Cory Price RN BSN CCDS
Papillion,NE
Summary
Certified Clinical Documentation Specialist facilitating positive changes to documentation through close collaboration with healthcare providers. Analysis-oriented professional with exemplary electronic health record, judgement and critical thinking skills. Strives to create an accurate picture of severity of illness and risk of mortality through complete and consistent provider documentation.
Overview
14
14
years of professional experience
Work History
Senior CDI Consultant
UASI Solutions
07.2021 - Current
- Inpatient DRG reviews at University of Chicago Medical Center
- Assigned Vizient risk models to adult inpatient
- Participated in focus groups for Neurosurgical and NICU service lines.
- Query greater than 25% maintained during this project.
- Averaged more than 12 cases daily.
Clinical Documentation Specialist
Conifer Healthcare Solutions
04.2020 - Current
- Review of 20-25 concurrent inpatient medical records daily
- Assigned working DRG achieving less than 15% MM rate with final DRG
- Maintained query rate greater than 20% weekly
- Created physician queries in RecordsONE, and EPIC.
- Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
Clinical Documentation Specialist Consultant
HCS Trust
02.2020 - 03.2020
- Review of 10-15 inpatient concurrent records in Serner daily
- Maintained extensive Microsoft Word template daily review record.
- Clarification of unclear or inconsistent documentation through physician query process using Microsoft Word template uploaded into Serner medical record.
- Communicated with client including physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
Supervisor: Clinical Documentation Specialist
Conifer Healthcare Solutions
07.2018 - 02.2020
- Oversaw 12 CDS nurses at 5 hospitals
- Maintain average of 20-25 daily reviews with query rate of 20% or greater on team.
- Trained direct reports on department procedures and policies to maximize department effectiveness.
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
- Created presentations using Microsoft Power Point for weekly and monthly staff and provider education
Utilization Review-Supervisor
CHI Health
10.2016 - 07.2018
- Collaborated with team of 12 RN and LPN's to completed admission status reviews for 5 hospitals
- Supervised and maintained all utilization review documentation through Indicia software.
- Performed admission reviews based for medical necessity based upon MCG guidelines.
- Submitted cases to third party physician review for criteria failures and helped facilitate resolutions and approvals.
- Communicated with nursing staff and physicians to assure patients had correct admission status orders.
Care Manager/Clinical Documentation Specialist
CHI Health-Nebraska Spine Hospital
01.2013 - 10.2016
- Review of admission status using MCG guidelines.
- Assigned working DRG, communicated expected LOS in multidisciplinary discharge rounds.
- Clarified unclear or inconsistent documentation through physician query process using MIDAS and later EPIC.
- Collaborated with patient, physician, PT/OT and family members to create timely discharge plan.
Clinical Documentation Specialist Lead
Alegent Health
06.2011 - 01.2013
- Collaborated with HIM leaders and coding team to create Clinical Documentation Specialist team of 7 RNs.
- Collaborated with HIM leaders and coding team to create 6 week Clinical Documentation Specialist training for new program.
- Facilitated team getting resources to attend ACDIS boot camp at end of 6 weeks internal training.
- Created monthly Microsoft Power Point presentations for Quality Management Meeting.
Education
Bachelor of Science - Nursing
Clarkson College
Omaha, NE08.1994
Skills
- DRG assignment
- 3M Encoder
- Computer proficiency
- Records review
- Documentation compliance
- Proficient in Microsoft products (Excel Word, Power Point)
- EPIC
- Cerner
- Sorian
- Records One
- Flexible & Adaptable
- 3M 360
- Vizient Risk Models
Timeline
Senior CDI Consultant
UASI Solutions
07.2021 - Current
Clinical Documentation Specialist
Conifer Healthcare Solutions
04.2020 - Current
Clinical Documentation Specialist Consultant
HCS Trust
02.2020 - 03.2020
Supervisor: Clinical Documentation Specialist
Conifer Healthcare Solutions
07.2018 - 02.2020
Utilization Review-Supervisor
CHI Health
10.2016 - 07.2018
Care Manager/Clinical Documentation Specialist
CHI Health-Nebraska Spine Hospital
01.2013 - 10.2016
Clinical Documentation Specialist Lead
Alegent Health
06.2011 - 01.2013
Bachelor of Science - Nursing
Clarkson College
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