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Skills

  • Team Management
  • Data Management
  • Health Sciences
  • Medical Billing and Coding
  • Modeling
  • Clinical Content
  • Content Development
  • Content Writing
  • Data Mapping
  • Educational Consulting
  • Electronic Health Record (EHR)
  • Health Data
  • Insurance Consulting
  • Minimalist Design
  • Planning

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Services

  • Medical Coding & Audits

    $15/hr Starting at $100 Ongoing

    Dedicated Resource

    Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnoses and procedure codes are taken from medical...

    Medical Billing and CodingTeam ManagementTranscription

  • Clinical Data Mapping

    $15/hr Starting at $100 Ongoing

    Dedicated Resource

    Data Mapping and concept modelling for EHR interopolerability, accurate measurement of quality measures and to facilitate researches on diseased and procedures. Quality measures such as those used by...

    Data ManagementData MappingElectronic Health Record (EHR)ModelingTeam Management

  • Rule Engine development

    $25/hr Starting at $100 Ongoing

    Dedicated Resource

    Develop rules to reduce claim resubmission by identifying what is medical necessary and indicating clinically defensible scenarios. Determining what is “medically necessary” can be confusing since medical...

    Health SciencesMedical Billing and CodingPlanningProgrammingTeam Management

  • Fraud, Waste & Abuse (FWA) Detection

    $25/hr Starting at $100 Ongoing

    Dedicated Resource

    Logic models with multidirectional rule validation prospective or retrospective to detect, recover, prevent and trend by extraction of claims for potential fraud and abuse High Volume - 100 per cent...

    Data ManagementHealth DataHealth SciencesInsurance ConsultingMinimalist Design

  • Clinical Content Development

    $15/hr Starting at $100 Ongoing

    Dedicated Resource

    Develop medical content for outreach and education. Certified experts develop clinical contents towards education, quality of care, fraud and abuse, health conditions and campaigns, educational resources...

    Clinical ContentContent DevelopmentContent WritingEducational ConsultingQuality Assurance

About

Healthcare RCM Solutions Provider

Healthcare Operations Manager with more than 15 years of experience in Revenue Cycle Management industry working with Health Information Professionals towards lean healthcare delivery processes.

RCM industry experience in US and GCC working with HIM Professionals - AHIMA certified ICD10 Trainer and Ambassador, Industry certified Clinical Coders, Business Intelligence team that includes Analysts and Programmers towards designing, controlling and refining strategic processes for healthcare projects specific to :

• Healthcare Data Analytics and Visualization using SAS and Power BI
• Fraud, Waste and Abuse (FWA) Detection with an outcome of ROI.
• Predictive Analytics through metrics development and SAS
• Daily operations of the healthcare delivery center which includes Claims Analytics, Automations,
Clinical Coding, Billing & Insurance Verification.

Work Terms

24 x 7 operations.
Weekly / biweekly payments.