Summary
Overview
Work History
Education
Skills
Interests
Timeline
Generic

Christine Otero

Saginaw,TX

Summary

Experienced registered nurse with over 13 years of nursing experience bringing demonstrated clinical expertise, leadership skills and technical knowledge of the Perioperative area and the Cath Lab seeking to obtain an internal position within Ceris for a DRG Coder/Clinical Auditor. Possessing over 3 years of proficient experience in handling HCPCS, CPT, and ICD-10 codes. Experienced in collaborating with Utilization Management in order to prevent waste and underutilization of resources. Quality-driven, detail oriented, and efficient.

Overview

13
13
years of professional experience

Work History

Quality Control Nurse

Ceris
Fort Worth, TX
09.2022 - Current
  • Ensures the implementation of Quality Control protocols to meet production
  • Scrutinizes itemization line descriptions from entered hospital billing to inspect for unusual billing practices and discover potential errors
  • Verifies line item descriptions for correctness, completeness, and understandability for Itemization Review Department Maintains the integrity of all patients and providers within Scheck chargemaster
  • Maintains quality control accuracy prior to moving claims to Itemization Review Department Maintains consistent communication between Data Capture Department regarding code consistency errors and description errors
  • Maintains consistent communication between Setup Department regarding provider verification concerns
  • Maintains HIPAA compliance

Staff Registered Nurse, Primary Care

Naval Branch Health Clinic Fort Worth
Fort Worth, TX
10.2019 - 09.2022
  • Collaborates with the Primary Care Managers of 4,000 active duty military members and reservists to coordinate care through the submission of routine and STAT referrals to civilian specialists and other military treatment facilities
  • Triages patients to provide comprehensive nursing assessment, diagnosis, nursing care, screening, and treatment of illnesses within the DHA nursing protocol compliance guidelines
  • Initiates appropriate screening tests to include x-rays and laboratory tests based on symptomatology and findings
  • Evaluates and conveys lab results to patients based on normal and abnormal lab results
  • Provides education on the plan of care with an emphasis on disease prevention to maintain fitness for duty and military readiness standards
  • Updates supervising primary care managers with observations and concerns
  • Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches

Pre-op, Cath Lab, PACU Nurse

Fort Worth Cath Lab, Heart and Vascular Center of Fort
Fort Worth, TX
11.2018 - 10.2019
  • Prepared and recovered patients post procedures including heart caths, pacemaker, and AICD implants
  • Assessed patients before and after procedures to achieve optimal recovery
  • Administered medications postoperatively to reduce problems from anxiety, blood pressure, and hemorrhaging
  • Collaborated with doctors and alerted doctor's to changes in patients condition
  • Maintained infection control logs, streamlined charting process, and improved patient outcomes through training and leadership
  • Head of infection control for Cath Lab surgery center

PACU Registered Nurse

Balboa Naval Medical Center
San Diego, CA
01.2016 - 04.2018
  • Recovered Pediatric and Adult patients undergoing General, Orthopedic, Plastics, Ophthalmologic, Cardiac, and
  • Gynecologic inpatient and outpatient surgeries
  • Monitored MAP, BP, arterial pressure, vital signs and provided care of arterial and central venous lines
  • Managed patient care analgesia and epidural pumps for pain management

OPERATING ROOM Nurse

Kindred Hospital of San Diego
12.2015 - 12.2016
  • Circulating Nurse for Adult and Geriatric patients undergoing general surgeries
  • Provided Conscious Sedation for bronchoscopy and endoscopy procedures

PACU Nurse

Surgical Center of San Diego
San Diego, CA
04.2015 - 12.2015
  • Recovered adult patients undergoing GI, general, plastic, gynecological, and orthopedic procedures
  • Provided patients and family members with post-operative discharge instructions

PACU Registered Nurse

Palomar Hospital West
Escondido, CA
10.2014 - 04.2015
  • Recovered adult patients undergoing general, neuro, orthopedic, and plastic surgeries
  • Managed critical care drips for ICU patients in PACU post-surgery
  • Prepared patients for surgery by providing pre-operative and post-operative instructions
  • Monitored MAP, BP, arterial pressure, vital signs and provided care of arterial and central venous lines

PACU Nurse

Yuma Regional Medical Center
Yuma, AZ
11.2013 - 09.2014
  • Recovered adult patients undergoing general, neuro, orthopedic, and plastic surgeries
  • Managed critical care drips for ICU patients in PACU post-surgery
  • Prepared patients for surgery by providing pre-operative and post-operative instructions
  • Monitored MAP, BP, arterial pressure, vital signs and provided care of arterial and central venous lines

Travel Nurse

Mountain Vista Medical Center
Mesa, AZ
08.2013 - 11.2013
  • Special watch over the care of patients with cardiac conditions
  • Educated patients and families on disease process and management, medications, pre and postcardiac interventions including open heart surgery and discharges
  • Recognized and monitored cardiac rhythms and initiated ordered intravenous medication drips

Travel Nurse

Kaiser Permanente San Diego Zion Hospital
San Diego, CA
10.2012 - 01.2013
  • Special watch over the care of patients with cardiac conditions
  • Educated patients and families on disease process and management, medications, pre and postcardiac interventions including open heart surgery and discharges
  • Recognized and onitored cardiac rhythms and initiated ordered intravenous medication drips

Telemetry/Medical Surgical Nurse

Yuma Regional Medical Center
Yuma, AZ
09.2011 - 10.2012
  • Prepared and administered medications via oral, rectal, NG/PEG tubes, SUBQ, IM, IV
  • Administered blood, blood product transfusions, monitored patients for adverse reactions
  • Monitored chest tubes, NG tubes, TPN, JP drains, PD catheters, nephrostomy tubes
  • Managed and provided clinical direction to CNAs
  • Utilized NIHSS to rule out CVAs
  • Recognized heart rhythms

Education

Bachelor of Science - Nursing

Aspen University
Denver, CO
07.2022

Associate of Science - Nursing

Arizona Western College
Yuma, AZ
05.2011

Skills

  • Proficiency in MedCheck Select, MedCheck Image Viewer software
  • Microsoft Office Suite, Outlook, and Excel
  • Claims Processing
  • Patient data identification
  • Knowledgeable in HCPCS, CPT and ICD 10 codes
  • Coding Error Resolution
  • Referral generation for Humana Military members
  • Procedure Room Preparation
  • Accurate Documentation
  • Creative Problem Solving
  • Critical Thinking
  • Attention to Detail
  • Effective communication skills

Interests

Texas RN License #942925, BLS

Timeline

Quality Control Nurse

Ceris
09.2022 - Current

Staff Registered Nurse, Primary Care

Naval Branch Health Clinic Fort Worth
10.2019 - 09.2022

Pre-op, Cath Lab, PACU Nurse

Fort Worth Cath Lab, Heart and Vascular Center of Fort
11.2018 - 10.2019

PACU Registered Nurse

Balboa Naval Medical Center
01.2016 - 04.2018

OPERATING ROOM Nurse

Kindred Hospital of San Diego
12.2015 - 12.2016

PACU Nurse

Surgical Center of San Diego
04.2015 - 12.2015

PACU Registered Nurse

Palomar Hospital West
10.2014 - 04.2015

PACU Nurse

Yuma Regional Medical Center
11.2013 - 09.2014

Travel Nurse

Mountain Vista Medical Center
08.2013 - 11.2013

Travel Nurse

Kaiser Permanente San Diego Zion Hospital
10.2012 - 01.2013

Telemetry/Medical Surgical Nurse

Yuma Regional Medical Center
09.2011 - 10.2012

Bachelor of Science - Nursing

Aspen University

Associate of Science - Nursing

Arizona Western College

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Christine Otero