San Diego, CA
... all requests for medical records and disability and FMLA paperwork - Provide services as on-site Spanish interpreter as needed HEDIS
Outreach Coordinator 08/2012-04/2013 Coventry Cares of Kentucky- Louisville, KY - Assisted in the development and ...
- Mar 03
Las Vegas, NV
... The Judge Group Staffing Agency for UHG 300 Conshohocken State Road - Suite 300 May 2013 Conshohocken, Pennsylvania 19428 Claims Processor – Temp - United Healthcare, 2800 N Tenaya Way, Las Vegas, NV HEDIS
PROJECT 2013 – Verified claims for payment. ...
- Feb 26
... solver, capable of implementing solutions to complex problems • Reviewed medical Records for HEDIS
Measures • Abstract reader for HEDIS
Measures • Proven record of reliability and responsibility on whatever Job I have undertaken EDUCATION: M.S. ...
- Feb 24
... • I processed requests for information for HEDIS
audits. • I picked up, sort, and delivered mail to physicians, employees etc. • REFERENCES AVAILABLE UPON ...
- Feb 11
... o Analyst II at BCBSNC - SAS Programming, Project Management, and HEDIS
compliance o Analyst at Cigna - SAS Programming, Training, and HEDIS
compliance o Research Tech at Duke Medical Center - Clinical Trials: Consent forms, data management o ...
- Feb 10
Las Vegas, NV
... Excellent background in Medical Review, HEDIS
data collection, JCAHO and Survey Preparedness. During my current employment the facility has received the most improved quality for the division for 2009 and AHCA silver award 2010. Professional ...
- Feb 03
Plymouth Meeting, PA
... June 2013 to present Perform medical record review in Skilled Nursing Facilities for Medicaid residents Hedis
Medical Record Reviewer Medisys/ United Healthcare - Wayne, PA - February 2013 to June 2013 Independent Contractor Performs quality ...
- Jan 17
... Conducts and analyzes HEDIS
audits from physician's offices . Proficient in HEDIS
and NCQA and Six Sigma . Brought company over 4 million dollars in Quality Initiatives annually Principal Financial Group Indianapolis, IN March 2006- January 2007 ...
- Jan 13
... Analysis Change Mgmt PM and EHR Design and Integration Budget & Financial Administration Medicare Meaningful Use program mgmt HEDIS
Project Mgmt & Healthcare PQRI, eRX and HEDIS
program mgmt Analytics Cost and Revenue Cycle Execution Professional ...
- Jan 08
... Nursing Specialties CASE MANAGEMENT, ABSTRACTION- CORE MEASURES, HEDIS
HOME HEALTH -PEDI AND CRITICAL ADULTS E.R. ICU/CCU/CVU/SICU CASE MANAGEMENT, ABSTRACTION- CORE MEASURES CLASS II NEONATAL INTENSIVE CARE CARDIAC SPECIALTIES; CATH LAB Nurses ...
- Jan 05
... Patricia Mock Home-727-***-**** Cell-727-***-**** email@example.com Summa ry of Qualifications I am a Licensed Practical Nurse with 3+ years of recent chart review experience working on HEDIS
, Claims Integrity and Medicare Risk Adjustment/HCC ...
- 2013 Dec 30
... • Total Therapeutic Management Hedis
Nurse Abstractor- February 16, 2012 –April 2, 2012 • Hedis
Medical Research • Chart Abstraction • Chart Reviews • Commercial Insurance Chart Reviews and Abstraction • Medical information pursuit •Data Entry ...
- 2013 Dec 11
... Experience with Quality Management performing HEDIS
Reviews in 2011, 2012, 2013. • PROFESSIONAL EXPERIENCE: Atrio Health Plans (HEDIS
Audit Review), Salem, Ore 2013 Did same type of data collection as in 2012 using various EMR’s. Most of work was ...
- 2013 Dec 10
New York, NY
, QARR * Coordinated interdisciplinary work groups targeted at team performance and process improvement * Engaged in project planning and management at both departmental and Center -wide levels, e.g. NCQA accreditation (Patient-Centered Medical ...
- 2013 Nov 27
... • Oversee Medical Records staff and coordinate auditing of medical records with outside auditors HEDIS
and RACs. • Developed process to capture, investigate, correct and prevent all alleged violations of non-compliance including developing ...
- 2013 Nov 22
... Demonstrates adaptability to changes in business needs by effectively managing case loads to include HEDIS
, appeals, quality of care, medical record reviews, etc. Developed training material used to train colleagues on new/updated processes. Serves ...
- 2013 Nov 21
... Working knowledge of HEDIS
, ICD-9 and CPT-4 coding, Anatomy & Physiology, Microsoft Office Suite, Meditech 6.0, 3M Encoder Software, and various office equipment. GOALS: FileNet P8, and Healthcare Data Analyst Certification. Experience Release of ...
- 2013 Nov 14
... All aspects of Shock/Trauma/Stroke/Cardiac phlebotomy Work History HEDIS
COORDINATER Health Plan San Mateo County- San Mateo, CA 2010-2012 Q/A DATA ENTRY COORDINATOR Indian Health Center of SCV- San Jose, CA 2009-2010 EDUCATION/TRAINING PENN FOSTER ...
- 2013 Nov 13
... • Cardiology • Rheumatology • Pediatrics • Dermatology • Surgical Specialties • Podiatry • Clinical Trials Professional Work History HEDIS
Review : CareNow Staffing/CalOptima 3/13-4/13 HEDIS
Review : United Health Group 1/12-3/12 Latitude 36, Inc. ...
- 2013 Nov 06
... in Risk Management and Legal Issues - 1999 Certificate in Utilization Management and Discharge Planning - 1999 Experienced in Hedis
Review - 1999 Experienced in Medical Claims Review Medical Center of Trinity Trinity, Fla Clinical Case Manager Jan. ...
- 2013 Nov 01