KELLY VERA BSN, MPH CCS

Las Vegas, NV ***** 702-***-**** ad1ah6@r.postjobfree.com LinkedIn Profile

CLINICAL DOCUMENTATION IMPROVEMENT INPATIENT HOSPITAL CODER

Dedicated Healthcare Professional, Focused on Ethics, Compliance, and Patient Satisfaction

PROFESSIONAL SUMMARY

United States Air Force Veteran and experienced healthcare professional having recently completed a Certificate in Medical Billing & Coding, skilled in collecting and verifying patient demographic, and insurance information and preparing and maintaining accurate medical records.

Knowledgeable in health records management, healthcare administration, ICD-10 CM, ICD-10 PCS, CPT Coding, HCPCS, and HIPAA guidelines.

Commitment to compliance, policy, and process improvements, applying investigative and interviewing techniques to improve chart coding accuracy.

Establishing interpersonal relationships to interact effectively with all staff to covey information for coding and facilitate accurate DRG reimbursement.

Skilled in Microsoft Office (MSWord, Excel, and PowerPoint), Electronic Health Records (EHR), and the ability to learn new software applications. Typing (35 wpm).

CORE COMPETENCIES

Medical Terminology

Health Information Systems

Patient Billing and Collections

Patient Scheduling

Patient Satisfaction

Self-Motivated

Customer Service

Team Oriented

Clear Communication Skills

Organizational Skills

Team Building

Attention to Detail

Critical Thinking

High Level of Accuracy

HIPAA Guidelines

Time Management

Medicare & Medi-Cal

EDUCATION

Undergraduate Certificate in Medical Billing & Coding October 2023

DeVry University, Las Vegas, NV

Relevant Curriculum:

Medical Terminology

Health Information Processes

Human Anatomy and Physiology

Pathopharmocology

Legal and Regulatory Issues in Health Information

Health Services and Information Systems

Current Procedural Terminology Coding I & II (CPT)

International Classification of Disease Coding 1 & II (ICD-10 CM & ICD-10 PCS)

Master’s Degree in Public Health October 2022

Baylor University, Waco, TX

CERTIFICATION

Certified Coding Specialist (CCS) Anticipated Exam Date: November 2023

American Health Information Management (AHIMA).

KELLY VERA

Las Vegas, Nevada 702-***-**** ad1ah6@r.postjobfree.com LinkedIn Profile

PROFESSIONAL WORK EXPERIENCE

Nellis AFB, Las Vegas, NV January 2023 to August 2023

Nurse Consultant for the Defense Health Agency

Reviewed clinical documentation for appropriate disposition/utilization for patients.

Managed 6-8 RNs and Social Workers delivering case management for inpatient and outpatient services.

Spectrum Government Services, Nellis AFB January 2021 to January 2022

Outpatient Case Manager

Reviewed patient charts for accuracy and authorization of benefits for HMO members.

Assessed for correct coding of ICD 10 DX and CPT coding.

United Health Care Palliative Care, Las Vegas, NV June 2018 to January 2021

Case Manager

Case Management of adults who suffer from debilitating chronic conditions and desire to seek aggressive treatment.

Completed comprehensive patient assessments to identify needs for medical management and advanced chronic illness and identify gaps in care to reduce non-productive medical interventions.

Applied benchmark symptom management protocols per CCM and ANCC certification standards.

Nellis Air Force Base Family Medicine Residency Clinic, Las Vegas, NV August 2017 to April 2018

Triage Nurse Using the Patient-Centered Home Model

Oversaw 12-15 employees and enlisted staff for quality patient care and interacted with medical residents to facilitate their learning.

Centennial Hills Hospital Emergency Room, Las Vegas, NV December 2016 to August 2017

Emergency Department Nurse

Delivered Emergency department nursing care and provided nursing care often to children and adults.

Valley Health System Consolidated, Las Vegas, NV June 2015 to August 2017

Nurse Educator

Taught ICU and Medical Surgical Nursing per the National League of Nursing to new graduates.

Created workflows for insulin protocols, wound management, tracheostomy care, ventilator management,and sepsis protocols.

Collaborated with Fresenius consultant to develop handoff protocol for interface with dialysis patients, satisfying Joint Commission remedial action.

United States Air Force March 2007 to May 2015

Critical Care Nurse/CCATT/Trauma

Successfully deployed two tours in Afghanistan as a trauma nurse

Army Commendation Medal recipient, Air Force Achievement Medal, Outstanding Unit Award.

AWARDS and ACKNOWLEDGMENTS

Sigma Theta Tau Nursing Honor Society - Since 2015

AHIMA Member - Since 2022

Contact this candidate