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Updated 360 days ago
Wrote SAS/SQL programs for internal medical staff using PARTA/PARTB Medicare/Health Care data, billing ICD-9, ICD-10 and HIPAA codes for marketing, identifying billing errors and fraud/abuse reviews...
Created statistical and research reports for Quality, Operations, Clinical and Finance departments which included: Costing, Workload Analysis, Audits, Volume Trend, General Funding Spend-down, Survey's, and Call center analysis. Project objectives were to identify waste, track billing errors, fraud and abuse, cost assessments, business planning and Improve production efficiency.