Drive impactful analytics and process enhancements in claims management. Collaborate with cross-functional teams to optimize workflows and deliver actionable insights, ensuring excellence throughout the claims lifecycle.
Analyze complex medical claims and conduct thorough audits using advanced DRG coding expertise. Operate autonomously to ensure accuracy, identify recovery opportunities, and improve audit processes across multiple lines of business.
Transform technology solutions and architecture by leading complex projects. Collaborate with stakeholders to define business requirements, ensuring delivery of innovative application technologies that align with strategic objectives.
Lead complex audits of inpatient medical records utilizing advanced DRG methodologies. Leverage coding expertise to identify recoverable claims, ensuring accuracy and compliance across various lines of business in a virtual environment.
Analyze and audit inpatient claims using advanced DRG coding principles. Deliver sophisticated findings to enhance recovery efforts and collaborate with management on process improvements, working independently with high-quality audit outputs.