Data Professional
*Highly skilled revenue integrity analyst and data analyst with experience writing SQL queries and Python and creating Tableau dashboards. Strong background in data management, including working with C-CDA, FHIR, SAS, and healthcare informatics.
*Expertise in utilizing data to drive decision-making, improve operational efficiency, increase overturned denials, reduce bed days for inpatient level of care stays from 3.5 days to 2 days, and enhance business intelligence processes.
*Skills include working with providers and large hospital corporations, as well as CFOs in revenue integrity and appeals on the revenue cycle. Extensive experience from 2005 to 2012 for various insurance payers as a Utilization.
*Utilization Manager working with MCM and InterQual authorizations for: Acute Inpatient, Outpatient Procedures, Pharmacy, Home Health, and Private Duty.
*Bedside experience from 1998-2000 as an LPN long-term care ventilator patients. From 2000-2003 I worked in utilization management. I have also Worked as an RN in the nursing home from 2004-2005.
✓ Clinical Experience
✓ EHR Experience
✓ it skills
