• I educated providers, trained office staff and reviewed medical records to determine appropriateness of documentation for select conditions.• Assigned appropriate coding according to the UHDDS and CMS guidelines for ICD-9, ICD-10, HCC and CPT.• I acted in the capacity of team leader for Mid-Michigan while maintaining effective professional working relationships with providers, office staff, practice managers and our team.• Provided the review team and with statistics published on Excel spreadsheet while working in a rapidly changing and high-pressure environment.

• Admitted patients for skilled nursing and post– orthopedic surgery rehabilitation.

• I performed nursing care on a busy Medical Surgical floor doing admissions while monitoring patient progress• I initiated client care plans, medication pass, interpreted telemetry monitors and quickly communicated concerns to the providers.

Charge nurse on floor with 30 to one patient-nurse ratio.• Practiced tracheostomy care and suctioning, straight and Foley catheterization, dressing changes, enteral feedings, peg tube care, IV pump setup with IVPB medication administrations and central line sterile dressing changes.• Notified physicians regarding client change in health status and also the interdisciplinary team (Social Services, Appointments, Clinical Care Coordinator, Dietary, and Therapy).• Managed small teams of nurse assistants and performed job evaluations as needed.

• Coded outpatient services according to the UHDDS; ER, diagnostic, infusion, chemotherapy, outpatient surgeries, endoscopy, medical-surgical and OB observation encounters.• I implemented the face-to-face clinical documentation improvement and education for ED physicians and nurses.• Our coding team shortened and improved record completion time from the average of seven to three days for accounts receivable.• I collaborated with our Chief of Endoscopy, Dr. Freda Arlow, on two statistical projects regarding sedation and co-morbidities with polypharmacy. These studies lead to changes in hospital endoscopy procedures regarding the administration of conscious sedation vs. Propofol, requiring special suites and staffing.• Every year, I maintained my CCA credentials and AHIMA membership through CEU’s and yearly exams.