Yasmin L.
Mid-Level Home Health Medical Coder
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Yasmin L. is a dedicated and experienced registered nurse with a focus on delivering high-quality patient care across various healthcare settings, including hospital, specialty, and remote environments. She has extensive expertise in pain management, utilization review, and medical coding, as evidenced by her work as a Home Health Medical Coder and Nurse Reviewer. At Shearwater Health, she ensured accuracy in the coding of home health diagnoses using ICD-10 and OASIS. Yasmin collaborated with clinicians to maintain compliance and resolve documentation discrepancies. Her role at Access Healthcare involved conducting utilization reviews and prior authorization, evaluating medical necessity, and ensuring patient outcomes. Her earlier experiences at King Saud University Medical City and King Fahad Specialist Hospital involved comprehensive care in pain management services and high-risk maternity wards. Yasmin’s educational background in nursing from Sacred Heart College further supports her role as a clinical resource and change agent in healthcare practices.
Experience
Home Health Medical Coder
Shearwater Health · 2022 — 2025Utilized ICD-10 and OASIS for accurate coding of home health diagnoses based on clinical documentation. Conducted reviews of OASIS assessments to ensure compliance with regulations and reimbursement accuracy. Worked with clinicians to clarify documentation and address discrepancies, maintaining a high level of coding accuracy.Nurse Reviewer
Access Healthcare · 2020 — 2022Executed utilization reviews and prior authorization processes in line with clinical criteria while evaluating medical necessity and treatment appropriateness. Partnered with healthcare providers to promote quality patient outcomes.CSR III Optum RX Prior Authorization
TeleTech · 2019 — 2020Managed prior authorization requests for prescription medications, ensuring effective communication with providers, pharmacies, and members while adhering to relevant policies and regulatory requirements.Nurse Associate
EXL · 2018 — 2019Assisted in the clinical review process and contributed to healthcare documentation. Supported activities related to utilization management and quality assurance.Staff Nurse II – Pain Management
King Saud University Medical City · 2015 — 2018Provided comprehensive care in pain management, assisting physicians with advanced procedures and educating patients and families regarding pain control and recovery.Charge Nurse – Pain Management Service
King Fahad Specialist Hospital · 2010 — 2014Oversaw the pain management services, coordinating multidisciplinary care and leading staff training on PCA, epidural analgesia, and nerve blocks while participating in quality assurance studies.Staff Nurse – High-Risk Maternity Ward
King Fahad Specialist Hospital · 2003 — 2010Delivered specialized nursing care for high-risk obstetric patients, monitoring maternal and fetal conditions and promptly reporting any changes.Staff Nurse – Medical ICU
King Fahad Specialist Hospital · 2002 — 2003Provided critical care to patients in a medically unstable condition, conducting continuous monitoring and documentation while assisting in emergency interventions.Staff Nurse – Medical & Surgical Ward / Maternity Ward
King Khalid Hospital · 1996 — 1999Offered holistic nursing care to patients in medical, surgical, and maternity settings while administering medications and assisting with procedures as needed.
Skills & Expertise
Education
- Bachelor of Science in NursingSacred Heart College, Lucena City, Philippines · 1987 — 1991
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