
Results-driven professional skilled in audit evaluation and regulatory compliance within the healthcare sector. Demonstrated ability to validate medical records, ensuring accuracy and completeness of diagnosis codes. Committed to maintaining high standards of quality in coding and documentation.
Review medical records, patient medical history and physical exams, physician orders, progress notes, consultation reports, diagnostic reports, operative and pathology reports, and discharge summaries to verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on pre-visit services. (5%)
- Audit and Evaluation
Assist with validation audits to evaluate medical record documentation to ensure coding accurately reflects and supports relevant coding based on the ICD-10 code submitted to CMS for reimbursement and interpretation of medical documentation to ensure capture of all relevant coding based on CMS Hierarchical Condition Categories (HCC) conditions that are applicable to Medicare Risk Adjustment reimbursement initiatives. (5%)
- Attention to detail
Attention to detail while reviewing patients' clinical record. (5%)
- Compliance and Quality
Ensure regulatory compliance and overall quality and efficiency by utilizing strong working knowledge of coding standards and EPIC. (5%) Competencies.
Employee Health nurse and hand hygiene Auditor Coordinated flu vaccine clinics to ensure efficient vaccination processes for employees. TB fit testing Maintained immunization records by accurately documenting vaccinations and updates. Managed lab tests by coordinating sample collection and processing. Administered new hire physicals to assess employee health and fitness for duty. Performed drug screens to ensure workplace safety and compliance. Tracked and updated yearly screenings by maintaining detailed records and schedules. Conducted audits of hospital practices to ensure compliance with health standards.
Provided nursing care in emergency department
Direct patient care phlebotomy medication administration EKG vitals catheterization bladder scan POCT-strep,urine,hgb,flu and covid cultures injections Managed inventory in medical supply rooms to ensure availability of essential supplies for patient care BLS certified wound care splinting/casting patient education TB Vaccines verification and administered referrals
Franciscan Health Mooresville Family Care
Direct patient care
schedule appointment
triage
room patient and collect information
phlebotomy
medication administration
neb treatments
EKG
vitals
POCT-strep,urine,hgb,mono, flu and covid
cultures
injections
stock rooms
BLS certificated
wound care
splinting
patient education
Epic
Avon Schools HRH
Delivered direct patient care in clinical settings, including medication administration and vital signs monitoring medication administration vitals POCT-strep,urine,hgb,flu injections Streamlined inventory management by organizing stock rooms for easy access to medical supplies BLS certified blood borne pathogen education hand washing education patient education
American Health Network
Direct patient care Assessed patient needs through phone triage and prioritized care for timely interventions medication refills post op care Chart preparation room patients splinting, braces, casting, injections Ordered diagnostic testing including MRI, X-rays, CT, EMG based on physician recommendations and patient symptoms to facilitate accurate diagnosis Epic
Hearth At Prestwick
Provided patient care by assisting with daily living activities, ensuring comfort and safety. medication administration treatments ADLs Assessments
Avon Pediatrics
Patient care room patient Conducted phone triage to address patient inquiries and provide timely support Administered medications to patients according to physician orders Administered injections to patients for treatment Organized and stocked supply rooms to enhance accessibility and readiness of medical supplies Performed point-of-care testing to facilitate prompt patient assessments and treatment decisions
Patient care room patient phone triage Administered medications to patients, ensuring adherence to prescribed guidelines for optimal care. injection stock rooms Conducted point-of-care testing to provide timely results for effective patient management.