Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brooke Venezia

Littleton,CO

Summary

Dedicated medical coder with expertise in ICD-10 coding, HIPAA compliance, and clinical documentation. Proven track record in enhancing coding accuracy and collaborating with healthcare teams to improve claim approvals.

Experienced healthcare professional skilled in patient care, critical thinking, and communication. Strong focus on team collaboration and achieving optimal patient outcomes. Reliable and adaptable, ensuring efficient and compassionate care in dynamic environments. Equipped with expertise in medical procedures, patient assessments, and care coordination.

Overview

19
19
years of professional experience

Work History

Medical Coder

Omega Healthcare
Boca Raton, FL
06.2019 - Current
  • Reviewed and analyzed medical documentation for accurate coding in compliance with industry standards.
  • Utilized advanced coding software to ensure correct assignment of ICD-10, CPT, and HCPCS codes.
  • Collaborated with healthcare providers to clarify ambiguous documentation and ensure coding accuracy.
  • Conducted regular audits of coded records to identify discrepancies and implement corrective actions.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
  • Ensured adherence to HIPAA regulations while managing sensitive patient information during the coding process.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Correctly coded and billed medical claims for various hospital and nursing facilities.
  • Maintained a high level of productivity while consistently meeting deadlines for claim submissions.
  • Collaborated with physicians to obtain necessary documentation, improving claim approval rates.
  • Supported the implementation of electronic health record systems, simplifying the coding process.
  • Ensured compliance with industry regulations and guidelines by staying up-to-date on the latest coding changes.
  • Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
  • Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
  • Reduced claim denials by maintaining thorough knowledge of payer-specific requirements and guidelines.
  • Monitored changes in coding regulations to provide recommendations for compliance.
  • Verified signatures and checked medical charts for accuracy and completion.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.

Certified Medical Coder

Medical Resources LTD
Denver, CO
08.2007 - 05.2020
  • Review medical claims prior to submission. Apply appropriate modifiers and ensure use of detailed ICD-10 codes.
  • Review insurance denials and work through process via insurance as well as office staff to rectify and send out corrected/clean claims.
  • Post insurance payments.
  • Perform audits of medical documentation and coding of Podiatry surgical procedures, Inpatient hospitalist visits/procedures and outpatient Podiatry/Family Medicine E & M visits and minor procedures. Ensure the record meets requirements of medical necessity and diagnosis accuracy. Make any changes if applicable to charges upon review prior to submission of claim.
  • Work with patients directly on issues and or questions regarding their claims and statements.
  • Directly provide support and education to office staff with any billing issues or questions.
  • Provide feedback to physicians on appropriate documentation and coding of diagnoses, procedures, modifiers and E & M services, and offer recommendations for improvement.
  • Maintain current knowledge of coding conventions, updates, government regulations and third party billing requirements.

Registered Nurse

Colorado Surgery Center
Littleton, CO
06.2015 - 03.2019

Consults and coordinates with health care team members to assess, plan, implement optimal patient care.


Provides basic bedside care, records patients medical information and status and monitors and records vital signs.


Prepares and administers (orally, subcutaneously, IM and IV) and records prescribed medications.

Reports adverse reactions to medication and or treatments in accordance to policy.


Monitors and adjusts specialized equipment used on patients, and interprets and records results. Prepares equipment and aids physician during examination and or treatment of patients.


Initiates patient education plan as prescribed by physician and patientš condition.


Records all care information concisely, accurately and completely in a timely manner.


Responds to life-saving situations based upon nursing standards and protocol.
Performs other position-related duties assigned. Practices good time management and multi tasking skills.


Provides accurate and constant communication with patient, patientš family and entire health care team.

Registered Nurse

HCA Swedish Medical Center
Littleton, CO
01.2013 - 09.2013
  • Administered patient care, monitoring vital signs and responding to medical needs effectively.
  • Collaborated with surgical teams to ensure optimal patient outcomes during procedures.
  • Educated patients on post-operative care, enhancing recovery and satisfaction rates.
  • Implemented infection control protocols, improving safety standards within the facility.
  • Evaluated patient progress and adjusted care plans based on clinical assessments and feedback.
  • Managed medical records accurately, ensuring compliance with healthcare regulations and standards.
  • Utilized critical thinking skills to prioritize nursing interventions based on patients'' acuity levels and individual needs.
  • Conducted thorough patient assessments to identify changes in condition, promptly notifying physicians and initiating appropriate interventions when necessary.
  • Administered medications safely according to established guidelines while closely monitoring for side effects or adverse reactions requiring intervention.
  • Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
  • Prevented the spread of infections by consistently adhering to strict infection control protocols and educating patients on proper hygiene practices.
  • Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
  • Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
  • Provided support for patients'' families during difficult medical decisions or end-of-life care, serving as a liaison between the healthcare team and loved ones.
  • Collaborated with interdisciplinary teams to develop comprehensive care plans for complex cases.
  • Documented treatments delivered, medications and IVs administered, discharge instructions, and follow-up care.
  • Evaluated patient histories, complaints, and current symptoms.
  • Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.

Registered Nurse

HCA Swedish Medical Center
Littleton, CO
10.2010 - 10.2012
  • Consults and coordinates with health care team members to assess, plan, implement optimal patient care.
  • Provides basic bedside care, records patients medical information and status and monitors and records vital signs.
  • Prepares and administers (orally, subcutaneously, IM and IV) and records prescribed medications. Reports adverse reactions to medication and or treatments in accordance to policy.
  • Monitors and adjusts specialized equipment used on patients, and interprets and records results. Prepares equipment and aids physician during examination and or treatment of patients.
  • Initiates patient education plan as prescribed by physician and patientš condition.
  • Records all care information concisely, accurately and completely in a timely manner.
  • Responds to life-saving situations based upon nursing standards and protocol.
  • Performs other position-related duties assigned. Practices good time management and multi tasking skills.
  • Provides accurate and constant communication with patient, patientš family and entire health care team.

Education

Bachelor of Science - Nursing

University of Colorado Denver
Aurora, CO
05-2010

No Degree - Medical Coding

AAPC
Denver, CO
07-2007

Skills

  • Medical terminology
  • HIPAA compliance
  • HCPCS coding
  • Medical billing
  • Data entry
  • Insurance coding (ICD-9 and CPT)
  • Clinical documentation
  • Medical claims coding
  • Document management
  • Procedural coding
  • Diagnostic coding
  • Workflow management
  • Data verification
  • Inpatient records coding
  • Revenue cycle management
  • Medical record security
  • Continuing education
  • Medicare insurance regulations
  • ICD-10 coding
  • Healthcare claim coding
  • Attention to detail
  • Microsoft Excel
  • Certified professional coder (CPC)
  • Medical billing code accuracy
  • EMR systems

Timeline

Medical Coder

Omega Healthcare
06.2019 - Current

Registered Nurse

Colorado Surgery Center
06.2015 - 03.2019

Registered Nurse

HCA Swedish Medical Center
01.2013 - 09.2013

Registered Nurse

HCA Swedish Medical Center
10.2010 - 10.2012

Certified Medical Coder

Medical Resources LTD
08.2007 - 05.2020

Bachelor of Science - Nursing

University of Colorado Denver

No Degree - Medical Coding

AAPC
Brooke Venezia