Patient Care Home Health
Resume:
VENESSA HORD
TITUSVILLE, FL 32780
*****.******@*****.***
OBJECTIVE:
Dedicated healthcare professional with 15 years of nursing experience, complemented by 10 years in medical billing, auditing, and transcription, and 5 years of successfully managing a team of 35 professionals. Seeking a remote, weekend-based position where I can leverage my clinical expertise, leadership skills, and in-depth knowledge of healthcare operations to contribute to a dynamic organization. Adept at optimizing workflows, ensuring compliance, and enhancing efficiency in medical documentation and financial processes. Passionate about delivering high-quality work while maintaining accuracy and integrity in healthcare administration. EXPERIENCE:
Haven Home Health, MHC 7 Oct. 2024- Present Titusville, FL Clinical Manager
• Ensure high-quality, patient-centered care by overseeing the development and implementation of individualized care plans.
• Monitor patient progress, address concerns, and make necessary adjustments to care plans in collaboration with healthcare teams.
• Ensure compliance with federal, state, and agency regulations regarding patient care and safety. • Recruit, train, mentor, and evaluate clinical staff to include nurses and therapists. • Provide leadership, guidance, and performance feedback to maintain high standards of patient care. • Conduct regular team meetings to discuss patient cases, policy updates, and professional development. • Ensure adherence to Medicare, Medicaid, and other regulatory requirements for home health care. • Conduct audits and compliance reviews to ensure documentation and care practices meet industry standards.
• Assist in budgeting, cost control, and resource allocation to ensure financial stability. • Collaborate with billing and coding teams to ensure accurate documentation and reimbursement. • Act as a liaison between physicians, hospital discharge planners, and other healthcare providers to facilitate smooth transitions of care.
• Develop and update clinical policies and procedures in alignment with best practices and regulatory changes.
• Implement infection control, emergency preparedness, and risk management protocols. • Ensure staff are trained on new policies and industry standards.
• Oversee the use of electronic health records (EHR) and ensure proper documentation of patient care. • Train staff on documentation best practices to enhance efficiency and accuracy.
• Monitor data analytics to identify trends and opportunities for improvement in patient care and operational performance.
• Oversee the integration of behavioral health services within home health care to ensure comprehensive patient care.
• Develop and implement care coordination strategies for patients with mental health and substance use disorders.
• Foster partnerships with community organizations to improve access to behavioral health resources and support services.
Buena Vida Estates Assisted Living & Memory Care Oct. 2023- Oct. 2024 Melbourne, FL Charge Nurse Sullivan 3
• Supervise and coordinate daily nursing care for residents in assisted living and memory care units. • Assess residents’ health conditions and develop individualized care plans in collaboration with healthcare providers.
• Administer medications, treatments, and therapeutic interventions per physician orders and facility protocols.
• Monitor residents for changes in health status and respond promptly to emergencies or critical situations. • Provide leadership and guidance to nursing staff, including CNAs, ensuring adherence to care standards. • Conduct staff training on dementia care, safety protocols, and infection control measures. • Ensure compliance with state and federal regulations, as well as facility policies and procedures. • Communicate effectively with residents, families, and healthcare teams to coordinate care and address concerns.
• Maintain accurate and timely documentation of patient care, assessments, and interventions. • Oversee infection control measures, fall prevention strategies, and overall resident well-being initiatives. • Participate in care conferences, quality improvement programs, and interdisciplinary team meetings. 39th Rescue Squadron- HC130J and Pararescue Jumpers Oct. 2020- Aug. 2023 Patrick SFB, FL Aviation Resource Manager
• Manage flight records, aircrew qualifications, and mission scheduling for rescue squadron personnel, including pararescue (PJ) members.
• Ensure compliance with Air Force regulations, aviation resource management policies, and operational readiness standards.
• Maintain and update flight duty logs, aircrew training records, and deployment readiness status for high risk rescue operations.
• Coordinate with operations, medical, and maintenance teams to facilitate mission planning for human spaceflight recovery, hurricane evacuations, combat search and rescue (CSAR), and aeromedical evacuations.
• Track and process flight pay, incentive pay, and aircrew duty status changes.
• Schedule and monitor pararescue training events, ensuring personnel maintain currency and mission readiness for space capsule water recoveries, disaster response, and humanitarian relief missions. • Manage aeromedical evacuation and rescue mission data, ensuring accurate reporting and documentation.
• Provide administrative support for squadron leadership, including briefings, reports, and compliance audits.
• Conduct audits of aviation resource management systems to ensure data accuracy and integrity. • Train and supervise personnel in aviation resource management procedures and software systems. • Serve as a liaison between aircrew, command staff, and operational support teams to optimize mission effectiveness.
• Maintain classified and sensitive information security in accordance with military protocols. • Oversee operational scheduling and readiness for NASA astronaut recovery missions, emergency response to natural disasters, and personnel extractions from hostile environments. JTS Health Partners Aug. 2019 - Present Remote Nationwide Professional Remote Coder (E&M) / AR Follow Up Specialist
• Accurately assign CPT, HCPCS, and ICD-10 codes for professional services, focusing on Evaluation & Management (E&M) coding for outpatient, inpatient, and specialty visits.
• Review provider documentation to ensure proper code assignment and compliance with CMS, AMA, and payer-specific guidelines.
• Apply medical necessity and coding guidelines to support appropriate reimbursement and minimize denials.
• Perform audits of medical records to validate E&M level selection and ensure adherence to coding policies.
• Collaborate with physicians and clinical staff to clarify documentation and provide coding education. • Utilize electronic health records (EHR) and coding software to input, review, and validate coding accuracy.
• Identify and correct coding discrepancies to prevent compliance risks and revenue loss. • Stay updated on regulatory changes, including Medicare guidelines, risk adjustment, and HCC coding. • Analyze coding trends and generate reports to support revenue cycle and billing efficiency. • Assist in appeals and claim rework for denied services, ensuring proper coding justification. • Train new coders and provide ongoing education on coding updates and best practices. • Monitor outstanding accounts and follow up on unpaid or denied claims to maximize revenue recovery. • Research and appeal denied claims by gathering necessary documentation and submitting reconsideration requests.
• Communicate with insurance companies, patients, and providers to resolve billing disputes and verify claim status.
SKILLS:
• Intravenous Therapy Cert. •
ICD-10, CPT, HCPCS
• HIPPA Compliance
• Patient Education
• Team Collaboration &
Leadership
• EPIC EHR System
• TruCode Encoder
• GehriMed
• Optum360
• ZirMed
LICENSES &
CERTIFICATIONS:
• Wound Care & Dressing
Changes
• Insurance Claims &
Reimbursement Processing •
Critical Thinking & Problem
Solving
• CERNER Systems
• Kareo System
• AdvancedMD
• eClinicalWorks
• Practice Fusion
• Infection Control & Safety •
Medicare, Medicaid, Private
Insurance
Knowledge
• Time Management &
Multitasking
• 3M CodeFinder
• Medisoft System
• NextGen Healthcare •
McKesson Practice •
Waystar
• AHIMA- CCS
• AHIMA-CCP
• AAPC- CPC
• AAPC- CRC
• AAPC-CPMA
• NHA- CBCS
• AHIMA- RHIT
• AHIMA-RHIA
• AAPC- CPB
• AAPC-COC
• AAPC- RCMS
• State of MO- IV Therapy & Phlebotomy
Cert.
Contact this candidate