work ethic is achieved and applied in any workplace environment.
Tags for this Online Resume: Telecommute, Remote, Drg auditor, ICD10, Inpatient, Columbus, Microsoft Excel, Health Care Industry, Medical, CCS, healthcare, Compliance, DRG auditor, Coding auditor
Registered Nurse - 12 Years of Experience - Near 76114
Areas of Expertise * Medical Coding, DRG * Diagnosis Code Abstracting * Medical Bill Reviewing * Risk Adjustment * Medical Bill Auditing * Spanish Fluency (Native)
Tags for this Online Resume: Critical Care, Nursing, Telemetry, Trauma, Cms, Coding, Medical, Medical Records, Dialysis, 3M
Sales Manager - 14 Years of Experience - Near 44107
Qualifications Summary: * Articulate persuasive communicator with excellent listening and negotiation skills able to build trust, confidence and cooperative spirit with people of diverse interest and authority levels to achieve goals. * Innovative and resourceful with business development a team player with the ability to project a positive image. * Well organized profit conscious sales professional who enjoys challenges an...
Tags for this Online Resume: Business Development, Managed Care, Nursing, Sales, Sales Calls, Advertising, Development Activities, Health Care Industry, Home Care, Integrate, Vice President of Business Development, Chief Marketing Officer, Marketing, Admissions
Case Manager - 6 Years of Experience - Near 10031
Accomplishments are: - Ongoing training in Inpatient Utilization Procedures to audit and review medical records - Conduct on-site/off site review of medical records for quality of care and utilization. - Review process including DRG validation and Interqual criteria approval. - Utilized review criteria with the use of InterQual, 3M coding book and grouper, SIMS Plus. - Increased knowledge base on medical comorbidities in ad...
Tags for this Online Resume: Infrastructure, Support, Technical Support, Services, Public Health, Reviews, Quality, Acquired Immune Deficiency Syndrome (AIDS), physical therapist
Medical or Health Services Manager - 20 Years of Experience - Near 32174
SUMMARY * 30 years in healthcare with thorough knowledge of ICD-10-CM, ICD-10-PCS and CPT coding for hospital and physician reimbursement, including Medicare and Medicaid regulations * Successful with hospital and physician coding and billing denials and appeals * Performed monthly MS DRG and APC audits and coding education internally * Successful appeals of MS DRG and APC denials from insurance companies * Successful devel...
Ideal Companies: Hospitals, colleges, university.
Tags for this Online Resume: Documentation, Management, Coding, Data Quality, Quality, Quality Assurance, Quality Management, CCS, Audit, Billing, coding, Health Information, Online Health Information Management Coding Jobs
