Shauna Eden
Salt Lake City,UT
Summary
Experienced healthcare professional with a successful 30-year nursing career, seeking a change into full-time medical coding. Leveraging extensive knowledge of medical terminology, anatomy, and physiology to contribute to the medical coding sector. Proficient in various forms of communication and possess exceptional attention to detail, organization and interpersonal skills to excel in this new role.
Overview
31
31
years of professional experience
1
1
Certification
Work History
Assistant Office Manager
Dental Care Center
2024.02 - Current
- Front desk tasks, assigned ADA coding for dental services rendered, submission of insurance claims.
- Transferred and directed phone calls, guests, and mail to correct staff members.
- Managed daily operations, ensuring timely completion of tasks and maintaining a well-organized work environment.
Unemployed
2023.05 - 2024.02
- Laid off at time of hospital buyout May 2023; made decision to leave nursing and pursue certification in medical coding.
Supervisor, Case Manager
Steward Healthcare
2020.08 - 2023.05
- Daily analysis of 30-40 Inpatient/OBS/Outpatient status, DRGs and conducted InterQual reviews for qualifying hospital stays
- Implemented and facilitated patient discharge plans.
- Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
Nurse Instructor
Davis Technical College
2014.05 - 2020.08
- Taught/demonstrated medical terminology, anatomy/physiology, pharmacology and nursing skills in both the classroom and clinical settings.
Case Manager/Corporate Appeals Consultant
Intermountain Healthcare
2012.09 - 2014.05
- Reviewed government and commercial insurers’ reasons for denial of various inpatient/outpatient medical services and then researched EMRs, ICD-10-CM, CPT, medical journals etc, and then formulated formal written responses with supportive documentation for medical necessity of denied services.
RN, patient care
Intermountain Healthcare
1994.01 - 2012.09
- Med/Surg/Ortho, ED, ICU, L&D, Same Day Surgery, PACU
HEDIS Abstraction RN
SelectHealth
2009.01 - 2011.05
- Reviewed patient documentation from multiple EMR systems, identified data within these files pertinent to HEDIS measures, and assigned relevant ICD, CPT codes to the data that aligned with domains of care
- Managed information on Excel spreadsheet.
Education
Certificate in Medical Coding & Billing -
Salt Lake Community College
West Jordan, UT09.2024
Bachelor of Science in Nursing -
Weber State University
Ogden, UT05.1994
Skills
- AAPC Certification - CPC
- 4 years medical coding experience: ICD-10, CPT, HCPCS
- 30 years' nursing career
- Extensive knowledge medical terminology, anatomy/physiology
- Substantial understanding and skill with EMRs, including Cerner/EPIC
- Proficiency in Microsoft Office, Word, Excel, PowerPoint
- Excellent organizational skills
- Outstanding written and oral communication skills
- Ability to multitask and prioritize workload in a fast-paced environment
Certification
- Certified Professional Coder (CPC), 2024, AAPC
- Accredited Case Manager (ACM), 2023, American Case Management Association
Timeline
Assistant Office Manager
Dental Care Center
2024.02 - Current
Unemployed
2023.05 - 2024.02
Supervisor, Case Manager
Steward Healthcare
2020.08 - 2023.05
Nurse Instructor
Davis Technical College
2014.05 - 2020.08
Case Manager/Corporate Appeals Consultant
Intermountain Healthcare
2012.09 - 2014.05
HEDIS Abstraction RN
SelectHealth
2009.01 - 2011.05
RN, patient care
Intermountain Healthcare
1994.01 - 2012.09
Certificate in Medical Coding & Billing -
Salt Lake Community College
Bachelor of Science in Nursing -
Weber State University
- Certified Professional Coder (CPC), 2024, AAPC
- Accredited Case Manager (ACM), 2023, American Case Management Association
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