Laura Bohls
Watertown,SD
Summary
Dedicated Clinical Documentation Specialist with 30 years of experience in healthcare. Recognized for strong collaboration skills with interdisciplinary teams and a commitment to educational outreach, driving improvements in clinical documentation practices and compliance.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist
Prairie Lakes Healthcare System
Watertown, South Dakota
05.2009 - Current
- Reviewed clinical documentation for accuracy and compliance with regulatory standards.
- Collaborated with healthcare providers to clarify and improve clinical documentation practices.
- Educated staff on proper documentation techniques and coding requirements.
- Maintained up-to-date knowledge of healthcare regulations affecting clinical documentation.
- Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns.
- Generated monthly reports that reflect performance metrics related to CDI activities.
- Collaborated with interdisciplinary teams to identify opportunities for improvement in clinical documentation processes.
- Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
- Created educational materials related to best practices for accurate clinical documentation across all settings.
- Maintained current knowledge of ICD-10 coding requirements, DRG assignment criteria and CMS regulations.
- Worked with speed, efficiency and accuracy to process documentation and complete projects.
- Acquired strong background in medical terms, illnesses and conditions and medical procedures.
- Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines.
Utilization Review Nurse
Prairie Lakes Healthcare System
Watertown, South Dakota
04.2003 - 05.2009
- Conducted reviews of inpatient utilization for compliance with admission criteria and concurrent review requirements.
- Provided education to providers regarding utilization management processes and protocols.
- Collaborated with providers to obtain required clinical information, supporting prior authorization determinations and individual inquiries.
- Generated reports related to utilization management activities such as length of stay trends, denials rates.
- Collaborated with multidisciplinary teams on developing strategies for improving care quality and controlling costs.
- Utilized evidence-based guidelines to support utilization review decisions and recommendations.
- Performed pre-certification, concurrent, and retrospective reviews of inpatient and outpatient services.
- Communicated with external partners such as managed care organizations or vendors on a regular basis.
- Facilitated communication between providers and insurance companies for approvals.
Education
Bachelor of Science - Nursing
South Dakota State University
Brookings, SD05.1996
Skills
- Clinical documentation analysis
- ICD-10 coding
- Regulatory compliance
- Effective communication
- Critical thinking
- Interdisciplinary collaboration
Certification
Registered Nurse
Timeline
Clinical Documentation Specialist
Prairie Lakes Healthcare System
05.2009 - Current
Utilization Review Nurse
Prairie Lakes Healthcare System
04.2003 - 05.2009
Bachelor of Science - Nursing
South Dakota State University