resume 2015
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Christina Gonzalez 210-401-3599 - 210- 264-1315 San Antonio, Texas [email protected] Non Smoker Willing to travel up to 50% QUALIFICATIONS: Expertise of medical terminology, anatomy and physiology, pathophysiology, treatment protocols, policies and procedures of inpatient and outpatient services Interpret and analyze medical record documentation, and extrapolate pertinent health information; verification of component parts of inpatient and outpatient medical record; determine all final diagnoses and procedures are applicable; collects data from all charts, paper and EMR, using pre- defined sets of measures and accurately enter data directly into an electronic health record data collection database Excellent ability to research of diseases and injury diagnoses, acuity of care, and procedures Knowledgeable of Microsoft Word, PowerPoint, Microsoft Excel 2010 and Microsoft Access, Microsoft office Broad medical experience also includes HIPPA rules and regulations, policy and procedures, Ethics compliance Experienced in various software applications, EMR to include, Cerner, Epic, Meditech, McKesson, Clinicomp, Citrix, Inovalon, Chart access, e Clinical Works, ODIS, Verisk, QHSR, Navigator ,Citirx, Inovalon Knowledgeable of CPT, ICD-9CM, HCPCS codes 3+ years experience in performing HEDIS medical record reviews and IRR over reads using multiple data programs. Review medical claims for compliance for national account services Team player, reliable, good interpersonal skills, flexible and responsive. Excellent verbal, written and interpersonal communication skills Work collaboratively with a wide range of healthcare professionalsm Client and detail oriented, analytical, ability to work independently in a time-oriented environment Researches all available resources on missing, conflicting or ambiguous information in the medical record Knowledgeable on the principles of risk management and patient safety with care management practices Excellent critical thinking and problem-solving skills EDUCATION:
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Christina Gonzalez210-401-3599 - 210- 264-1315
San Antonio, [email protected]
Non SmokerWilling to travel up to 50%
QUALIFICATIONS:
Expertise of medical terminology, anatomy and physiology, pathophysiology, treatment protocols, policies and procedures of inpatient and outpatient servicesInterpret and analyze medical record documentation, and extrapolate pertinent health information; verification of component parts of inpatient and outpatient medical record; determine all final diagnoses and procedures are applicable; collects data from all charts, paper and EMR, using pre-defined sets of measures and accurately enter data directly into an electronic health record data collection databaseExcellent ability to research of diseases and injury diagnoses, acuity of care, and proceduresKnowledgeable of Microsoft Word, PowerPoint, Microsoft Excel 2010 and Microsoft Access, Microsoft officeBroad medical experience also includes HIPPA rules and regulations, policy and procedures, Ethics complianceExperienced in various software applications, EMR to include, Cerner, Epic, Meditech, McKesson, Clinicomp, Citrix, Inovalon, Chart access, e Clinical Works, ODIS, Verisk, QHSR, Navigator ,Citirx, InovalonKnowledgeable of CPT, ICD-9CM, HCPCS codes3+ years experience in performing HEDIS medical record reviews and IRR over reads using multiple data programs. Review medical claims for compliance for national account servicesTeam player, reliable, good interpersonal skills, flexible and responsive.Excellent verbal, written and interpersonal communication skillsWork collaboratively with a wide range of healthcare professionalsmClient and detail oriented, analytical, ability to work independently in a time-oriented environmentResearches all available resources on missing, conflicting or ambiguous information in the medical recordKnowledgeable on the principles of risk management and patient safety with care management practicesExcellent critical thinking and problem-solving skills
EDUCATION:
2012 Certification in legal nurse consultant Kaplan University online2011 Bachelor of Science Degree, Grand Canyon University, Phoenix, Arizona2007 Associate Degree in Nursing, St Philips College, San Antonio, Texas2002 Licensed Vocational Nurse, St Philips College, San Antonio, Texas
DATA ABSTRACTION and AUDITING MEDICAL RECORDS
April 2015- May 2015- Quality Assurance Medical Record Auditor; RemoteCare National – San Antonio, TexasProvide quality process overview, help improve quality deficiencies, coaching if needed, production processes on a daily basis to ensure proper documentation is provided in reviews.
January2015-May 2015 Quality Nurse Management 3; RemoteManaged Staffing – San Antonio, TexasSeasonal medical record abstraction, accurately and efficiently conducted medical record review with national accounts using supplemental data abstraction.
February 2013- May 2015 Medical Record Abstractor/Nurse; RemoteMind lance Inc. – San Antonio, Texas
January 2014- May 2015 Medical Record Abstractor/nurse; RemoteManaged Staffing – San Antonio, Texas
Seasonal medical record abstraction, accurately and efficiently conducted medical record review for HEDIS measures. I schedule on-site visits with provider offices, clinics and other clinical facilities. I participated in required training for the company, communicated effectively and professionally with provider offices, clinics and other clinical facilities. I have the ability to multitask and troubleshoot problems independently. I have traveled to medical facilities in specified area of regions to complete chart reviews. I abide by all HIPAA and associated patient confidentiality requirements.
Behavioral Health Nursing:
June 2013- November 2013: RN/PRNLaurel Ridge Treatment CenterSan Antonio, Texas
Completes physical & mental health assessments, develops care plans for patients, helping them be as independent as possible, administers and monitors treatment regimens, observes and reports behavioral changes. Maintains control of drugs and medications, I helped with patients to improve their coping abilities. Worked with patients’ families to help improve the patient’s abilities & help they deal with family membersMental illness. I have documented all care information concisely, accurately and completely, in a timely manner, in the appropriate format and on the appropriate forms. I have performed other position-related duties as assigned, depending on assignment setting.
HOSPITAL EXPEREINCE:
April 2008 to December 2012: RNAcute Care facilities- Travel and San Antonio, Texas
Managed care from patients being admitted through discharge in a hospital setting to include: liaised between patients and physicians to ensure patient comprehension of treatment plans, instructed patients and family members on proper discharge care through developed patient care plans, including assessments, evaluations, and nursing diagnoses also providing necessary health education for patients and families.
NURSING HOME EXPERIENCE:
December 2002-2006: RNLong term care facilities San Antonio, Texas
LICENSURE/CERTIFICATION:
Medical Terminology Certificate Basic Life Support (BLS)Resource Utilization Group Certification (RUG)Registered Nurse CACPI Certification
Affiliations:
American Health Information Management Association (AHIMA)Association of Health Care Auditors and Educators (AHCAE)American Association of Medical Audit Specialists (AAMAS)American Association of Professional Coding (AAPC)Legal Nursing Consultant (LNC)
