George Kody Dunnett
Dorchester,MA
Summary
Accomplished Provider Audit Analyst with a proven track record at Point32Health. Developed a strong healthcare data skillset through Excel, SQL & Cognos. CPC certified with a Master of Science in Health Information Management.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Provider Audit Analyst
Point32Health
Canton, MA
03.2023 - Current
- Manage department email boxes & vendor relationships
- Manage monthly audits via Excel, Cognos, & SQL
- Manage 2nd level appeal workflow
- Process medical records for clinical review (via mail & email)
- Manage Oracle e-Business needs (purchase orders)
- Manage department procurement (via P-card), invoicing, & tracking
- Trained successor to former position
Payment Integrity Program Coordinator
Point32Health
Canton, MA
10.2021 - 03.2023
- Manage department email boxes & fax lines
- Manage correspondence letters & templates
- Audit excel reports for clinical review
- Process medical records for clinical review (via mail & email)
- Maintain monthly & yearly audit financial data
- Manage Oracle e-Business needs (purchase orders)
- Manage department procurement needs (P-card), invoicing, & tracking
Provider Operations Specialist
Tufts Health Plan/Point32Health
Watertown, MA
05.2018 - 10.2021
- Manage departmental email boxes & fax lines.
- Manage contracting & enrollment workflows.
- Oversee credentialing process.
- Manage daily, weekly, & quarterly reports.
- Develop new workflows & refine existing ones.
- Train new teammates.
- Testing new & existing systems.
Education
M.S. - Health Information Management
University of Massachusetts Lowell
08-2024
B.S. - Public Health, concentration in Healthcare Administration
University of Massachusetts Amherst
01.2018
Skills
- Medical Coding
- Excel, Word, Access, PowerPoint
- SQL
- Cognos
- Tableau
- Procurement & Invoicing
Certification
- CPC certification
References
References available upon request.
Timeline
Provider Audit Analyst
Point32Health
03.2023 - Current
Payment Integrity Program Coordinator
Point32Health
10.2021 - 03.2023
Provider Operations Specialist
Tufts Health Plan/Point32Health
05.2018 - 10.2021
M.S. - Health Information Management
University of Massachusetts Lowell
B.S. - Public Health, concentration in Healthcare Administration
University of Massachusetts Amherst
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