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Xxxxxx, XXXXXX xxxxxx │ (xxx-xxx-xxxx │ abc@xyz.com
OASIS / ICD-10 Coding │ QI Clinical Audits │ Risk Mitigation │ CMS │ Regulatory Compliance
HHRG Review │ Process Optimization │ Clinical Documentation │ Quantitative Data Xxxxxxnagement
Team Building │ Training / Development │ Nursing Clinical Instruction │ Staff Education Xxxxxxnagement
Home Health Care Operations │ Medicare / Medicaid │ CoPs │ ADRs │ F2F │ VBP │ Pay-for-Perforxxxxxxnce │ PPS
Quality Patient Outcomes │ Revenue-Generating Initiatives │ Strategic Analysis / Planning │ Trends Tracking
Highly Accomplished Coding / Auditing Leader who offers proven expertise with OASIS C1 / C2 and ICD-10 Coding, and who promotes solutions-centric critical thinking to achieve insightful, change-oriented results. Certified OASIS Quality Specialist Candidate who trains clinicians, clinical xxxxxxnagers, and administrators on the proper review of home care records, data auditing, and xxxxxxnagement of quality data outcomes. Out-of-the-Box Thinker who continually excels in quality assurance documentation and plan of treatment reviews, and who conducts detailed coding reviews to provide valuable recommendations based on up-to-date knowledge of comprehensive coding guidelines. Ambitious Self-Starter who successfully rises above challenges and quickly adapts to evolving agency scenarios, and who is currently enrolled in a BCHH-C / ICD-10 Certification Program.
Career Highlights Include:
Leading Lahey Health to receive HomeCare Elite status for 10 consecutive years.
Successfully promoting operations to achieve Top 500 agency status for six of 10 years.
Training, mentoring, xxxxxxnaging, and auditing a team of OASIS / ICD-10 Coders / Reviewers.
Receiving recognition as Most Valuable Employee by outgoing agency CEO, Merry Beth Rucker.
Authoring and presenting PowerPoint presentations and training tools for xxxxxxnagers and clinicians.
Continually increasing revenues YOY despite decreasing multi-year CMS payments of more than 20%.
Education & Professional Development
Saint Joseph s College
Xxxxxxster of Science in Nursing Nursing Administration │ Leadership (Sigxxxxxx Theta Tau)
Bachelor of Science in Nursing (Sigxxxxxx Theta Tau)
Northern Xxxxxx Community College
Associate s Degree in Nursing (Class Representative)
Fazzi Associates, Inc.
Certified OASIS Quality Specialist (Projected 2017)
Board Certified Home Health Coding (BCHH-C) │ ICD-10 Certification (Projected 2018)
Medical Legal Consulting Institute
Certified Legal Nurse Core Curriculum │ Legal Nurse Consulting Apprenticeship
Professional Synopsis
Lahey Health at Home (f/k/a VNA of Middlesex East & Hospice), Woburn, XXXXXX 2007 Present
OASIS / ICD-10 Coding │ Staff Education Xxxxxxnager
Capitalize on the opportunity to lead forward-thinking xxxxxxnagement, training, and auditing of a top-performing team of OASIS and ICD-10 coders / reviewers. Collaborate among professional clinicians, xxxxxxnagers, and administrators in comprehensive OASIS assessment, guidelines, and oversight of OASIS, ICD-10, and 485 standardization reviews and PPS. Spearhead efforts to consistently improve documentation, revenue, infection control, and risk mitigation initiatives by conducting QI clinical audits. Expertly assure F2F compliance, and demonstrate skill with Value-Based Purchasing (VBP) and CAHPS Data Review, Inter-rater Reliability Reviews, and POC oversight. Perform essential quality data analytics and xxxxxxnagement. Incorporate Medicare CoPs and guidelines to enhance documentation processes and optimize patient care-focused outcomes.
Yyyyyy x. yyyyyy
Page Two │ (xxx-xxx-xxxx │ abc@xyz.com
Professional Synopsis (continued)
Middlesex Community College, Lowell, XXXXXX 2009 2013
Adjunct Professor of Nursing │ Clinical Instructor for ADN Program
Planned and presented results-generating clinical instruction for undergraduate students enrolled in a Nursing Fundamentals Evening Program. Optimized academic perforxxxxxxnce for improved scholastic outcomes and promoted critical thinking skills via key training, clinical oversight, and objective student evaluations. Proactively participated in faculty meetings to promote improved clinical standards for safe, quality-oriented patient care.
Additional Professional Experience
Quality Works, Holliston, XXXXXX
Quality Assurance Evaluator │ Staff Educator │ Per Diem Consultant
Led targeted staff, xxxxxxnagement, and administrator training / development in all facets of OASIS guidance, ICD-coding, and CMS-federal and state regulatory compliance. Improved documentation, patient-centric outcomes and revenue, mock survey delivery, and perforxxxxxxnce improvement efforts by developing effective new systems.
Saints Medical Center, Lowell, XXXXXX
Senior Administrative Supervisor
Delivered excellence in administrative and clinical oversight of patient care across all patient units. Played a vital role in supporting 8 departments and 100 nurses by seamlessly directing patient flow and prioritizing tasks. Collaborated with nursing peers on Nursing Standards Committee and Quality Improvement Initiatives. Personally drafted the dynamic opening page for a new Saints Medical Center website on behalf of nursing staff.
Technical Sumxxxxxxry
Microsoft Office Suite │ EMR │ Epic │ HEALTHCAREfirst
Able to Quickly Xxxxxxster Additional Software as Required
Professional Publication
Woodworth, G., Rising to the Occasion. Nursing 97 Xxxxxxgazine. September Issue.
Professional Affiliations
Participant, MSN Faculty Program Evaluation, Saint Joseph s College
Organization Memberships
Current Member, Sigxxxxxx Theta Tau International Honor Society of Nursing
Current Member, National Alliance of Certified Legal Nurse Consultants (NACLNC)
Current Member, Developmental Disabilities Community Nurses Coalition (DDCNC)
Current Member, Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
Organization Leadership
Current Member │ Previous Board of Directors, The ARC of Northern Xxxxxx County
Current Member │ Previous President, Emergency Nurses Association (ENA) Rock Hillshire Chapter
Yyyyyy x. yyyyyy
Xxxxxx, XXXXXX xxxxxx │ (xxx-xxx-xxxx │ abc@xyz.com
Date
Hiring Agent Name
Company Name
Address
City/State/Zip Code
Dear__________________:
I am exploring a new career opportunity within a challenging [ Insert Job Title ] role, and I believe that I can xxxxxxke a positive contribution to your success.
To acquaint you with my background, I can offer proven talents with OASIS / ICD-10 Coding, QI Clinical Audits, Quality Assurance Documentation Review, Care Planning, Quantitative Data Xxxxxxnagement, Reports Preparation / Dissemination, and Regulatory Compliance. I am also experienced in Home Health Care Operations, Team Building, Training / Development, Staff Education Xxxxxxnagement, Process Optimization, and Revenue-Generating Initiatives, and consistently achieve quality patient outcomes and agency-centric results due to my superior skills in critical thinking, time xxxxxxnagement, workflow prioritization, and attention-to-detail.
To complement this experience, please note that I attained an M.S. in Nursing (Nursing Administration / Leadership) and B.S. in Nursing from Saint Joseph s College, as well as an Associate s Degree in Nursing from Northern Xxxxxx Community College. I am enrolled in a rigorous Certified OASIS Quality Specialist program at Fazzi Associates, Inc. with a projected December 2017 completion date, and am projected to attain my BCHH-C / ICD-10 Certification in 2018. I also attained credentials as a Certified Legal Nurse Consultant (CLNC) from the Medical Legal Consulting Institute.
Currently, as an OASIS / ICD-10 Coding / Staff Education Xxxxxxnager for Lahey Health at Home, I expertly xxxxxxnage, train, and audit a top-performing team of OASIS and ICD-10 coders / reviewers while collaborating among clinicians, xxxxxxnagers, and administrators in comprehensive OASIS assessment, guidelines, and oversight of OASIS, ICD-10, and 485 standardization reviews and PPS. Within this role, I consistently improve documentation, agency revenue, infection control, and risk mitigation initiatives by conducting detailed QI clinical audits. I also perform essential quality data analytics and xxxxxxnagement, and incorporate Medicare CoPs and guidelines to continually enhance documentation processes and optimize patient care-focused outcomes.
A sample of my accomplishments include:
Leading Lahey Health to receive HomeCare Elite status for 10 consecutive years.
Successfully promoting operations to achieve Top 500 agency status for six of 10 years.
Training, mentoring, xxxxxxnaging, and auditing a team of OASIS / ICD-10 Coders / Reviewers.
Receiving recognition as Most Valuable Employee by outgoing agency CEO, Merry Beth Rucker.
Continually increasing revenues YOY despite decreasing multi-year CMS payments of more than 20%.
I am eager to discuss how my qualifications uniquely xxxxxxtch your current and future needs, and look forward to interviewing with you soon.
Sincerely,
Yyyyyy x. yyyyyy
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