Clinical Documentation Specialist, RN,MSN
Resume:
Christie Fleming RN, MSN, MBA/HC/CCDS
Waterloo, SC 29384
********.*******@************.***
Job Desired:
Education/Degree: University of Phoenix 2011, Master of Science Nursing
University of Phoenix 2011, Master of Business Administration/Healthcare
Lander University 2008, Bachelor of Science Nursing
Lander University 2006, Certificate of Healthcare Management
Greenville technical College 1992, Associate of Science Nursing
Greenwood Area Vocation 1986, Practical Nurse
Certification : ACDIS ; Certified Clinical Documentation Specialist
Work History:
Prisma Health, R.N., Clinical Documentation Specialist II, October 2014 – present (9 years)
Duties:
ICD 9 & ICD 10 experience
February 1, 2023, through September 30 2023 metrics
Month
Financial Impact
SOI
ROM
Risk Adjustment/Quality/Other
Feb-23
25,627.37
Mar-23
47,257.22
Apr-23
20,748.90
May-23
30,582.39
Jun-23
58,971.52
Jul-23
64,226.17
Aug-23
62,829.06
Sep-23
38,419.70
TOTAL
348,662.33
60
65
281
Participate in the Greenville Memorial Hospital Length of Stay Meetings, Perform follow up chart reviews of those patients discussed having greater than 15 day stays ;identifying opportunities for increased accuracy of DRG and soi/rom optimization for those patients. Relaying information back to CDI Management to include Case Management when opportunities identified; as well as coaching/mentoring other cdi when opportunities identified.
Normal Job Duties:
Review concurrent medical record for compliance including completeness and accuracy for severity of illness (SOI) and quality.
Enter information into 3M & Epic.
Recognize opportunities for documentation improvement using strong critical-thinking skills. Use critical thinking and sound judgment in decision making keeping reimbursement considerations in balance with regulatory compliance.
Strategically educate members of the patient-care team regarding documentation regulations and guidelines.
Have performed educational in services at Laurens and Greenville Campuses.
Effectively and appropriately communicates with physicians and other healthcare providers as necessary to ensure appropriate, accurate and complete clinical documentation.
Have proven high severity/impacting query rates .
Communicate with HIM staff/team leads and collaborates with them to resolves discrepancies with DRG assignments and other coding issues.
Have found numerous findings on reconciliations which have led to rebills.
I am knowledgeable regarding the CDI reporting metrics.
AnMed, R.N., Case Management Jan 2014- October 2014
Duties:
Organized, coordinated, and provided care coordination and care management services to patients within the practice who were at most risk for health deterioration, sentinel events, and/or poor outcomes. Conducted comprehensive assessments of patients’ physical, mental, and psychosocial needs. Developed care plans to prevent disease exacerbation, improve outcomes, increase patient engagement in self-care, decrease risk status, and minimize hospital and ED utilization. Utilized behavioral strategies help patients adopt healthy behaviors and improve self-care in chronic disease management; promoted self-management goals, assisted patients in navigating the health care system, coordinated specialty care, follow-up on test results and other care coordination needs. Partnered with external case management programs to coordinate care, and communicated with care teams.
Self Regional Healthcare, R.N., Manager Value Analysis 2005 – 2013
Duties:
Provided leadership by driving financial and operational results through managing clinical relationships with Supply Chain Business unit. Overseen the daily operations of the Sourcing and Value Analysis process, meeting operational and fiscal objectives. Sourcing and Value Analysis oversight for designated service-line related projects and initiatives, which included accountability for the quality of results and project sustainment. Served as a subject matter expert on clinical service line supply chain projects. Structured project completion resulting in the availability of appropriate supplies, reduction of total supply expense, recommendations to decrease inventory, adhering to patient safety protocols, improved standardization/utilization, while assuring the patient is receiving care in the most clinically appropriate cost effective manner. Collaborated with and developed strong relationships across all levels of the organization including clinical staff, physicians, research support and administrative leadership to meet project deliverables, while fulfilling the service needs of the Hospital.
Provided overall management of the savings initiative and analysis for all sourcing initiatives and Value Analysis committees. Thoroughly completed all financial analysis’s prior to meetings, regularly participates in Steering Committee Meetings to provide updates on the process; prepared agendas/minutes/set-up for all committee meetings; led Value Analysis meetings; ensured all applicable analysis and follow ups were completed prior to each meeting; completed post meeting follow up work to facilitate timely conversion of all approved products; regularly provided status reports for executive management team. Additionally, oversaw key aspects of the conversion process in collaboration with other supply chain professionals taking ownership for ensuring initiatives are closed out.
Developed professionals by holding regularly scheduled meetings to provide coaching and sharing information on changes in the industry and the impact of those changes in daily operations.
Collaborated within by serving as a process expert concerning Sourcing and Value Analysis inquiries and served as a team player in conversions and other product related initiatives.
Actively led and contributed to the goals of all multidisciplinary Value Analysis Committees, in the identification, evaluation and selection of products to promote standardization and cost savings for all supplies and equipment throughout the organization.
Worked on Behavioral Health Unit approximately a year prior to working in Supply Chain, as Mgr of Value Analysis
Greenville Health System, R.N., Clinical Coordinator: Laurens & Gray Court Family Practice 2/3/03-11/14/04
Supervised and coordinated the delivery of patient care by the nursing staff (# 9 ) in assisting 7 physicians and 2 nurse practitioners. Completed scheduling and work assignments. Provided nursing leadership to nursing staff about proper procedures, problem solving and patient safety as well as evaluating the quality and appropriateness of nursing care and documentation of care provided. Promoted quality patient care by overseeing that necessary equipment and supplies were readily available.
Additionally- I worked at Laurens Hospital on the Step-down unit for a shorttime, along with Newberry ICU and Abbeville ICU in a PRN status.
SC Dept. of Corrections, Director of Nursing/Level II Nurse Administrator, McCormick Correctional Facility (1300+ medium maximum-security inmates) 803-***-****) 2/1992- 11/02
(Originally employed in this role by Correctional Medical Services, now known as Corizon, and the last year of my service the contract went back to the S.C. Dept of Corrections)
Managed and led all nursing personnel operations. Developed short and long-term goals for the nursing department. Established new policies and updated existing policies to improve the standard of care for patients; for example, sick-call. Maintained department budgets and recording of all expenses. Responded to any nursing-related issues in a timely manner. Coordinated with medical staff and other departments; such as security and administration to ensure efficiency. Overseen all record-keeping processes and ensured that all necessary documents were accurate and up-to-date; for auditing & accreditation . Hired and trained new nursing staff members; as well as, shift scheduling, monitoring of time and attendance, and evaluating staff performance..
Additional Info available upon request. (Above represents the past 31 years; I have additional 6 years LPN experience totaling 37 years nursing experience.)
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