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Online Resumes with "hedis"
Accountant
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
Nurse entrepreneur - over 20 years hosp, home health, compliance, training & education exp 64056
My career objective is to make the best use of my wide range of skills & experiences while continuing to stretch, learn new skills and try new things.
Tags for this Online Resume: Desktop Computer, registered nurse, healthcare, educator, auditor, HEDIS surveyor, regulatory compliance, home health, pharma trainer, operations specialist, entrepreneur
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
Case Manager - 20 Years of Experience - Near 34698
ACCOMPLISHMENTS Quality Improvement/Care Management * Developed criteria for specifications to analyze group specific data, both demographic and claims, quantifying and stratifying to determine areas of savings opportunities and health enhancements for specific accounts. * Audited patient charts for NCQA/HEDIS and Joint Commission, helping clients to achieve respective accreditation. * Abstracted charts to boost OASIS compl...
Tags for this Online Resume: Business Development, Quality, Compliance, Credentialed, Disease Management, HEDIS, Abstractor, care management, case management, RN
Medical or Health Services Manager - 17 Years of Experience - Near 92648
SUMMARY * Experience Healthcare quality improvement and process improvement. * Data processing professional, application development and project management experience. * Extensive knowledge in Systems Development Life Cycle (SDLC) and methodologies. * Excellent work ethics and communication and interpersonal skills. * Outstanding technical and analytical skills. * Good relationship with clients, customer services, users and...
Tags for this Online Resume: VISIO, Business Analysis, Business Requirements, Configure, Management, Microsoft Office, Microsoft PowerPoint, Microsoft Visio, Microsoft Word, PDF, Business Analyst, Quailty Assurance, Risk Adjustment, Intervention, Healthcare, Claims/Encounters, Billing, HEDIS
Business Analyst - 19 Years of Experience - Near 37209
Summary____________________________________________________________________________ Computer Science Degreed, Software Engineer and Registered Nurse with MBA and over 15 years of experience in Software Development, Project Management, PM, Quality Assurance, QA, Testing, Business Analyst, BA and Requirements Analysis working with multiple teams of developers, quality engineers, developers and customer support professionals. ...
Tags for this Online Resume: SharePoint, Automation, Software, Structured Query Language, Health Care Industry, HR, Human Resources, Information Technology, Unix, Benefits, sql, java, linux, javascript, it jobs, c++, agile, html, software, c#
Coding Educator - 10 Years of Experience - Near 33330
SUMMARY OF QUALIFICATIONS * Auditing of physicians medical records documentation, including coding, and quality areas that impacts all service lines, including Anesthesia, Emergency Department, Radiology, Oncology, Neurology and Office Based Practices. * Knowledge of ICD-10 through AAPC workshops, HCPCS and CPT coding under CMS guidelines. Advanced medical terminology and anatomy skills, including PQRS Guidelines. * Project...
Tags for this Online Resume: Management, Billing, Radiology
Licensed Nurse - 19 Years of Experience - Near 91356
Qualifications Licensed Vocational Nurse * IV and Phlebotomy Certificate Committed to Professionalism highly organized, worked under strict deadline schedules with attention to detail have excellent written and verbal communication skills. Proficient in P/C Mac, Microsoft Office, Adobe Photoshop, Microsoft Excel, and Internet Explorer. Available Upon Request.
Tags for this Online Resume: Documentation, Basic Care, BASIC Programming Language, First Aid, Insurance, Medical, Medical Records, Occupational Therapy, Team Player, Therapy, Utilization management, Facility Site Review, Advanced Imaging, HEDIS, Case Management, Patient Advocates, Medi-Care, Medicaid, Healthcare insurance company, Quality Assurance and Improvement, ICD, CPT coding, Insurance Health plan Collaboration, Problem resolution and Solution distribution, outpatient rehabilitation, nurse, healthcare, outpatient physical therapy, physical therapy, physical therapist
Licensed Nurse - 20 Years of Experience - Near 68516
QUALIFICATIONS SUMMARY An accomplished Healthcare Executive/Operations Director/Client Management with more than 20 years of experience in various healthcare disciplines including clinical, technological, operational, and financial. A capable leader, who mentors diverse teams to deliver major projects on time and budgets for physician practices, private, nonprofit, and critical access hospitals. An analytical and strategic ...
Tags for this Online Resume: Services, Accounts Receivable, Cash Flow, Management, Consulting, Integrate, Patient Care, EHR, Networking, Team Lead, registered nurse, healthcare, pt, Operations, engagement, compliance, strategic, analysis, presenter
Quality Coordinator - 10 Years of Experience
Ideal Companies: private medical practice, health insurance company, HEDIS/NCQA
Claims Examiner
Summary To leverage my 15+ years of experience in the Healthcare Industry. Summary of Accomplishments Results oriented high-energy, hands-on professional with a successful record in the Healthcare field and Illinois Department of Human Services. For over 15 years as a contracted employee. In processing Medicaid applications & Medicare for patients who met eligibility criteria who did not have Medical Insurance as well as as...
Tags for this Online Resume: Applications, Payroll, Security, Bad Debt, Billing, Human Resources, Kronos, Kronos (Labor Mgmt Sys), Management, Benefits
