Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
AdministrativeAssistant
Kaye McDonald

Kaye McDonald

Tooele,UT

Summary

Well-qualified MDS successful at building and maintaining secure, accurate and efficient data collection systems. Hardworking and pragmatic with strong attention to detail and methodical approach. Prepared to offer 5+ years of experience to fast-paced position with room for advancement.


Dedicated to using excellent research, investigation and project management abilities to optimize management, organization and reporting of clinical data. Results-driven, precise and systematic with quick learning and collaborative nature.


Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

8
8
years of professional experience

Work History

MDS Coordinator

Willow Springs Care - SNF
03.2022 - Current
  • Complied with federal and state regulations for completion and coordination of RAI process.
  • Verified prompt and accurate completion of MDS activities for billing.
  • Assessed electronic medical record for required documentation to support MDS coding.
  • Led weekly utilization review to go over recent clinical activities.
  • Participated in quality assurance reviews to verify accuracy and reliability of data.
  • Completed assessments for residents admitted under assessments requiring 14 day books

Billing/Medical Coding Specialist

Bonneville Family Practice
04.2020 - 03.2022
  • Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
  • Attained up-to-date knowledge of coding requirements through continuing education courses and certification renewal.
  • Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
  • Managed over 20 customer calls per day and submitted 100+ claims daily.

MDS Coordinator

Willow Spring Care - SNF
01.2016 - 04.2020
  • Complied with federal and state regulations for completion and coordination of RAI process.
  • Verified prompt and accurate completion of MDS activities for billing.
  • Assessed electronic medical record for required documentation to support MDS coding.
  • Led weekly utilization review to go over recent clinical activities.
  • Completed minimum data set assessments with strong collaboration across business, provider and clinical disciplines.
  • Reviewed missing assessment reports and analyzed issues for leadership team.
  • Completed assessments for residents admitted under assessments requiring 14 day books

Education

Associate of Science - Nursing

Weber State University
Ogden, UT
05.2009

Associate of Applied Science -

Utah State University
Logan, UT
05.2008

Skills

  • Regulatory Compliance
  • Care Planning
  • Staff Training
  • Data Oversight
  • Compliance Monitoring
  • Data Organization
  • Production Tracking
  • Audit Management

Accomplishments

  • Collaborated with team of Management, Physicians and Nursing Administration in the development of PIP's for improved Resident experience and safety.
  • Supervised team of RNA and CNA staff members.
  • Documentation - Ensured charting accuracy through precise documentation.
  • Train the Interdisciplinary team regarding importance of accuracy in person focused care on order to attain or maintain the highest practicable physical, mental, and psychosocial well-being.
  • Maintaining and improving the facility's overall star rating based on rates for health inspections, staffing and quality measures.

Timeline

MDS Coordinator

Willow Springs Care - SNF
03.2022 - Current

Billing/Medical Coding Specialist

Bonneville Family Practice
04.2020 - 03.2022

MDS Coordinator

Willow Spring Care - SNF
01.2016 - 04.2020

Associate of Science - Nursing

Weber State University

Associate of Applied Science -

Utah State University
Kaye McDonald