Diana Collins
Summary
Mission
Dynamic individual with hands-on experience in clinical documentation to support medical eligibility for hospice. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
29
29
years of professional experience
Work History
Sr. Payment Integrity Analyst
Corewell Health Hospice & Palliative Care Southwest Michigan
12.2021 - 06.2025
- Educated staff on federal guidelines for hospice medical eligibility and documentation requirements to help clinical team members achieve success.
- Developed comprehensive training materials for new field staff including providers, nurses, hospice aides, and counseling services staff, improving documentation preparedness and confidence.
- Performed audits of patient charts to assess training effectiveness and ensure successful claims submissions and external surveys.
- Improved internal knowledge by developing comprehensive patient assessment and documentation tools to support terminal status.
- Provided guidance to hospice providers on diagnosis code regulations at admission and throughout the patient's care.
- Collaborated with clinical leaders to provide ongoing review and training programs for clinical staff.
- Reviewed all patient charts and entered appropriate diagnosis codes according to the ICD10-CM Guidelines.
- Researched medical records to identify service-connected illnesses for Veterans in accordance with the PACT Act.
- Collaborated with the Medical Examiner regarding cases with questionable or contributory events prior to patient deaths.
- Served as a Resource Leader for After Hours staff on the On Call Rotation.
Documentation Excellence Consultant
Hospice at Home/Caring Circle
06.2014 - 12.2021
- Designed tailored training programs for clinical team members at various levels within the organization, boosting overall assessment and documentation skillsets.
- Coordinated with external partners and vendors to provide Specialty Medications and Equipment outside the standard hospice plan of care to meet patients' diverse needs.
- Evaluated clinical staff documentation and provided coaching to address inefficiencies.
- Facilitated Interdisciplinary Group meetings in accordance with Medicare Hospice Conditions of Participation.
- Created PowerPoint presentations on hospice medical eligibility for medical office providers, home health agencies, hospitalists, and other community health organizations.
- Reviewed all EMRs prior to hospice admission. Collaborated with admission nurses to ensure assessments were complete and documentation supported eligibility.
- Assisted with the design of disease specific assessment forms for Suncoast Version 8.
- Developed the Open Access program in order to remove barriers to hospice admission.
Independent Hospice Consultant
Self Employed Services
11.2012 - 06.2014
- Improved staff accuracy and efficiency through comprehensive training programs.
- Collaborated with healthcare providers to ensure all patients who were medically eligible for hospice care were offered the hospice benefit.
- Ensured regulatory compliance by maintaining updated knowledge of industry standards and federal guidelines for hospice medical eligibility.
- Reviewed patient charts and provided feedback to clinical teams on the quality of documentation to support medical eligibility.
- Worked closely with the Finance Department to resolve billing issues.
- Reviewed all medical charts with high risk diagnoses or lengths of stay and provided recommendations to the clinical teams.
Director of Care Initiation
Hospice at Home/Caring Circle
08.2006 - 11.2012
- Managed the Referral Center and the management of all referrals to programs offered by the agency.
- Assisted with the supervision and scheduling of nurse visits for patients within our four county service area.
- Upheld ethical principles in all aspects of decision-making, fostering an environment where patients' rights were respected and protected.
- Completed medical record reviews to determine compliance with documentation at admission.
- Partnered with the marketing team to enhance public relations and promote awareness of services offered by our organization.
- Collaborated with community medical providers to assist with patient care options.
- Developed strong interdisciplinary team collaboration with a focus on high quality patient care and smooth transitions from admission to case management.
- Coordinated care with external agencies to best support patient needs.
- Educated patients and families regarding available programs to provide the most effective care to meet their needs and goals.
Owner, Certified Personal Trainer
Fit Happens Personal Training Studio
01.1996 - 01.2006
Education
BS - Health Education
Eastern Illinois University
Charleston, ILSkills
- Proficient in hospice ICD-10 CM coding
- EPIC and Suncoast Hospice electronic medical record systems
- Compliance analysis
- Development of Education Material
- Microsoft Word, Excel, Teams, PowerPoint
- Analytical thinking
- Attention to detail
- Documentation and reporting
- Information gathering
- Decision-making
- Regulatory compliance
COMMUNICATION
Developed and implemented training manuals for clinical staff, standardizing documentation to meet federal and state regulations for hospice medical eligibility. Conducted ongoing disease specific classes for all clinical team members and providers. Eligibility resource for all clinical staff.
LEADERSHIP
- Clinical Leadership Team
- Compliance Committee
Timeline
Sr. Payment Integrity Analyst
Corewell Health Hospice & Palliative Care Southwest Michigan
12.2021 - 06.2025
Documentation Excellence Consultant
Hospice at Home/Caring Circle
06.2014 - 12.2021
Independent Hospice Consultant
Self Employed Services
11.2012 - 06.2014
Director of Care Initiation
Hospice at Home/Caring Circle
08.2006 - 11.2012
Owner, Certified Personal Trainer
Fit Happens Personal Training Studio
01.1996 - 01.2006
BS - Health Education
Eastern Illinois University
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