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Registered Nurse Medical

Location:
Quezon City, Quezon City, Philippines
Salary:
60000
Posted:
September 17, 2019

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Resume:

Christine Jane I. de Leon RN, CPC, LPT

L** B** Kasiyahan Road, Karangalan Village, Brgy. San Isidro, Cainta, Rizal

+639**-***-****

adadk6@r.postjobfree.com

Objective:

To obtain a position that would best fit my qualifications and enhance my skills for continuous career advancement

Education:

Continuous Profession for Teaching Education, 2012-2013

Bulacan State University

Guinhawa, City of Malolos, Bulacan

Bachelor of Science in Nursing, 2006-2010

Bulacan State University

Guinhawa, City of Malolos, Bulacan

Work Experience:

Employer: Shearwater Health Advisors Inc.

Date Covered: Nov 2015 to July 2019

Position: Medical Coder and Training Specialist for Risk Adjustment, HEDIS and Document Inventory

Plans, assesses, organizes, coordinates, conducts and evaluates all coding training programs and activities. These include New Hire Training, Compliance Trainings, Refresher Courses, Specialty Trainings, Continuing Educations, Cross-Trainings, etc.

Creates interactive and effective training presentations

Creates documents, maintains and organizes Training Library

Maintains the Compliance standards according to the company policies and procedures

Continuously conducts researches, reports, new methodologies, best practices and analyses

HC training program’s efficiency improvement

Works with the Operations and Quality Assurance Teams to analyze performance feedback and resolve issues

Assists in accreditation requirements accomplishment

Additional tasks may include (but not limited to):

Answering questions and reviewing cases from production and QA team, via phone, e-mail, or in person

Escalating issues to supervisor as necessary

Reports Compliance issues accordingly

Conduct and attend team meetings

Coaching

Employer: Altegra Health Philippines, Inc. 17th Floor Picadilly Star Building, 4th Ave corner 27th Ave, Bonifacio Global City, Taguig

Date Covered: March 2013 to Oct 2015

Position: Senior Clinical Abstractor

Assigns ICD-10-CM codes to the principal and secondary diagnoses.

Maintains confidentiality and safeguards the privacy of PHI.

Undertakes special projects and other duties as assigned by the Coding Manager

Clinical Abstraction assignments may include work from all lines of company business

Review assigned medical records and apply appropriate diagnostic codes and modifiers according to Generally Accepted Medical Coding Guidelines, ICD-10-CM Guidelines and CMS Correct Coding Initiatives, coding guidelines approved by CMS, and all rules, regulations and guidelines promulgated by CMS and applicable to contractors and subcontractors of CMS-approved sponsors (collectively “Standards”), all as reasonably interpreted by the Company

Review assigned medical records and document measure specific clinical data according to NCQA technical specifications for hybrid medical records reviews

Review assigned medical records and document relevant clinical data according to stated study objectives

Other specific details of the job will be made known to the employee by their immediate supervisor, which may be in varying scope dependently on prevailing project undertakings

Requires the ability to perform and complete diagnostic coding, abstraction of pharmaceutical studies, HEDIS medical records review and other related duties in a high quality and productive environment

HEDIS Reviews: reviewed designated medical records and documented the measure specific to clinical data

Employer: San Roque Hospital - Liang, City of Malolos, Bulacan

Date Covered: April 2010 to January 2013

Position: Staff Nurse

Assess patient health problems and needs, develop and implement nursing care plans,

and maintain medical records.

Administer nursing care to ill, injured, convalescent, or disabled patients.

Monitor, record and report symptoms and changes in patients' conditions.

Consult and coordinate with health care team members to assess, plan, implement and evaluate patient care plans.

Adhering with the protocols, norms, rules and regulations to maintain complete medical records.

Keeping an eye on each aspect of patient care that includes physical activity plus proper diet.

Achievements:

Certified Professional Coder

Licensed Professional Teacher

Philippine Registered Nurse

Special Skills:

Computer Literate (MS Word, Excel, Power Point, Adobe Photoshop, Canva)

Drawing and sketching

Character References:

Rosevi Mee Ravelas Quality Assurance Specialist

Company Confidential

091********

Brigette Vicente Quality Assurance Specialist

Company Confidential

090********

Dyan Valerie Hipol Training Supervisor

Company Confidential

091********

I hereby certify that all information above is true and correct.

Christine Jane I. de Leon

Applicant’s Signature



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