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Online Resumes with "drg"
Clinical Data Management - 7 years Experience
Proficient in the patient accounting systems. Experience with patient accounting and provider/hospital billing, contract management and payer/provider terms (DRG, multiple procedures, etc). Working knowledge of billing forms (UB, HCFA, etc), claim coding (HCPC, CPT). Proficient knowledge of SMS, STAR and other multiple payer websites and billing systems. Excellent in collecting, analyzing and processing data. Proficient kno...
Documentation Improvement Specialist - 7 years experience - santa monica
Tags for this Online Resume: Documentation Improvement, HIM, DRG Validation, Inpatient Chart Review, Compliance Auditor(diagnosis)
Field chart Nurse Reviewer-1 year, Nurse Case Manager (Entry level)-2 years, Senior In-Patient Medical Coder (ICD-9 with nowledge of DRG assignment 20 + years
At present I was employed for the past year as a Chart review RN in the field. Due to family crisis stopped working : Husband divorced me after 25 years and the past two months prooved to be too overwhelming. I still need to update my resume with the aforementioned position. Prior to that , my employment included positions as a telephonic Nurse Case Manager and prior to that position I worked as an on-site...
Expertise in composite tasks
A responsible and challenging position with a progressive organization that will use my 7 years of experience and would provide opportunities to learn new technologies. I have had a great deal of experience in manufactured product, I was in works for 4 years performing different job roles & 3 yrs in marketing office coordinating with customers & works at pre-order & post-order stage. While working with Uniflex Cables Limi...
Ideal Companies: Leading cable manufacturing companies
Tags for this Online Resume: Quality Technician, Product support, Inside sales representative
Medical Records Assistant - 10 Years of Experience - Near 49015
• Motivated, energetic, self-starter with a twenty year record of achievement in management, quality improvement, and consulting in the health care industry • Expertise in coordinating provider applications and re-credentialing process. • Strong understanding of HIPAA and privacy laws. • In-depth knowledge of ICD-9-CM, DRG and CPT coding resulting in $3 million above budget reimbursement • Implementation of quality impro...
Governance / Configuration Designer and Manager
To use my expertise and knowledge providing essential support to my company and clients. Mentorship is very important to me and an excellent process to strengthen an organization from the inside.
Ideal Companies: 3M, Leidos, Virgin, Gartner, Miter, McKinsey & Company, Booze Allen Hamilton, Accenture
Tags for this Online Resume: Project Initiation, Project Schedule, Risk Management, Change Management, Configuration Management, Service Governance
Licensed Nurse - 12 Years of Experience - Near 77084
I have been a nurse auditor for eight years. I currently am a CMS RAC Auditor and Nurse Auditor for three hospitals. I would like to continue as an auditor for documentation, medical necessity and DRG review in Houston, TX.
Tags for this Online Resume: Houston, CMS, RAC, Auditor, Excel, Word, Documentation
Case Manager - 20 Years of Experience - Near 29204
I am a Registered Nurse of 32 years with 12 years of DRG Integrity reviewing, 8 years of utilization Reviewing, and 5 years of Case Management. I am proficient in the use of Interqual and Milliman quidelines. My objective is to concentrate all efforts on further developing my skills in the area of information management, specifically as a Clinical Documentation Integrity Specialist, and enter the field of CDS consulting in ...
Tags for this Online Resume: Clinical Documentation Integrity Specialist, Utilization Reviewer, Case Manager
Billing/Coding Specialist - 3 Years of Experience - Near 10021
Tags for this Online Resume: CCS , DRG Validator, Remote Coder, CCDS / CDIP, DRG Auditor, CDIS
Business Consultant, Benefit/Provider/Claims Configuration, Business Analyst
Twenty plus years in healthcare management and staff support roles in handling medical, claims encounter and dental claims processing, claims auditing, user acceptance testing, EMS billing, AAPC, DRG coding reimbursement, and configuration of various healthcare payers/providers for Medicare, Medicaid, TPA, and Commercial Managed Care products. Strong understanding of healthcare business operations, with a focus on configur...
Tags for this Online Resume: Telecommute, Benefit Configuration, Provider Confguration, SQL queries, User Acceptance Tester, 837p/837I XML/X12, Clearquest
Senior Medical Claims Examiner - 15 Years of Experience - Near 33173
I strongly believe my record as Senior Medical Claims Examiner as well as my Certificate in Medical Billing could be suitable for any position you have related to those skills above mentioned. I have 15 plus years of experience in Health Claim Field for a Medical Insurance T.P.A (Third Party Administrator) in Miami, Florida and, as my enclosed resume illustrates. My line of work in my present job is not only the analysis ...
Tags for this Online Resume: Billing, Coding, Data Processing, Hudson, Medical, Medical Billing, Medical Claims Examiner, Benefits, COB, Medicare
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Tags for this Online Resume: tbs4r, rydr, drg, rdg, drgr
