Experienced nursing professional bringing demonstrated clinical expertise, leadership skills and technical knowledge. Proficient in clinical education specializing in risk adjustment coding, and working with multidisciplinary teams to optimize patient care. Quality-driven and efficient with strong interpersonal abilities.
Compassionate, known for practicing emotional intelligence, high productivity and efficiency in task completion. Specialize in medical management consulting, compliance adherence, implementation of streamlined procedures, and clinical education. Excel at communication, problem-solving, and adaptability, ensuring seamless coordination between healthcare teams and optimal patient outcomes.
Leadership background in pharmacy management and nursing-related roles. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success.
Overview
10
10
years of professional experience
3
3
years of post-secondary education
4
4
Certificate
Work History
Senior Clinical Coding Nurse Consultant
WellMed Medical Management - United Health Group
Austin, TX
04.2021 - Current
Collaborated with multidisciplinary teams to ensure comprehensive care delivery.
Analyzed client needs to develop tailored consulting strategies.
Coordinated project timelines and deliverables with cross-functional teams.
Prepared comprehensive reports summarizing findings and recommendations for clients.
Presented solutions to stakeholders, highlighting key insights and benefits.
Collaborated with clients to develop action plans to address specific challenges and objectives.
Provided advice on operational processes, business development initiatives, organizational changes and other areas of improvement.
Analyzed complex information from multiple sources to identify patterns or trends.
Educated clinical staff on compliance and coding guidelines.
Collaborated with healthcare providers to clarify documentation requirements.
Assisted in developing training materials for new coders.
Compiled reports summarizing findings from risk adjustment activities, such as audit results or trends in coding practices.
Analyzed provider documentation to ensure accurate coding of diagnoses and procedures according to CMS Medicare Risk Adjustment Coding Guidelines.
Determined and implemented techniques to improve medical records retrieval process.
Created educational materials related to risk adjustment topics for use by providers or staff members.
Developed process improvements within the department in order to increase efficiency and accuracy of workflows.
Collaborated with other departments to ensure correct coding of services rendered by providers.
Supported new employees by orienting them into the organization and providing guidance throughout onboarding process.
Contributed innovative ideas and solutions to enhance team performance and outcomes.
Developed detailed project plans, including timelines, resource allocations, risk management strategies, and stakeholder communications.
Provided coaching and mentoring support to junior staff members regarding effective problem-solving techniques related to project challenges.
Assisted in preparing presentations for internal, external audiences relating to current, future initiatives.
Supervised project teams to ensure timely completion of tasks.
Registered Nurse Staff, PACU
USPI- United Surgical Partners International
Austin, TX
09.2019 - 04.2021
Administered medications and treatments according to established protocols.
Monitored patient vitals and reported changes to the medical team.
Collaborated with healthcare staff to develop patient care plans.
Assisted in coordinating discharge plans for transitioning patients home.
Ensured compliance with safety standards and infection control measures throughout the facility.
Educated patients and families on health management and recovery processes.
Administered medications and treatments, monitoring patients for reactions and side effects.
Evaluated patients, recognized and addressed complications and coordinated treatment with other members of critical care team.
Ensured compliance with standards of professional practice as well as state and federal regulations related to health care delivery services.
Responded to emergency situations with speed, expertise and level-headed approaches to provide optimal care, support and life-saving interventions.
Sterile Processing Technician at WellMed Medical Management - United Health GroupSterile Processing Technician at WellMed Medical Management - United Health Group