Certified Professional Coder (CPC-A) seeking a professional coding position utilizing my expertise and knowledge of nursing and medical procedures, healthcare administration policies, quality assurance and regulatory compliance. Self- directed professional, detailed oriented and dedicated to excel professionally and personally. Successful in managing time and prioritizing tasks.


CODING SKILLS:
• Out-Patient & In-Patient Coding
• ICD-10-CM, ICD-10-PCS
• CPT/HCPCS Level II
• Health Information Management
• CMS 1500 and UB-04 Claim Forms
• Healthcare Reimbursement
• Medical Terminology & Anatomy
• Pharmacology & Pathophysiology
• 3M Encoder / 3M Reference Software
• Knowledge of HIPAA/ Pt.Confidentiality
• Detailed Knowledge of Coding Guidelines
• APC and MS-DRG Assignments
• Clinical Data Analysis and Abstraction


EDUCATION:
Certification: CPC-A /AAPC (One year experience) 5/5/2018

Professional Medical Coding and Billing / Career Step 1/30/2018

Certificate of Graduation with Honors
• Coded over 250 outpatient reports and inpatient records.
• Types of reports coded include: Consultations, Emergency Room reports, History and Physical reports, Laboratory reports, Operative reports, Physician Orders, Procedure Notes, Progress Notes, Radiology reports, and Pathology reports.
• Coded reports in the following specialties: E/M , Anesthesia, Pathology, Psychiatric, General Surgery, Radiology, Gastroenterology, Dermatology, Urology, ENT, Infectious Diseases, Respiratory, Cardiology, Internal Medicine,
Neurology, Neurosurgery, Plastic Surgery, Oncology, Orthopedics, OB/GYN, Trauma,etc.
• ICD-10-CM and ICD-10-PCS coursework (635+hours) ICD-10 coding code set training.
• Familiarity with the AHA ICD-10-CM and ICD-10-PCS Coding Handbook.
• Extensive training in the biomedical sciences—medical terminology, advanced anatomy, pathophysiology, physiology, and pharmacology.
• Training in HIPAA and HIM reimbursement processes (CMS-1500 and UB-04 (5010) claim forms, MS-DRGs.

Lamar University Beaumont, Texas
Bachelor of Science Degree in Nursing (B.S.N. R.N.)
Associate of Science Degree in Nursing (A.D. R.N.)

Orange Memorial Hospital Orange, Texas
Certified Laboratory Assistant School – Diploma Awarded Medical Technologist
American Medical Technologist (AMT)

PROFESSIONAL EXPERIENCE:
Gentiva Odyssey Hospice – Beaumont, Texas
Volunteer 3/2014-3/2016
• Conduct home and facility visits to administer patient care plans as a member of an interdisciplinary team of
healthcare providers and social services professionals.
• Employ assessment, intervention, and nursing skills to identify and coordinate patient/family needs and maximize patient comfort and to enhance the quality of life to the patient/family unit.

Leave of Absence
• Attended to family member medical issues. 5/2012-3/2017

Portamedic – Houston, Texas
Paramedical Examiner (Independent Contractor) 1/2011–5/2012
•Conducted field paramedical examinations for life, health, disability, and long-term care policies.

Christus Health St. Elizabeth -Beaumont, Texas
Outpatient Surgery and Pain Management / Staff R.N. 9/2009–11/2010
• Provided pre- and post-operative care for a diverse patient population.
• Continuously monitored patients in post-operation; handled pain management; and provided patient and family education.

Medical Center of Southeast Texas – Port Arthur, Texas
Emergency Room / Staff R.N. 10/2008 – 9/2009
• Assessed, intervened and stabilized a variety of trauma and illnesses with decisive action.
• Maintained compliance with hospital protocols, procedures, quality, and safety policies.

GreenTree Administrators – Beaumont, Texas
RN Case Manager 11/2007 – 10/2008
• Conducted utilization review, pre-certification, and managed insured members in Disease Management and large case Management programs for a third party administrator.
• Provided education, directed patients to in-network providers for managed care, and assisted with claims management.
• Performed hospital and in-home visits for assessment, plan of care, and patient education.

Physician’s Cardiovascular Diagnostic Center – Beaumont, Texas
Staff RN/Quality Coordinator 6/2000 – 11/2007
• Provided pre, intra, and post operative patient care and evaluation.
• Created and managed Quality Program to ensure compliance of all company policies and procedures, and state, federal, nursing and OSHA regulations.
• Analyzed quality assurance data including statistics, customer satisfaction, clinical pertinence, utilization review, and incident reporting of compliance and operational benchmarking targets.
• Active role in Facility’s preparation of first successful Joint Commission Accreditation

EARLY CAREER
Development Manager for new Cardiac Rehabilitation Program, Cardiac Rehabilitation Manager, Medical Auditor, Cath. Lab Charge Nurse, Emergency Room R.N., and Intensive Care R.N.
• Career Portfolio available upon request