Justine Gitto, RN, HCS-D, HCS-O
Citrus Hills,FL
Summary
Meticulous Oasis and Coding Specialist with expertise in ICD-10 PDGM coding conventions and guidelines, CMS OASIS Guidelines, and accurate plan of care development.
Overview
9
9
years of professional experience
Work History
Oasis and Coding Specialist RN
HomeFirst Home Healthcare
Remote
01.2023 - Current
- Maintains accurate and timely review of OASIS and ICD-10 coding, while using the Medicare PDGM billing model, and CMS Guidelines.
- Provides educational guidance to clinicians, giving them feedback on inconsistencies detected in chart reviews while identifying improvement opportunities.
- Offers guidance regarding RCD, F2F requirements, Oasis, and coding regulations.
- Facilitates initiatives to improve quality outcomes and agency ratings (Star Ratings, Value-Based Purchasing scores).
- Participates in training specific to OASIS, coding, utilization, and documentation.
- Adheres to established confidentiality standards as required by HomeFirst Home Healthcare and HIPAA concerning community and patient information.
Clinical Resource Specialist - Team Lead
Family Home Health / Homecare Holdings, LLC.
Remote
07.2022 - 01.2023
- Maintains accurate and timely review of OASIS and ICD-10 coding while using the Medicare PDGM billing model and CMS Guidelines.
- Participates in conferences via phone, email, or fax with the Clinical Manager and/or Home Health clinicians regarding OASIS, Coding, utilization, or Plan of Care inconsistencies for appropriate corrections. Attains approval from the clinician prior to making changes to the OASIS, coding, or documentation.
- Utilizes available tools and develops training strategies to improve outcomes. Collaborates with Regional, Divisional and Corporate support resources as needed for strategies.
- Develops training based on evaluated competencies in documentation and clinical practice, edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for specific outcomes, adverse events, and utilization reports in conjunction with the Quality Support Specialist (QSS), Director of Clinical Services (DCS) and Home Health Director (HHD).
- Facilitates initiatives to improve quality outcomes and agency ratings (Star Ratings, Value-Based Purchasing scores).
- Participates in training specific to OASIS, Coding, utilization, and documentation.
- Adheres to established confidentiality standards as required by FHHS and Homecare Holdings, LLC. and HIPAA concerning community and patient information.
- Suggested and offered specific training programs to help workers maintain or improve job skills.
Quality Review Specialist
Brookdale Senior Living Solutions
Remote
03.2021 - 07.2022
- Maintains accurate and timely review of OASIS and ICD-10 coding while using the Medicare PDGM billing model and CMS Guidelines.
- Participates in conferences via phone, email, or fax with the Clinical Manager and/or Home Health clinicians regarding OASIS, Coding, utilization, or Plan of Care inconsistencies for appropriate corrections. Attains approval from the clinician prior to making changes to the OASIS, coding, or documentation.
- Utilizes available tools and develops training strategies to improve outcomes. Collaborates with Regional, Divisional and Corporate support resources as needed for strategies.
- Develops training based on evaluated competencies in documentation and clinical practice, edits from Strategic Healthcare Programs (SHP) alerts, and SHP reports for specific outcomes, adverse events, and utilization reports in conjunction with the Quality Support Specialist (QSS), Director of Clinical Services (DCS) and Home Health Director (HHD).
- Facilitates initiatives to improve quality outcomes and agency ratings (Star Ratings, Value-Based Purchasing scores).
- Participates in training specific to OASIS, Coding, utilization, and documentation.
- Adheres to established confidentiality standards as required by Brookdale Healthcare Services and HIPAA concerning community and patient information.
Field Nurse
Home Healthcare by Brookdale
Vero Beach, FL
05.2018 - 03.2021
- Provides coordinated skilled nursing care to patients of all age groups, on an intermittent basis in the home.
- Completes OASIS assessment and visit paperwork according to agency policy.
- Supervises and provides clinical direction to home health aides and LPNs/LVNs to ensure quality and continuity of s
- Conducted regular re-evaluations to address changes in needs and conditions, and introduced revisions to care plans.
- Collected biological samples for routine laboratory testing to assist diagnostic processes.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Modified patient treatment plans as indicated by patients' responses and conditions.
Trauma Intensive Care Registered Nurse
Lawnwood Regional Medical Center
Fort Pierce , FL
10.2017 - 05.2018
- Assesses plans and evaluates patient care needs
- Carries out physician orders
- Administers prescribed medications, changes dressings, cleans wounds, monitors vital signs
- Serves as the primary coordinator of all disciplines for well-coordinated patient care
- Monitors, records and communicates patient condition as appropriate utilizing computerized documentation systems
- Instructs and educates patients and families.
- Helped monitor, maintain and improve nursing-sensitive indicators, core measures and other identified outcome metrics.
- Assessed ICU patients each shift to ascertain vitals and key information.
- Delivered optimum treatments to critical-care patients following prescribed rules, policies, protocol and procedures.
- Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
- Checked on patients regularly to track progress with treatments, changes in symptoms and need for emergency interventions.
- Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
Patient Care Coordinator Trauma Neuro Care Unit
Lawnwood Regional Medical Center
02.2016 - 10.2017
- Trauma Neurosurgical Care Unit
- Organizes patient care functions on a shift to shift basis
- Enhances patient outcomes through management of human resources, staff education and monitoring of processes for continuous improvement
- A role model for excellence in quality care, customer satisfaction and quality improvement
- Demonstrates critical thinking skills, scientific judgment and leadership in the anticipation and planning for the care of the patient
- Responsible and accountable for the planning, directing and provision of nursing care to patients in accordance with the Florida Nurse Practice Act, physician’s orders, recognized nursing techniques, policies, procedures, established standards and administrative policies.
- Provided administrative support for patient care staff.
- Identified potential problems and patient care trends.
- Liaised effectively with patients, doctors and staff members, assessing medical charts and promoting high level of communication and interaction.
- Demonstrated flexibility during changes to patient care practice.
- Assured regulatory compliance and professionalism across patient service.
- Established strong work network by building professional relationships with physicians and fellow employees.
Registered Nurse Trauma Neuro Step Down
Lawnwood Regional Medical Center
06.2015 - 02.2016
- Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
- Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
- Prepared medical equipment and tools to aid physician during examination and treatment of patients.
- Maintained strict patient data procedures to comply with HIPAA laws and prevent information breaches.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Advocated for patient needs with interdisciplinary team and implemented outlined treatment plans.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
Education
Associate of Science - Nursing
Keiser University
04.2015
Registered Nurse - Multi State Nursing Licensure
Florida Department of Nursing
Dual Certified HCS-O & HCS-D -
Decision Health
Skills
- Active RN Multistate Compact License
- Proficient in Multiple EMR software (SHP, HCHB, KanTime, Wellsky/Kinnser, Devero)
- Efficient Time Management and Productivity
- QA Coding & Oasis Auditor
- Team Player with Positive Attitude
- Analytical and Critical Thinker
- Leadership Experience
- Strong Clinical Background
- Excellent Computer Skills
Timeline
Oasis and Coding Specialist RN
HomeFirst Home Healthcare
01.2023 - Current
Clinical Resource Specialist - Team Lead
Family Home Health / Homecare Holdings, LLC.
07.2022 - 01.2023
Quality Review Specialist
Brookdale Senior Living Solutions
03.2021 - 07.2022
Field Nurse
Home Healthcare by Brookdale
05.2018 - 03.2021
Trauma Intensive Care Registered Nurse
Lawnwood Regional Medical Center
10.2017 - 05.2018
Patient Care Coordinator Trauma Neuro Care Unit
Lawnwood Regional Medical Center
02.2016 - 10.2017
Registered Nurse Trauma Neuro Step Down
Lawnwood Regional Medical Center
06.2015 - 02.2016
Associate of Science - Nursing
Keiser University
Registered Nurse - Multi State Nursing Licensure
Florida Department of Nursing
Dual Certified HCS-O & HCS-D -
Decision Health
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