Summary
Overview
Work History
Education
Skills
Timeline
Generic

Chloe Williams

Mcpherson

Summary

Registered nurse recognized for expertise in clinical anyalysis, reimbursement, case management, and ICD-10 coding. Committed to ensuring compliance and enhancing care quality, leveraging strong analytical skills to optimize reimbursement and improve patient care while demonstrating excellent time management.

Overview

10
10
years of professional experience

Work History

Clinical Reimbursement Coordinator

Mcpherson Health & Rehab
McPherson, KS
03.2022 - Current

-Schedule and complete the MDS assessments in accordance with federal and state regulations ensuring accuracy and timeliness to avoid penalties or payment delays
-Demonstrate knowledge of ICD-10 coding to support optimal PDPM reimbursement
-Monitor and maintain compliance with CMS guidelines and regulations
-Serve as a liasion between nursing staff, therapy, physicians, and administrative staff to ensure continuity of care
-Analyze clinical documentation to verify that it supports coding, case mix index, and reimbursement
-Develop individualized, comprehensive care plans and conduct care plan meetings with patient, families, and IDT
-Participate in audits, Medicare/Medicaid reviews, surveys, QA, and QAPI.

Case Manager

Angel Arms Home Health
McPherson, KS
01.2018 - 03.2022

-Perform comprehensive in-home assessments to evaluate patient health status and needs
-Schedule and complete OASIS assessments in according to CMS guidelines and timelines.
-Analyze clinical documentation and utilize ICD-10 coding knowledge to ensure accuracy of plan of care and reimbursement.
-Develop individualized care plans to ensure health care needs and safety are met to avoid hospitalization or negative outcome
-Coordinate and oversee all aspects of patient care including therapy services, social work, skilled nursing.
-Monitor patient progress and adjust goals and care plan based on clinical findings and physician orders.
-Educate patient and caregivers on disease process and management.
-Participate in care conferences, case reviews, and quality improvement.

Medical Surgical Registered Nurse

Salina Regional Health Care
Salina, KS
12.2015 - 01.2018

-Provide direct patient care to a diverse population with acute and chronic medical conditions in a fast paced hospital setting.
-Perform comprehensive assessments and identify changes in condition to ensure timely interventions.
-Administer medications, IV therapies, blood products, and treatments in accordance to physician orders.
-Coordinate patient care to include admissions, transfers, discharges.
-Prioritize and manage care for multiple patients
-Respond to emergencies and participate in rapid response or code situations as needed

Education

Registered Nurse -

Brown Mackie College
Salina, KS

Licensed Practical Nurse -

Wichita State University
Wichita, KS

Associate of Science - Nursing

Hutchinson Community College
Hutchinson, KS
12-2012

Skills

  • Managed care
  • Utilization review
  • Medicaid
  • Medical coding
  • Medicare
  • Microsoft office
  • Time management

Timeline

Clinical Reimbursement Coordinator

Mcpherson Health & Rehab
03.2022 - Current

Case Manager

Angel Arms Home Health
01.2018 - 03.2022

Medical Surgical Registered Nurse

Salina Regional Health Care
12.2015 - 01.2018

Registered Nurse -

Brown Mackie College

Licensed Practical Nurse -

Wichita State University

Associate of Science - Nursing

Hutchinson Community College