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Kelly Dugan Email & Phone Number
Senior Nurse Auditor
at
Trinity Health
LinkedIn matched
✓ Verified Jun 2026
3 data sources
Profile completeness 86%
Current company
Role
Senior Nurse Auditor
Location
New Braunfels, Texas, United States
Who is Kelly Dugan? Overview
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Quick answer
Kelly Dugan is listed as Senior Nurse Auditor at Trinity Health, based in New Braunfels, Texas, United States. AeroLeads shows a matched LinkedIn profile for Kelly Dugan.
Kelly Dugan previously worked as Clinical Denials Team Lead at Virtual Business Office Associates and Clinical Auditor at Virtual Business Office Associates. Kelly Dugan holds Mba - Healthcare Management, Business Administration And Management, General from Western Governors University.
Company email context
Email format at Trinity Health
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Trinity Health
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Profile bio
About Kelly Dugan
Accomplished Registered Nurse Leader with formal education and 18+ years of clinical operations and revenue cycle industry experience. 11+ years of extensive clinical appeals experience performing medical necessity, E&I, DRG clinical validation, and no authorization reviews and appeals. Identifying opportunities and deficiencies, recommending operational improvements and developing relationships with department leaders. Coordinates successful tasks completion, combining implementation of strategic and collaborative operational initiatives that enhance financial performance and organizational growth.
Current workplace
Kelly Dugan's current company
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10 roles
Kelly Dugan work experience
A career timeline built from the work history available for this profile.
Clinical Denials Team Lead
Jun 2023 - Jun 2024
Clinical Auditor
Jun 2022 - Jun 2023
Op Cdi Clinical Coding Consultant
Responsible for partnering with clients to improve financial and operational performance, transfer knowledge and resources, and sustain improvements over time. Coach and mentor client OP CDI, clinical ancillary staff, and Revenue Integrity staff through shadowing and education. Write policies and procedures for the charge audit department. Review appeals.
Mar 2021 - Mar 2022
Clinical Denials Operations Manager
Manage and provide direct supervision of a large team of nurses and coders for a large hospital system with different EMRs, policies, payer contracts, and reporting requirements. Manage projects including, but not limited to, external client implementations, development of additional clinical service offerings, and refinement of existing clinical service.
Mar 2019 - Mar 2021
Clinical Denials Quality Audit Manager
Key collaborator of the new Quality Audit Program for a staff of 56 nurses on the clinical audit team. Creation of audit tool and QA process for the monthly quality reviews with the director of the team. Manage and provide direct supervision to two QA Nurse Educators, each managing up to 27 nurses’ quality and productivity. Provide instruction and.
Mar 2017 - Mar 2019
Clinical Denials Operations Manager
Manage and provide direct supervision of a team of up to 6-7 appeals nurses for a large hospital system with different EMRs, policies, client contacts, payer contracts, and reporting requests. Knowledge of managed care contracts, including reimbursement matrixes, terms, and authorization guidelines. Develop and update clinical denial policies and.
Apr 2015 - Mar 2017
Clinical Denials Auditor
Recovery of revenue of disputed/denied clinical claims. Prepare and document appeal-based industry-accepted criteria. Knowledge of managed care contracts, including reimbursement matrixes and terms. Research State/Federal appellate guidelines and applicable regulatory processes related to the appellate process. Conduct research regarding the off-label use.
Sep 2013 - Apr 2015
Clinical Charge Manager
Feb 2012 - Sep 2013
Charge Auditor Ii
National Healthcare Review
Mar 2004 - Mar 2012
5 education records
Kelly Dugan education
Mba - Healthcare Management, Business Administration And Management, General
Bachelor'S Degree, Registered Nursing/Registered Nurse
Associate Of Science - As, Registered Nursing/Registered Nurse
Licensed Practical/Vocational Nurse Training
Master Of Business Administration - Mba, Mba Healthcare Management
FAQ
Frequently asked questions about Kelly Dugan
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What company does Kelly Dugan work for?
Kelly Dugan works for Trinity Health.
What is Kelly Dugan's role at Trinity Health?
Kelly Dugan is listed as Senior Nurse Auditor at Trinity Health.
Where is Kelly Dugan based?
Kelly Dugan is based in New Braunfels, Texas, United States while working with Trinity Health.
What companies has Kelly Dugan worked for?
Kelly Dugan has worked for Trinity Health, Virtual Business Office Associates, Claro Healthcare, Llc, Conifer Health Solutions, and Amenity Consulting Llc.
How can I contact Kelly Dugan?
You can use AeroLeads to view verified contact signals for Kelly Dugan at Trinity Health, including work email, phone, and LinkedIn data when available.
What schools did Kelly Dugan attend?
Kelly Dugan holds Mba - Healthcare Management, Business Administration And Management, General from Western Governors University.
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