Carmen Roberts
Concord,NH
Summary
Accomplished Patient Assessment Standards Coordinator with a proven track record at Encompass Health, enhancing patient care quality through meticulous Medicare and insurance reimbursement knowledge and effective relationship building. Excelled in regulatory compliance and staff training, significantly improving clinical documentation accuracy and interdisciplinary collaboration.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Patient Assessment Standards Coordinator
Encompass Health
06.2016 - Current
- Collaborated with physicians to quickly assess patients and deliver appropriate treatment while managing rapidly changing conditions.
- Assisted in the training and mentorship of new nursing staff members, contributing to a positive work environment and high-quality patient care.
- Collaborated with interdisciplinary teams to develop comprehensive treatment plans for complex patients with multiple comorbidities.
- Participated in ongoing professional development opportunities to stay current on best practices in nursing care and emerging trends in healthcare delivery.
- Audited charts and reviewed clinical documents to verify accuracy.
MDS Coordinator
D'youville Health And Wellness Community
03.2014 - Current
- Set schedules for staff to start and complete MDS assessments and care plan meetings.
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Enhanced patient care quality by implementing comprehensive MDS assessments and care plans.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Collaborated with nursing staff to provide accurate and timely clinical assessments for each resident, leading to improved overall care.
- Assessed electronic medical record for required documentation to support MDS coding.
- Reduced errors in data collection by streamlining the MDS process and improving communication among interdisciplinary teams.
Clinical Reimbursement Coordinator
Wingate At Andover
06.2012 - 01.2023
- Ensured timely completion of all MDS assessments, maintaining full compliance with federal and state regulations.
- Maintained up-to-date knowledge on CMS guidelines and changes to ensure accuracy in reporting and reimbursement processes.
- Verified prompt and accurate completion of MDS activities for billing.
- Collaborated closely with therapy departments to accurately capture rehabilitation needs within MDS documentation, supporting appropriate resource allocation for residents'' needs.
- Provided ongoing education for nursing staff regarding MDS best practices, contributing to a knowledgeable and skilled workforce.
- Monitored changing regulations related to RAI/MDS requirements, keeping staff informed about updates that impact their daily work routines.
- Implemented interdisciplinary meetings focused on individualized care plan development, resulting in more targeted interventions and improved resident outcomes.
Education
Bachelor of Science - Nursing
Chamberlain University
Chicago, IL08.2022
Associate of Science - Nursing
Manchester Community College
Manchester, NH05.2009
Skills
- Relationship Building
- Research and data collection
- Electronic Health Records Proficiency
- Staff Training and Development
- Clinical Documentation Accuracy
- Long-term care experience
- Regulatory Compliance
- Medicare Reimbursement Knowledge
Certification
Board Certified CRRN
UDSmr IRF PPS Certification
Timeline
Patient Assessment Standards Coordinator
Encompass Health
06.2016 - Current
MDS Coordinator
D'youville Health And Wellness Community
03.2014 - Current
Clinical Reimbursement Coordinator
Wingate At Andover
06.2012 - 01.2023
Bachelor of Science - Nursing
Chamberlain University
Associate of Science - Nursing
Manchester Community College
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