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Project Manager Program

Los Angeles, CA
... HEALTHCARE GROUP – STARS Program Delivery Manager (Contract) Expanded the STARS rating program to the West Coast to better serve the participating regional clients by implementing the HEDIS (Healthcare Effectiveness Data and Information) program. ... - May 23

Management Manager

San Gabriel, CA
... Worked with all compliance standards: HFCA, HEDIS, HIPAA, STAR, ICD 9/10, CMS, and PBM in related projecrs. Initiated and managed the QA and Automated Testing environment, planning, methodology. Implemented Six Sigma techniques (CPI) with remarkable ... - May 22

Medical Records Customer Service

Indianapolis, IN
... Acquired medical records to support HEDIS reviews for national insurance carrier; excellent phone skills to obtain patient records from all time zones in America. WASHINGTON HEALTHCARE CENTER: Indianapolis, IN April, 2007- August, 2011 Medical ... - May 19

Project Management Data, Business Analyst

Richmond, VA
... Analytical Skills Logical thinking Knowledge of software applications Architecture design using Visio Root cause analysis HEDIS Documentation of procedures Agile and JIRA SharePoint Utilization of process mapping, RACI, Six Sigma Project Management ... - May 17

Sql Server Data

... Database Tuning ●Worked on Database Participations for Improvement in Query Performance ●Experience on healthcare claims processing ●Knowledge on HEDIS, QSI, QSHR,QNXT ●Experience on EDI Data components, custom development and operations support. ... - May 16

Quality Risk adjustment coding review nurse

Fargo, ND
... Consultant ● Medical chart data abstraction ● CARA HCC, CRG, HIX, Epass, and HEDIS review ● Risk adjustment chart auditing ● Quality peer over-reads Skills Ability to work independently with a 95% or higher accuracy rate and good time management. ... - May 16

Administrative Assistant Customer Service

Marietta, GA
... - Lead the team offering solutions and services over the phone to new and existing clients.• Knowledge: Clinical Lab Coding including CPT 2017, ICD10 and Hedis for Health Insurance Billing Purpose.• Manage Quality Control program by Tekpro, Inc. ... - May 12

Medical Records

Deerfield Beach, FL
... Experience: Medical Center Affiliates 02/2010-Present Medical Coder * Review medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-10-CM and/or CPT coding conventions, Specialize in HEDIS & HCC Coding * ... - May 09

Java Developer

Eden Prairie, MN
... (OPTUM), USA Optum HEDIS Manager – Senior Java Developer – October 2015 to date Optum HEDIS Manager is designed to let the client to configure and manage hybrid projects, setup chase management process and to monitor the chase status by themselves. ... - May 08

Medical Assistant

Lake Worth, FL
... Word and Excel proficiently Ability to multitask Ability to assist doctors in medical exams Understanding of medical coding, Hedis Billing COMMUNICATION Directed incoming calls to appropriate staff and departments, coordinating communication between ... - May 08
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