Jaci Viren
Andalusia,IL
Summary
Highly motivated Certified Professional Medical Coder with over 20 years experience in the medical field. 5 years experience in the medical field. 5 years experience coding in a fast paced environment. Detail oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Central Support Operation Coordinator
Optum
08.2022 - Current
- Faxes, emails and electronic communication) according to productivity and quality standards
- Enter, review and or verify member information in Coordinate care management platform and communicate approved pertinent information with healthcare providers and/or team as needed
- Enter required data into Optum Home & Community Care database accurately
- Complete administrative documentation for member records including but not limited to transitioning, creating authorization shells, attaching documents
- Provided direction and guidance to internal teams in order to achieve targets
- Assisted customers with questions and problems to build brand loyalty and cultivate lasting business relationships
Medical Coder/Surgery Scheduler
ORA Orthopedics – Bettendorf, IA
09.2017 - 08.2022
- Accurately assigned CPT and ICD-10 codes to inpatient/outpatient surgeries and procedures
- Extensive knowledge of ICD-10CM, CPT, HCPCS II coding system guidelines
- Analyze patient charts and identified any discrepancies
- Adhere to ethical standards of coding as established by AAPC
- Maintain up to date coding knowledge
- Followed up with medical staff regarding missing information in patient records.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Aided in development and betterment of patient management and workflow processes
- 5 years experience with administrative/clerical duties
- Customer service experience analyzing and solving patients issues or concerns
- Expertly managed planning, scheduling and coordination of outpatient/inpatient procedures
- Verified insurance coverage and obtained pre-authorizations
- Reviewed medical histories and current information to provide accurate information to surgeons
- 9 years experience working in medical office
- Coordinated all surgical tests and appointments for upcoming surgeries
- Answered patient and staff phone calls and messages for Orthopedic Surgeons
- Entered information in 3 different EMR systems to complete scheduling processes
- Obtained client medical history, medication information, symptoms and allergies
- Directed patients to exam rooms, fielded questions and prepared for physician examinations
- Performed clerical duties, such as word processing, data entry, answering phones and filing
- Adhered to strict HIPAA guidelines to protect patient privacy
- Delivered exemplary assistance and support to 10 surgeons during orthopedics surgeries
- Anticipated surgeons needs and handed instruments and supplies to surgeons during procedures
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
Certified Surgical Technologist
ORA Orthopedics
08.2013 - 09.2017
- Anticipated surgeons needs and handed instruments and supplies to surgeons during procedures.
- Setup operating and surgery rooms by preparing equipment and supplies for upcoming procedures.
- Gathered and set up equipment, tools, and supplies and arrange instruments according to surgeons' preferences or instruction.
- Maintained high infection control standards.
- Prepared instruments for terminal sterilization and reset surgical suites for next procedure.
- Evaluated procedure needs and set up equipment, tools, supplies, and instruments.
- Created unobstructive operative fields by using retractors, sponges, and suction and irrigating equipment.
- Created safe operating environments for invasive and non-invasive procedures.
- Collected, prepared and disposed of medical specimens.
- Introduced new staff members to training protocols regarding operating room procedures, infection control, safety standards, and overall facility policies.
- Controlled bleeding during procedures by applying hemostatic clamps, suture ligatures and electrocautery equipment.
Certified Surgical Technologist
Unity Point Hospital – Bettendorf, IA
01.2008 - 08.2013
- Setup operating and surgery rooms by preparing equipment and supplies for upcoming procedures
- Maintained high infection control standards
- Evaluated procedure needs and set up equipment, tools, supplies and instruments
- Managed operating room setup by cleaning and sterilizing instruments and surfaces, maintaining supply inventories and organizing surgical tools
- Introduced over 50 new staff members to training protocols regarding operating room procedures, infection control, safety standards and overall facility policies
- Supported 10 surgeons during Cesarean sections
- Developed training initiatives on new equipment and procedures to promote highest patient care standards
- Implemented new training initiatives for new registered nurses and surgical technologists
- Maintained energy and enthusiasm in fast-paced environments
- Used critical thinking to break down problems, evaluate solutions and make decisions
- Remained calm during high-stress, critical situations, demonstrating sustained focus and problem-solving in real-time
- Worked side by side with doctors and nurses during infant deliveries.
Education
CPC Certification Preparation Course - Medical Coding
The American Academy of Medical Coders (AAPC)-online
Online11.2023
Associate of Applied Science in Surgical Technology - Surgical Technology
Trinity College of Surgical Technology
Rock Island, IL05.2008
Associate Degree in Business Management - Business Management
Kaplan University
Davenport, IA06.2001
Skills
- CPT, ICD-10CM, HCPCS II coding
- Proven accuracy and attention to detail
- Data entry and Management
- Knowledge of Medicaid and Medicare
- Educated on E&M guidelines
- Problem solving
- Medical Terminology & Anatomy
- Critical thinking
- Multitasking capabilities
- Time Management
- Records Management
- Calm Under Pressure
- Teamwork and Collaboration
Certification
AAPC Certified Professional Coder
Certification number- 02106579
References
- Stefanie Coiner PA-C, Assistant- ORA Orthopedics, 563-726-9656
- Dr. Ryan Dunlay, Orthopedic Surgeon- ORA Orthopedics, 563-594-8856
- Dr. Karen Brenot, Obstetrician- Unity Point Hospital, 563-340-9871
Timeline
Central Support Operation Coordinator
Optum
08.2022 - Current
Medical Coder/Surgery Scheduler
ORA Orthopedics – Bettendorf, IA
09.2017 - 08.2022
Certified Surgical Technologist
ORA Orthopedics
08.2013 - 09.2017
Certified Surgical Technologist
Unity Point Hospital – Bettendorf, IA
01.2008 - 08.2013
CPC Certification Preparation Course - Medical Coding
The American Academy of Medical Coders (AAPC)-online
Associate of Applied Science in Surgical Technology - Surgical Technology
Trinity College of Surgical Technology
Associate Degree in Business Management - Business Management
Kaplan University
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