Summary
Overview
Work History
Education
Skills
Additional Job Duties
Surgery Duties
Current Job Duties
Timeline
Generic

Heather Lydon

Gepp

Summary

Highly motivated and goal-driven medical professional seeking full time position.

Overview

16
16
years of professional experience

Work History

RN at Baxter Health Bone and Joint Clinic

Baxter Health
Mountain Home
12.2021 - Current

LPN at Baxter Bone Health and Joint Clinic

Baxter Health
Mountain Home
10.2009 - 12.2021
  • Schedule and obtain prior authorizations for 1000 plus surgical patients yearly for two orthopedic surgeons
  • Conduct direct hands-on care with patients of all ages ranging from 0-99 years
  • Extensive knowledge of insurance prior authorization requirements, CPT coding, and ICD10
  • Generate and implement multiple office protocols for a 10+ clinic staff
  • Educate patients regarding medications, surgical instructions, wound care, cast care, post-operative instructions, immunizations, and basic medical care
  • Schedule surgeries with patients and provided necessary paperwork.
  • Educate patients on preoperative and postoperative instructions, ensuring their understanding and compliance.
  • Accurately code surgical procedures using ICD10 and CPT coding systems.
  • Obtain prior authorization for surgical procedures from insurance providers. Write appeals as needed.
  • Order preoperative lab tests and scheduled preoperative surgical testing appointments.
  • Review preoperative lab results and obtained preoperative clearance.
  • Ensured preoperative history and physical (H&P) documentation is accurate.
  • Coordinate with radiology to ensure preoperative images are downloaded
  • Determine starting/stopping of anticoagulants and prescribed bridge medication when required.
  • Input preoperative and postoperative orders accurately, including pre-anesthesia evaluations.
  • Coordinate post-service precertification if CPT codes changed intraoperatively
  • Schedule and reviewed preoperative scans coordinating with surgery and representatives for implants and surgical equipment.
  • Serve as a scribe, accurately documenting patient encounters and assisting physicians with medical charting.
  • Proficient in casting and splinting techniques, providing appropriate support and immobilization for patients.
  • Assist physicians during clinic procedures, ensuring a smooth workflow and patient comfort.
  • Reviewed new patient referrals who have previously had surgery and determined if Dr. Moore would see them.
  • Reviewed emergency room referrals and determined the urgency of patients' needs for medical attention.
  • Fill out FMLA/STD paperwork, adhering to relevant guidelines and regulations.
  • Respond to patient phone calls promptly and provided necessary guidance and assistance.
  • Handle after-hours phone calls as required, ensuring patient needs were addressed in a timely manner.

Education

Registered Nurse -

Arkansas State University Mountain Home

Licensed Practical Nursing -

Arkansas State University Mountain Home

High School Diploma -

Mountain Home High School

Skills

  • Surgical scheduling
  • Insurance authorization
  • CPT coding
  • Patient education
  • Preoperative assessment
  • Medical documentation
  • Healthcare compliance
  • Team collaboration
  • Workflow optimization
  • Problem solving
  • Attention to detail
  • Effective communication
  • Time management
  • Research utilization
  • Nursing informatics
  • Setting up referrals
  • EMR systems
  • Insurance plan expert
  • Call triaging
  • Documentation and charting

Additional Job Duties

  • Serve as a scribe, accurately documenting patient encounters and assisting physicians with medical charting.
  • Proficient in casting and splinting techniques, providing appropriate support and immobilization for patients.
  • Assist physicians during clinic procedures, ensuring a smooth workflow and patient comfort.
  • Reviewed new patient referrals who have previously had surgery and determined if Dr. Moore would see them.
  • Reviewed emergency room referrals and determined the urgency of patients' needs for medical attention.
  • Fill out FMLA/STD paperwork, adhering to relevant guidelines and regulations.
  • Respond to patient phone calls promptly and provided necessary guidance and assistance.
  • Handle after-hours phone calls as required, ensuring patient needs were addressed in a timely manner.

Surgery Duties

  • Schedule surgeries with patients and provided necessary paperwork.
  • Educate patients on preoperative and postoperative instructions, ensuring their understanding and compliance.
  • Accurately code surgical procedures using ICD10 and CPT coding systems.
  • Obtain prior authorization for surgical procedures from insurance providers. Write appeals as needed.
  • Order preoperative lab tests and scheduled preoperative surgical testing appointments.
  • Review preoperative lab results and obtained preoperative clearance.
  • Ensured preoperative history and physical (H&P) documentation is accurate.
  • Coordinate with radiology to ensure preoperative images are downloaded
  • Determine starting/stopping of anticoagulants and prescribed bridge medication when required.
  • Input preoperative and postoperative orders accurately, including pre-anesthesia evaluations.
  • Coordinate post-service precertification if CPT codes changed intraoperatively
  • Schedule and reviewed preoperative scans coordinating with surgery and representatives for implants and surgical equipment.

Current Job Duties

  • Schedule and obtain prior authorizations for 1000 plus surgical patients yearly for two orthopedic surgeons
  • Conduct direct hands-on care with patients of all ages ranging from 0-99 years
  • Extensive knowledge of insurance prior authorization requirements, CPT coding, and ICD10
  • Generate and implement multiple office protocols for a 10+ clinic staff
  • Educate patients regarding medications, surgical instructions, wound care, cast care, post-operative instructions, immunizations, and basic medical care

Timeline

RN at Baxter Health Bone and Joint Clinic

Baxter Health
12.2021 - Current

LPN at Baxter Bone Health and Joint Clinic

Baxter Health
10.2009 - 12.2021

Registered Nurse -

Arkansas State University Mountain Home

Licensed Practical Nursing -

Arkansas State University Mountain Home

High School Diploma -

Mountain Home High School
Heather Lydon