Steve Hudson
Data Consultant @Centene Corporation
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WORK HISTORY
Data Consultant @Centene Corporation
Ensured the integrity and reliability of Medicare Risk Adjustment, Commercial Risk Adjustment and Medicare Claims data, through SAS programming logic. Reviewed and manipulated massively large data sets for inquiry and determined reporting metrics. Presented and distributed results of vendor file creation, routine analyses, special projects, and ad hoc reports to senior staff, internal/external groups and vendors. Maintained the most up-to-date SAS code/program logic in files in electronic and hardcopy form. Adapted and improved efficiencies in coding of analysis techniques. Familiar with medical coding methods including ICD-9, ICD-10, CPT, HCPCS, DRG, HCC, fee schedules and procedure codes. Educated managers in results analysis and clarified data results, as needed. Identified and recommended action plans, processes or techniques to meet accuracy requirements. Developed, implemented, and evaluated analyses for use in meeting enterprise objectives and data use agreements including but not limited to the quality control (QC), dashboards, and KPIs. Documented process improvements for use by other analytic staff. Assisted and educated the different workgroups in monitoring performance according to the departmental initiatives.Monitored trends and rates, reviewed data received from data modeling and requested data through ad hoc requests to support the work of the different workgroups. Prepared data modeling diagrams including data/process flow and ER diagrams. Developed processes for scoring completeness of patient records from clinical provider EHR file. Developed MS Access database with forms and queries of providers/EHRs for department (which still in use). Reviewed vendor xml files (structured/unstructured) and X.12 for content and usefulness in data mining. Monitored trends and outlier metrics within Health Information Technology area of EHRs sent from vendors, facilities, group and physician practices for process review.
EDUCATION
Webster University
Master's degree, Information Systems
University of Louisville
Bachelor of Arts (B.A.), Clinical Laboratory Science/Medical Technology/Technologist
Webster University
Master of Business Administration (M.B.A.), Healthcare Administration
SKILLS
ABOUT STEVE HUDSON
Ensured the integrity and reliability of Medicare Risk Adjustment, Commercial Risk…
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