Hedis Nurse Auditor
America/Chicago - CST / CDT
Summary
An impact-oriented, compassionate healthcare leader with 25+ years of diverse experience in a highly competitive and diligently regulated industry. Hands-on professional with an empathetic approach to the population served, and advocates for the employees needed to deliver high-quality care. Progressive out-of-the-box thinker committed to advancing the capacity and capability of a progressive healthcare system. Socratic, collaborative approach: define objectives, welcome input, and factor in data and insights. Passionate about working with people building cross-functional relationships, fostering sufficiency, guiding implementation process, and supporting teams to succeed and sustain changes that improve healthcare outcomes and enhance customer experience.
Project Management
KEY QUALIFICATIONS & SKILLS
Solid understanding of auditing standards and procedures, laws, rules, and regulations.
Exceptional at identifying loopholes and recommending risk awareness measures.
ICD coding, Nursing, ICD-9/ICD-10, Case Management, Coding, Clinical Documentation, Medical Terminology, Process Improvement, Healthcare Operations, Quality Control, Auditing, Patient Outcomes, Analysis of Clinical & Financial Data, Strategy Planning
IT skills: Tableau, Excel
Expectations
Searching for a new position that cares equally for their staff as well as members of a healthcare insurance plan.
Employment Preferences
Expected Base Salary
**,000 USD
Academic Degree
Experience
Total Professional Experience
Skills
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