Kimberly Snow
Red Bluff,CA
Summary
Seasoned RN Clinical Documentation Specialist with a proven track record at Optum for enhancing documentation accuracy and compliance. Leveraged clinical judgment and compassion to improve patient outcomes and educate healthcare professionals on ICD-10 codes. Demonstrated excellence in documentation, ensuring adherence to HIPAA regulations, and a high level of autonomy in complex case management.
Overview
29
29
years of professional experience
1
1
Certification
Work History
RN Clinical Documentation Specialis
Optum
Red Bluff, CA
07.2012 - Current
- Maintained thorough, accurate and confidential documentation in electronic medical records.
- Reviewed complex cases involving multiple diagnoses or treatments.
- Translated medical jargon and short-hand data into correct terminology.
- Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns.
- Maintained accurate documentation of patient records in accordance with HIPAA regulations.
- Interpreted and evaluated diagnostic tests to identify and assess patient's condition.
- Analyzed data from multiple sources including laboratory, radiology and pathology reports.
- Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
- Monitored compliance with regulatory standards for the Clinical Documentation Improvement program.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines.
- Reviewed medical records to ensure accuracy and completeness of clinical documentation.
RN Case Manager
St Elizabeth Community Hospital
Red Bluff, CA
06.2010 - 07.2012
- Communicated regularly with family members regarding patient care needs and progress toward goals.
- Actively participated in multidisciplinary rounds discussing complex cases with members of the healthcare team.
- Assessed patient's physical, mental, and psychosocial health status to develop individualized care plans.
- Provided emotional support to patients and their families during difficult times.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Worked effectively in team environments to make the workplace more productive.
- Facilitated referrals to community resources for additional support services.
- Developed discharge plans for patients transitioning from acute care settings to home or alternate facilities.
RN, Medical-Surgical
St Elizabeth Community Hospital
Red Bluff, CA
12.1995 - 07.2010
- Administered medications and treatments as directed and as appropriate for patient's medical care in collaboration with multi-disciplinary team.
- Administered prescribed medications and treatments in accordance with approved nursing techniques.
- Assisted physicians during examinations providing necessary instruments and equipment while maintaining sterile technique.
- Stocked clinical workstations and procedure rooms with necessary supplies.
- Promoted safe and calm environment for complex patients by keeping services, supplies and necessary equipment on hand.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Helped patients and families feel comfortable during challenging and stressful situations, promoting recovery and reducing compliance issues.
- Performed cardiopulmonary resuscitation accurately and effectively.
- Assessed patient conditions, monitored behaviors and updated supervising physicians with observations and concerns.
- Assessed and prepared patients for procedures, performing initial and ongoing patient assessments.
- Provided compassionate care for patients with chronic illnesses or terminal conditions.
- Administered oral, IV and intra-muscular medications and monitored patient reactions.
Education
Associate of Science - Nursing
Shasta College
Redding, CA12-2004
Skills
- Clinical judgment
- Quality improvement
- Compassion and empathy
- Chart updating
- Documentation and charting
- High level of autonomy
- Licensed RN
- Reporting and documentation
Affiliations
- I love doing things that involve supporting our small town and the people who live here. I enjoy all the activities that a small town has to offer. I enjoy going to SF Giants games with my family, love camping, concerts, comedy shows. I just basically enjoy activities that promote happiness!
Accomplishments
- I was awarded the "Spirit of Mercy" award for compassion and excellence from the administration at St Elizabeth when I was a fairly new RN.
Certification
- California State license for RN
- Licence number 631772 expires 3/31/2025
Languages
English
Professional
References
References available upon request.
Timeline
RN Clinical Documentation Specialis
Optum
07.2012 - Current
RN Case Manager
St Elizabeth Community Hospital
06.2010 - 07.2012
RN, Medical-Surgical
St Elizabeth Community Hospital
12.1995 - 07.2010
Associate of Science - Nursing
Shasta College
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