Medical Registered Nurse

Vanessa D. Hill, RHIT

**** ********** **.

Louisville, KY 40229

Home: 502-***-****

abkpu6@r.postjobfree.com

SKILLS

. Experience in the preparation, maintenance, and management of medical

records and health information systems

. Knowledge of medical terminology, medical records procedures,

administrative and legal requirements of health care delivery systems.

. Able to analyze medical records to note deficiencies and ensure the

assigned ICD-9-CM and CPT codes adhere to coding sequencing and

guidelines.

. Knowledgeable of therapeutic and emergency nursing care under the

supervision of a physician or registered nurse.

. Knowledge of Charge master format, ROI and Transcription guidelines.

. Proficient in IT&S (Information Technology and Systems) DOS based

program.

WORK EXPERIENCE

December 5, 2002 to November 7, 2008 Capital Medical Center, 3900

Capital Mall Drive, SW, Olympia, WA 98502

PAS/HIM Liaison

. Manages the Bill 49, MSC and ORC reports and takes corrective action to

process accounts.

. Assists coders in obtaining documentation and prepares write-off log and

submits to PAS.

. Assists in the education of the Medical Staff & ancillary services on

documentation to support medical necessity.

. Assists with the education of the coders to ensure appropriate use of the

Local Medical Review Policies (LMRPs).

. Conducts audits as assigned.

. Serves as liaison between PAS & ER/ancillary departments in

identifying/resolving changing registration issues.

. Maintains close relationship with the Revenue Integrity auditors and the

various PAS Managers to assure timely and accurate code assignments.

. Codes in accordance with current principles of ICD-9-CM, CPT, and DRG

guidelines as outlined in AHA Coding Clinic, CPT Assistant, and any

regulatory requirements.

. Abstracts into the code 3M system in accordance with departmental

policies and guidelines.

. Maintains coding standard/productivity.

. Maintains accuracy rate of at least 95%.

. Manages Hospital Charge Master according to health care billing

standards. Understands Medicare and Medicaid regulations.

. Obtains continuing education hours as required.

. Manages ROI per HIPPA guidelines to various legal and other health

agencies.

. Maintains correct transcription guidelines for correct dictation reports.

September 4, 2000 to September 2, 2001 AMVETS, Post #1, 5717 South Tyler

Street, Tacoma, WA 98409

Administrative Assistant

. Worked at the AMVET Service Office assisting veterans, widows and Active

Duty soldiers with questions concerning the VA.

. Assisted with obtaining medical records, reviewing medical data and

filing claims to the Seattle VARO.

. Processed medical board claims for Active Duty soldiers of all branches

of the Armed Forces.

February 28, 2000 to 28 March 2000 Madigan Army Medical Center,

Tacoma, WA 98431

Independent Contract for the Geneva Foundation (Department of Clinical

Investigation)

. Responsible for Continuing Annual Protocol Reviews of all research

protocols done in the hospital.

. Prepared protocols for committee meetings to be reviewed and ensured

consent forms were updated.

August 1996 to December 1999 Madigan Army Medical Center, Tacoma, WA

98431

Instructor, 91C3H, Practical Nurse Course, Department of Nursing

. Responsibilities included the administration of a program of instruction

in a 46 week Phase II Practical Nurse Course, ensuring skill progression

of up to 110 enlisted soldiers.

. Prepared lesson plans and presented didactic instruction maintaining

productive educational environment.

. Served as a clinical instructor for up to 12 students per rotation on a

surgical ward. Evaluated and documented student nursing skills and

performance.

. Performed advanced nursing procedures and provided technical guidance,

advice to subordinates and managed large or multiward units.

. Prepared nursing care plans and supervises implementation of these plans;

conducts in-service programs.

. Can perform lectures and practical leadership, communications, resource

management, training management and professional skills.

October 1994 to August 1996 Madigan Army Medical Center, Tacoma, WA

98431

Practical Nurse, 91C30, Department of Nursing

. Prepared and administered medications and treatments as directed by

physicians; makes appropriate chart annotations and writes nursing notes

using computerized and paper systems

. Assisted patients in activities of daily living

. Served as team leader for 2-5 paraprofessionals;

. Served as Wardmaster in incumbent's absence.

EDUCATION

. Tacoma Community College, Tacoma WA

Health Information Management Course

RHIT certified June 2002

. Madisonville Health Occupational School, Madinsonville, KY

LPN, 1986

TRAINING

. U.S. Army Basic Training, September 1986-November 1986

. General Medical Orientation, November 1986-December 1986

. Primary Leadership Development Course, September 1987-October 1987

. Wound/Ostomy Course, April 1991

. AMEDD NCO Basic, August 1992-September 1992

. Faculty Development Course, April 1997

. Attended various clinical sites while attending school.

ADDITIONAL SKILLS

Practical Nurse. Proficient in Anatomy/ Physiology, Database

administration, MS Office 2000, Access, Excel, Word, PowerPoint, WIN 98, NT

work station standalone, dBase, CHCS (Composite Health Care System), CIS

(Clinical Information System), Customer Service, Internet research, program

installation/configuration, develop and present units of instruction using

varied learning strategies, instructional aids and applying appropriate

classroom management. MSC information website.

AWARDS

Army Achievement Medal; Navy Meritorious Unit Commendation; Good Conduct

Medal; Army Commendation Medal; NCO Professional Development Ribbon; Armed

Forces Expedition Medal; Overseas Ribbon; Army Service Ribbon; Meritorious

Unit Commendation Medal; Joint Meritorious Unit Award; Meritorious Service

Award; Employee of the Month

References upon request

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