Healthcare professional with a solid foundation in home health nursing, Oasis review and ICD-10 coding, with a high standard of excellence. Proactive and goal-oriented with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity, to learn and apply new skills.
Overview
29
29
years of professional experience
1
1
Certification
Work History
Senior Coding and Oasis Specialist
Holy Redeemer Home Care
06.2010 - Current
Review all submitted SOC/ROC/RECERT documentation to ensure accuracy in the development of the patient's individualized Plan of Care, identifying incomplete and inconsistent documentation and providing suggestions for correction.
Ensure appropriate ICD-10 Coding as it relates to the Home Health episode focus of care and maximizing PDGM reimbursement.
Ensure Oasis accuracy utilizing the most up to date CMS guidance for all Oasis time points.
Review all submitted D/C Oasis documentation identifying incomplete and inconsistent documentation and providing suggestions for correction, ensuring accurate outcomes and maximizing the agency's performance in HHVBP
Communicate effectively acting as a liaison with the clinical team, managers, and outside coding vendors.
Conduct internal audits of coded records to identify potential revenue loss and or compliance issues.
Provide one on one education with clinicians regarding Oasis intent and documentation.
Responsible for orienting/training new Oasis and Coding Specialists.
Home Care Case Manager
Holy Redeemer Home Care
02.2006 - 06.2010
Collaborated with healthcare providers to effectively coordinate services for optimal patient outcomes.
Conducted thorough assessments of both physical and psychosocial factors impacting a patient's well-being at home.
Managed cases efficiently, ensuring proper documentation and timely communication with all parties involved.
Enhanced patient care by developing and implementing customized skilled home care plans for each individual.
Educated patients on self-care techniques, empowering them to take control of their health at home.
Caseload of 20-25 patients
Registered Nurse Supervisor
Gaudenzia, People With Hope
01.1997 - 01.2005
Worked as part of a multidisciplinary team in determining eligibility of new referrals-medical history review
Performed intake assessment, developed and implemented care plan, and continuous evaluation throughout treatment stay
Discharge planning and evaluation
Provided case management for clients health care needs
Administered medications as ordered as well as supervised self administered medications
Acted as liaison between client and health care provider
Provided patient education
Developed and implemented various seminars for clients and staff
Maintained inventory of medications and medical supplies
Supervised 1 LPN and 2 CNA
Initiated and maintained Allied Health internship program at facility.
Developed and implemented rotation schedules for interns
Acted as facility contact for area Universities
Professional Consultant for HIV/AIDS Cost Study
N.D.R.I., Inc
01.2002 - 01.2003
Performed chart abstractions to obtain clients HIV/AIDS classification
Contacted physicians to obtain follow-up information
Education
Diploma - Nursing
Frankford Hospital School Of Nursing
Philadelphia, Pa
05-1996
Associate Degree - Arts, Letters, and Sciences
Pennsylvania State University
Abington, Pa
05-1996
Skills
Detail oriented
Proficient in Homecare Homebase
Proficient in Microsoft Word
Excellent time management
Excellent communication
Excellent organizational and leadership ability
ICD-10 proficiency
Oasis proficiency
Certification
Professional Registered Nurse-
PA License # RN515504-L
NJ License # 26NR16352600
Certificate for Oasis Specialist - Clinical, 2012- Current
Home Care Coding Specialist- Diagnosis, 2012- Current