RN, CPC
Resume:
NAOMI BELL, RN, CPC
*****@*****.***
San Antonio, Texas
PROFESSIONAL SUMMARY
** ***** ******* ** ** RN in a variety of settings- acute care, home health, and managed care
Clinical coding experience using ICD-9-CM for Medicare Advantage HCC Chart Review Process
Self-motivated, with ability to work well independently, as well as with team members
Experience working onsite and remotely
Gather and analyze necessary data to identify problems and implement appropriate solutions using initiative and sound nursing judgment
High aptitude for learning new technologies, processes and skills
Proficient typist with strong knowledge of computer applications to include Microsoft Office
EXPERIENCE
Clinical Coding Nurse 5/11- 6/12
Wellmed Medical Management (In office, Field & Travel)
• Proactively review medical records documentation to ensure that coding is compliant with standards set by CMS's HCC methodologies and the ICD-9-CM Official Guidelines for Coding and Reporting.
• Perform clinical coding review with high level of accuracy and strong attention to detail
• Prepare written summary of findings and recommendations to providers and staff
RN Medical Record Reviewer 12/08-05/11
MedAssurant (Remote & Field Based)
• Retrospectively verify the accuracy, completeness, specificity and appropriateness of diagnosis codes based on documentation reviewed.
RN Admissions Nurse/Case Manager 01/08-07/08 (contract)
Christus Homecare, San Antonio, TX
• Patients included geriatric population
• Field nurse for home health patients coordinating discharge planning from hospitals or other facilities in area
• Perform initial assessment and determination of medical necessity for home health services
RN Field Case Manager 10/06-1/08
A & B Home Healthcare, Inc. New Braunfels, TX
• Field nurse for home health patients coordinating discharge planning from hospitals or other facilities in area
• Perform initial assessment and determination of medical necessity for home health services
• Coordinated services as needed (Nurse, PT, OT, DME, etc.)
• Maintain a caseload of 30 patients and assured the continuity of quality care
• Assess continued eligibility for home health services through Recertification, Resumption of Care and/or Discharge to ensure compliance with state and federal regulations
RN Field Case Manager 03/06-01/07
Nurses in Touch, Floresville, TX
• Patients included geriatric population
• Perform initial assessment and determination of medical necessity for home health services
Clinical Nurse Consultant (Disease Management Nurse) 10/05-03/06
Life Masters, Inc. San Antonio, TX
• Disease case management for members with DM, CHF, COPD, Asthma, and CAD
• Spoke to member and educated them on their disease process
• Encourage members to make healthy lifestyle changes
RN Field Case Manager 03/05-07/05
Restorative Healthcare
• Worked in the field assessing patients and coordinating patient care
Flex Nurse, Med-Surg 03/04-3/05
Maxim Healthcare, San Antonio, TX
• Agency RN on assignments in San Antonio in med-surg
Med-Surg Staff Nurse 05/00-06/04
University Hospital
Med-Surg Staff Nurse 3/96-04/00
Baptist Health System
EDUCATION
Associate of Science Degree- Nursing 01/93-12/94
Cardinal Stritch University
CREDENTIALS
RN license: Active, unrestricted for the State of Texas 625815
CPC, through AAPC, 01177956
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