Elizabeth (Leasa) Geurian-Twilling

**** * **** ******

Broken Arrow, OK 74012

918-***-****

acr7hs@r.postjobfree.com

OBJECTIVE

I am seeking part- time or PRN employment in a position where I can expand my coding skills and knowledge I have gained through education and work experience in the field of Medical Coding. I am certified as a CCA and also possess a LPN license in both Arkansas (on inactive status) and Oklahoma with 18 years combined experience in Acute Care Nursing, Long Term Care Nursing, Compliance, Managed Health Care, Medical Records, and Pharmaceuticals. I am seeking a position within an organization that values honesty, hard work and integrity where I can utilize my Nursing and Coding skills to enhance my employer’s operations and further my career. I am a very detailed worker and enjoy learning new things.

EMPLOYMENT HISTORY

Community Care Managed Healthcare Plans of Oklahoma, Tulsa, OK 2006-Present

Patient Care Research Specialist Medical Management

Review requests for medical services. Make decisions according to guidelines and criteria and

refer cases to Medical Director when appropriate. Document decisions and relevant clinical

in Amisys system.

Communicate decisions and processes to providers.

Initiate Letters of Agreement for required services.

Review claims/authorization issues retrospectively.

Work with Provider Relations and Contracting and participates in provider network liaison

meetings.

Responsible for updating the Medical Management Departments Benefit Interpretation manual ensuring decisions are made using the most recent information from sources such as NCD’s, LCD’s, ACA Guidelines and most current industry practice standards.

Serve on the Benefit Implementation Committee, Medicare Committee and MTRIC (Medical Technology, Research and Implementation) Committee.

Coweta Manor Nursing Home 2010-2012 LPN Charge Nurse Weekend Option

Managing patient care and staff for front of facility, ensuring patient safety and policies were adhered to. Wound care, required charting, reporting of incidents, ensuring we were compliant with staff to patient ratios. Reporting to RN weekend coverage nurse or Nursing Home Administrator.

St. Edwards Mercy Health Network, Fort Smith, AR 1991-2006

Out Patient Data Analyst/LPN Scheduler 2002-2006

(Employed under Elizabeth Williams prior to 2005)

Receive, Audit and Maintain daily reports such as: Room & Bed Reconciliation; Inpatient, Daily Outpatient Admission; Daily Inpatient Discharge; Daily Cancel O/P Admission; Daily Cancel Admission; MPI Activity admission

Audit accounts for accuracy of charges and release to the Billing Department once accurate.

Work closely with physician offices on Compliance issues and incomplete orders

Review Outpatient orders for Medical Necessity and Compliance for reimbursement utilizing LMRP’s

Code records to screen for medical necessity utilizing ICD-9-CM, CPT and HCPCS Level II.

Receive and clarify physician’s verbal orders and maintain log of recurring orders within Outpatient.

Devised new system for maintaining recurring orders in order to decrease wait time for patients.

Resource for ACC and Patient Registration for computer system and software applications

Licensed Practical Nurse – Medical Surgery Floor 1999-2002

IV Certified

Administered CAPD

VAC wound care

Skilled Nursing Documentation

Medical Records Department Records Clerk II 1995-1999

Processing and completion of medical records in Compliance with Joint Commission on Accreditation of Hospital Organizations, the State Health Department, Medical Staff by-laws, Rules and Regulations and hospital policy

Assembly and analysis of all records in approved format.

Tagging chart deficiencies and entering them in system.

Maintain close working relationship with medical staff, nursing and ancillary departments in order to complete charts accurately

Pharmacy Technician II & III 1994-1995

Filling of drug orders, narcotic control, inventory control and maintenance of required records under the direction of a Licensed Pharmacist.

Generate reports for departmental use and identification of errors

General data entry and charge entry and credit of drugs

Medical Records Department Release of Information Secretary 1993-1994

Responsible for hospital-wide controlled release patient medical record information as requested for continuity of patient care, settling third party payment claims, and responding to legal inquiries

Protect patient’s right to confidentiality and authorized access to medical record information according to hospital policy and HIPPA regulations

Billing and receiving payments for medical records, maintaining detailed account for monies received

Work with Risk Manager with regard to requests and copies obtained for legal purposes

Medical Records Department Clerk I & II 1991-1993

Ensure receipt of all records upon discharge of inpatients, outpatient surgical, outpatient testing, and observation patients

Assembly and quantitive analysis of these records for required documents and signatures

Work closely with physicians to ensure timely completion of the medical records

File and retrieve records from hard copy, microfilm and microfiche.

Care Network, Fort Smith, AR 2004-2005

(Worked on a part time basis while employed at St. Edwards)

Home Health visits within Fort Smith and the surrounding area

Worked unsupervised under the direction of a RN

In-home IV therapy

Wound care

Patient education

PRN Medical Staffing 2003-2005

LPN shift coverage in local nursing homes and hospitals

EDUCATION

Career Step, Provo, UT 2014-2015

Online education course for medical coding and billing, ICD-10 medical coding. Course successfully completed.

Carl Albert State College, Poteau, OK 1999-2000

Basic classes including Psychology, English, and History

Arkansas Valley Technical Institute, Ozark, AR 1998-1999

Completed Practical Nursing Program

CLINICAL SKILLS

IV Certified; CAPD; VAC Wound Care; PCA Pump; Venipuncture for Lab

SKILLS

Microsoft Word, Outlook and Excel; Cerner Applications; Healthworks; HBOC Star Networks; Excel Care; AR/OK Medicare Web Sites; AR Blue Cross/ Blue Shield; Arkansas Medicare Services; Code Correct; Office Bridge, Amisys, Interqual, limited use of 3M Encoder.

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