Lisa Richards
Richmond
Summary
Proactive Clinical Documentation Specialist skilled in analyzing medical records and collaborating with healthcare providers. Demonstrated success in identifying discrepancies, ensuring compliance with documentation standards, and maximizing accuracy through thorough audits.
Overview
8
8
years of professional experience
Work History
Clinical Documentation Specialist
AMN Healthcare
Richmond
05.2022 - 11.2022
- Reviewed clinical documentation for accuracy and completeness.
- Collaborated with healthcare providers to clarify patient information.
- Ensured compliance with documentation standards and regulations.
- Analyzed medical records for proper coding and billing processes.
- Maintained up-to-date knowledge of healthcare documentation guidelines.
- Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns.
Clinical Documentation Specialist
Reid Health
Richmond
04.2015 - 05.2022
- Reviewed clinical documentation for accuracy and completeness.
- Collaborated with healthcare providers to clarify patient information.
- Ensured compliance with documentation standards and regulations.
- Identified mistakes in reports and checked with doctors to obtain correct information.
- Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.
- Maximized accuracy and completeness of medical records through in-depth audits and patient information reviews.
- Performed periodic audits of medical records to verify accuracy of coded diagnoses and procedures.
- Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
- Collaborated with interdisciplinary teams to identify opportunities for improvement in clinical documentation processes.
Education
Associate of Applied Science - Nursing
Ivy Tech Community College of Indiana
Richmond IN05-2011
Skills
- Clinical coding
- Regulatory compliance
- Medical terminology
- Documentation auditing
- Patient data review
- Healthcare collaboration
Timeline
Clinical Documentation Specialist
AMN Healthcare
05.2022 - 11.2022
Clinical Documentation Specialist
Reid Health
04.2015 - 05.2022
Associate of Applied Science - Nursing
Ivy Tech Community College of Indiana