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medical review, nurse paralegal medical biller/coder

Location:
San Antonio, TX
Salary:
55,000- 65,000 per year
Posted:
August 03, 2012

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Resume:

Christina Gonzalez BSN LNC

210-***-****/***- ***-1315

*****.***********@*****.***

CAREER OBJECTIVE: Medical Review, Nurse Paralegal, Medical Coding.

PROFILE: Self-motivated problem solver with proven leadership and collaborative abilities. I am focused, pragmatic, and capable. I am an achiever, knowledgeable, and influential with being a self starter.

QUALIFICATIONS:

Expertise of medical terminology, anatomy and physiology, pathophysiology, treatment protocols, policies and procedures of inpatient and outpatient services.

Knowledge of ICH, GCP and FDA regulations,

Adept at interpreting, analyzing information, organizing, summarizing of medical records.

Excellent ability to research of diseases and injury diagnoses, acuity of care, and procedures, including to retrieve and review medical data and literature.

Knowledge of Microsoft Word, Excel, PowerPoint, and E-mail software applications.

Knowledge of ICD-9 codes.

References used for research to include the current International Classification of Diseases (ICD), Clinical Modification; American Medical Association Physicians' Current Procedural Terminology (CPT), Health Care Common Procedure Coding System (HCPCS), Physicians' Desk Reference

Broad medical experience also includes HIPPA rules and regulations, policy and procedures, scheduling, and reports.

Key strengths: communication, knowledgeable, leadership and interpersonal skills; multi-tasking and overall resourcefulness.

EDUCATION:

2012 Studying for the CPC exam.

2012 Legal Nurse Consulting Certificate Program, Kaplan University, Davenport, Iowa

2011 Bachelor of Science degree, Grand Canyon University, Phoenix, Arizona

2007 Associate Degree in Nursing, St Philips College, San Antonio, Texas

PROFESSIONAL EXPERIENCE:

January 2012- February 2012

Sutter Hospital Alpha Bates – Oakland, California

Managed care for post-operative patients through discharge. Performed lab tests and communicated results. Managed team of medical support personnel. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Monitored acute conditions and developed patient care plans, including assessments, evaluations, and nursing diagnoses.

November 2011 to January 2012

Lee Memorial healthcare System - Fort Myers, Florida

Managed care for post-operative patients through discharge. Performed lab tests and communicated results. Managed team of medical support personnel. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Monitored acute conditions and developed patient care plans, including assessments, evaluations, and nursing diagnoses. Provided necessary health education training for patients and family members.

December 2010 to March 2011

St Mary’s Hospital – Tucson, Arizona

Managed care for post-operative patients through discharge. Performed lab tests and communicated results. Managed team of medical support personnel. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Monitored acute conditions. Developed patient care plans, including assessments, evaluations, and nursing diagnoses. Provided necessary health education training for patients and family members

November 2009 to April 2010

Christus Santa Rosa Hospital – San Antonio, Texas

Managed care for post-operative patients through discharge. Performed lab tests and communicated results. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Monitored acute conditions. Developed patient care plans, including assessments, evaluations, and nursing diagnoses. Provided necessary health education training for patients. Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials. Acted as patient advocate and implemented total patient care through a team nursing process covering 8-10 high acuity patients per shift. Provided patient education.

April 2008 to October 2009

NE Methodist Hospital – San Antonio, Texas

Managed care for post-operative patients through discharge. Performed lab tests and communicated results. Liaised between patients and physicians to ensure patient comprehension of treatment plans. Instructed patients and family members on proper discharge care. Developed patient care plans, including assessments, evaluations, and nursing diagnoses. Provided necessary health education training for patients. Monitored patient reactions to drugs and carefully documented progress of individuals participating in clinical trials. Evaluated staffing requirements and floor assignments and implemented new requirements based on evaluation. Demonstrated ability to lead and motivate outstanding healthcare teams. Provided patient education. Ensured HIPAA compliance. Treated patients with strokes, head traumas, comas, and intracranial hematomas. Provided diagnoses and treated patients with chronic and acute health problems (MI, arrhythmias, asthma, COPD, pneumonia. Provided behavioral/emotional support and supervision for those with dementia and Alzheimer's.

LICENSURE/CERTIFICATION

Legal Nurse Consultant (CLNC)

Medical Terminology Certificate

Basic Life Support (BLS)

Advanced Cardiac Life Support (ACLS)

Resource Utilization Group Certification (RUG)

Registered Nurse (RN)

AFFILIATIONS

American Academy of Professional Coders (AAPC)

Technical Advisory Service for Attorneys (TASA)

American Association of Legal Nurse Consultants (AALNC)



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