Michelle Trevino
Humble,TX
Summary
Dynamic Registered Nurse with extensive experience at HCA Southeast, excelling in patient assessments and care planning. Proven ability to enhance patient outcomes through effective medication administration and compassionate education. Strong clinical judgment and adept in EMR systems, fostering collaboration within interdisciplinary teams to deliver high-quality care.
Overview
16
16
years of professional experience
Work History
Registered Nurse
HCA Southeast
Pasadena, TX
08.2024 - Current
- Performed patient assessments and documented findings in electronic health records.
- Administered medications and monitored patients for treatment response and adverse reactions.
- Supported care plans by coordinating with physicians, therapists, and interdisciplinary team members.
- Maintained infection control standards while preparing and sanitizing patient care equipment.
- Educated patients and families on discharge instructions, medications, and recovery expectations.
- Responded promptly to call lights, patient concerns, and changes in clinical condition.
- Assisted with vital signs, specimen collection, and routine bedside procedures.
- Prioritized patient needs while adapting quickly to fast-paced clinical workflows.
- 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.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Served as a preceptor for nursing students during their clinical rotations, providing valuable real-world experience and guidance to foster professional growth.
- Improved patient outcomes by implementing evidence-based nursing interventions and individualized care plans.
- Advised patients and caregivers of proper wound management, discharge plan objectives, safe medication use, and disease management.
Medical Coding and Billing Specialist
MedRecovery Solutions
Houston, TX
11.2010 - 01.2024
- Audited patient records for ICD-10, CPT, and HCPCS coding accuracy.
- Submitted clean claims through practice management and billing systems.
- Resolved claim denials by reviewing payer edits and correcting documentation.
- Interpreted EOBs and remittances to post payments and adjust balances.
- Trained staff on coding guidelines, billing workflows, and compliance standards.
- Coordinated with providers to clarify diagnoses, procedures, and supporting documentation.
- Monitored accounts receivable to prioritize follow-up on unpaid claims.
- Ensured HIPAA compliance while maintaining accurate coding and billing records.
- Provided exceptional customer service to patients, addressing their concerns regarding insurance claims or billing issues with empathy and professionalism.
- Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Collaborated with healthcare providers to obtain necessary documentation for accurate code assignment and claim submission.
- Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
- Reduced errors in medical billings, effectively addressing discrepancies and rectifying issues promptly.
- Monitored trends in medical billing denials, implementing corrective actions to prevent future occurrences of similar issues.
- Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
- Established positive relationships with insurance companies, facilitating open communication lines for efficient claim processing.
- Enhanced accuracy of medical coding by implementing a thorough review process and cross-checking system.
- Contributed to team success by actively participating in staff meetings, offering insights into improving workflows within the department.
- Maximized productivity through effective time management, prioritizing tasks based on urgency and importance.
- Achieved timely reimbursements from payers by submitting clean claims that adhere to payer-specific guidelines.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Utilized electronic medical record systems to store, retrieve and process patient data.
Education
Associate of Science - Nursing
Houston Community College, Coleman
Houston, TX05.2024
Medical Billing And Coding
Sanford Brown
Houston, TX11.2010
Skills
Medication and IV administration
Medication administration
Direct patient care
Patient assessments
Documentation and charting
Patient assessment
Strong clinical judgment
Patient education and counseling
Clinical judgment
Infection control measures
Wound care
Compassion and empathy
Patient monitoring
Care planning
Care plan development
Patient management
Professional bedside manner
Licensed RN
Advanced cardiac life support (ACLS) certification
Precepting
Patient discharge
Lab result interpretation
EMR systems
Performing ekgs
Complex Problem-solving
Proper catheter insertion/removal
Intake and discharge
EMR / EHR
High level of autonomy
Mobility assistance
Removing sutures
Medical records management
Managing deadlines
Software use
Timeline
Registered Nurse
HCA Southeast
08.2024 - Current
Medical Coding and Billing Specialist
MedRecovery Solutions
11.2010 - 01.2024
Associate of Science - Nursing
Houston Community College, Coleman
Medical Billing And Coding
Sanford Brown