Utilization Review Specialist Established, meticulous professional with over 30+ years’ experience leading utilization review (UR) and International Classification of Diseases (ICD) coding in healthcare environments. Proven ability to apply extensive expertise in UR analytical review, case management, ICD diagnosis related groups (DRG), as well as billing auditing and reporting to maximize operational efficiency across different hospitals. Collaborative leader with track record of partnering with internal and external teams and stakeholders to ensure synergy and align compliance goals. Communicative, adept at problem resolution, administrative support, and providing patient-centric care. Areas of expertise include: Business Operations Team Leadership and Development Process and Operational Improvement Geriatric Treatment Relationship Management DRG/ICD Coding Compliance Insurance Billing Inventory Management Planning and Coordination Driven Director with experience planning and coordinating all aspects of productions.
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