MS Office (Word, Excel, Outlook, PowerPoint, OneNote)
Yuniel Alonso Negrin
RN, CPC, COQS
Cape Coral,FL
Summary
Detail-oriented clinical nurse with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable successful at managing multiple priorities with a positive attitude and willingness to take on added responsibilities to meet team goals.
Overview
10
10
years of professional experience
2
2
years of post-secondary education
2
2
Certifications
1
1
Language
Work History
Home Health Clinical Nurse/OASIS & Coding Q&A
Loving Care Home Health
Cape Coral, Fl, FL
02.2019 - Current
- Monitors patients, evaluates results, and recommends further courses of treatment to quickly improve patient outcomes.
- Reviews patient health status and develops individualized care plans.
- Facilitates patient and family education and counseling.
- Demonstrates knowledge of technical procedures and proper equipment use.
- Collaborates with multidisciplinary team to evaluate patient data and determine patient care plans.
- Stays current with health system initiatives and incorporated evidence-based practice and research into care routine.
- Develops and maintains collaborative relationships with healthcare providers.
- Reviews clinical information for appropriateness, congruency, and accuracy as it relates to OASIS and ICD-10 coding while using Medicare PDGM billing model and CMS guidelines.
- Reviews and communicates OASIS edit recommendations to each clinician to promote OASIS accuracy.
- Performs final reviews and OASIS locks.
- Prevents the occasion of Medicare denials by assuring proper coding on the plan of care and accurate OASIS documentation.
- Provides customer service education and acts as a resource to Medicare Certified Offices with regards to CMS guidelines, Home Care Coding, PDGM guidelines and billing related issues.
HCC Coder & Provider Services
United Healthcare Group
Miami, FL
01.2014 - 01.2019
- Performed a comprehensive review of medical records and provider encounters for assessment forms
- Corresponded with Health Plan coders for the resolutions of any coding discrepancies or questions
- Evaluated each medical record to ensure M.E.A.T statements and reported diagnoses were supported
- Reported all code findings according to project guidelines including several projects (Medicare, Medicaid, Commercial, and HEDIS projects)
- Maintained a 95% quality and required productivity.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Verified signatures and checked medical charts for accuracy and completion.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
Education
Associate of Science - Nursing Science
Active Health Institute
Miami, FL 01.2018 - 10.2019
Certified Professional Coder (CPC) - Medical Coding
AAPC
Virtual 03.2023 - 07.2023
Skills
Medical Records Management
Software
EMR (Epic, Wellsky, Kinser)
Licenses
Registered Nurse (RN) compact
RN9586017
Certification
Certified Professional Coder (CPC)
Timeline
Certified Professional Coder (CPC) - Medical Coding
AAPC
03.2023 - 07.2023
Home Health Clinical Nurse/OASIS & Coding Q&A
Loving Care Home Health
02.2019 - Current
Associate of Science - Nursing Science
Active Health Institute
01.2018 - 10.2019
HCC Coder & Provider Services
United Healthcare Group
01.2014 - 01.2019
Certified Professional Coder (CPC)
Certified OASIS Quality Specialist (COQS)
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