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Online Resumes with "Risk Adjustment"
Medical Office Manager - 16 Years of Experience - Near 85022
Qualifications: * Experienced leader * Results Oriented * Engaged * Strategic * Collaborative * Excellent written and verbal communication * Strong decision making skills * Team Player, Flexible, Enthusiastic and Self motivated * Strong analytical skills Experienced with various computer programs * Excellent interpersonal skills * Strong work ethic, honest, and dependable * Patient/customer oriented Front * Managed day to d...
Tags for this Online Resume: Compensation, Deposits, Microsoft Word, Word Processing, Data Entry, Medical, Oncology, TERMINALLY ILL, Inventory, Accounts Payable
Director of Credit - 15 Years of Experience - Near 33158
PROFILE Accomplished global team leader with demonstrated ability to effectively meet goals through strong system, effective leadership and analytical abilities. Proven record of success in developing and implementing a risk management framework to identify, assess, monitor and manage credit risk ensuring compliance with internal policies and regulatory guidelines. Exceptional ability to lead cross-functional/ multicultural...
Tags for this Online Resume: leadership, credit risk, director of credit, credit and collection, project management, chnage management, team bulding, process improvement, Management, Risk Management, Risk Assessment, Data Management, Infrastructure, Policies and Procedures, Accounting, Acquisitions, Benefits
Case Manager - 20 Years of Experience - Near 01752
Tags for this Online Resume: Orthopedics, Medicare, CCU, ICU, Insurance, Management, Nursing, Transitions, Acute Rehabilitation, Assessments, registered nurse, Utilization Review, Case Management, Risk Adjustment
Billing/Coding Specialist - 8 Years of Experience - Near 08071
Qualifications Profile Diversified and dedicated Registered Nurse, Certified Professional Coder with a broad range of experience in the healthcare industry. Over 8 years of coding experience with application towards chart reviews and audits. Proficient with ICD 9/10 CMS Risk Adjustment coding guidelines, as well as HEDIS/STARS, seeking a leadership position that will expand my professional knowledge base and utilize it to s...
Tags for this Online Resume: Quality, Quality Assurance, Documentation, ICU, Medicare, PEDIATRIC, Patient Care, Reviews, Nursing, Applications
Director of Quality for Medicare Advantage and and Accountable Care Organization - 4+ years; Acute Care experience - 30+ years
Would like to find a position in Quality, measuring effectiveness of care and working to improve outcomes.
Tags for this Online Resume: Medical, Cardiopulmonary resuscitation (CPR), Critical Care, Cms, Management, Medicare, registered nurse, Managed Care, HEDIS, Stars Improvement, Risk Adjustment
Vice President - 11 Years of Experience - Near 85737
RESUME SUMMARY An innovative, customer oriented healthcare management professional with extensive experience in Medicare FFS, Medicare Advantage, managed Medicaid, ACA/Exchange and Workers' Compensation. A coaching leadership style with a strong background in account management/client services, provider contracting and network management, and sales. Specific areas of expertise include: * HCC Risk Adjustment * Encounters Rep...
Tags for this Online Resume: Management, Book of business, Leadership, Product Launch, Project Management, Account Management, Medicare, P&L, manager, management
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
Supervisor - 8 Years of Experience - Near 95610
SUMMARY: I work in a cooperative fashion that encourages teamwork and utilize my interpersonal skills to foster resolution of issues. I consider myself meticulous and excellent at juggling multiple tasks and working under pressure. I am an experienced manager with excellent client and project management skills. I am action-oriented and possess a strong ability to communicate effectively with all type of audiences. I welcome...
Tags for this Online Resume: Managed Care, Audit, Licensing, Billing, Documentation, Data Analysis, Data Management, Diversity, Leadership, management
Billing/Coding Specialist - 20 Years of Experience - Near 46240
Tags for this Online Resume: Audit, Certified Pension Consultant, Coding, Compliance, Consulting, Database, Documentation, ICD 10, Management, Medical, VP, CODING OPERATIONS, STRATEGY, RISK ADJUSTMENT
Billing/Coding Specialist - 12 Years of Experience - Near 77087
Professional Summary Medical coder with ten plus years' extensive experience working with a diverse client base and delivering results excellent communication skills ability to work independently or as part of a team to meet project deadlines multicultural awareness with high level of adaptability. Certified by American Academy of Professional Coders as a Certified Professional Coder with an ICD 10 certification. Seeking a ...
Tags for this Online Resume: Reviews, Medicare, Audit, Coding, Compliance, Remote Risk Adjustment Auditor, IVA-DVA Auditor, HEDIS Abstractor, MRA Physician Educator, ICD 10 certified, CPC
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
Chief Operations Officer - 5 Years of Experience - Near 37064
PROFILE Operations Executive in the financial industry with proven leadership skills and expertise in refining credit quality, returns on investments and capital, cross-marketing, facilitating business growth, and analysis of risk-adjusted returns on consumer, mortgage, and commercial lending. Background includes increased revenue through strategic policies and procedure improvements, business development programs, and serv...
Tags for this Online Resume: Banking Industry, Financial, Financial Services, Leadership, Payment Processing, Services, Business Plan, Call Center, Policies and Procedures, Risk Manager, management, sales
