Mechelle Sheppard
Palmetto,FL
Summary
Experienced RN and CDIS with 30+ years of acute care experience, five years in CDI with CCDS and currently studying for CDIP. Proven ability to partner with physicians and HIM coding teams to enhance chart accuracy, capture true patient acuity, and improve SOI/ROM and HCC metrics while maintaining a 95%+ query response rate and 80%+ agreement rate.
Overview
20
20
years of professional experience
Work History
Clinical Documentation Improvement Specialist
Baycare Health Systems, St. Joseph Hospital
02.2021 - Current
- Maintained 30%+ query rate
- Reviewed 30+ patient charts daily
- Impacted the SOI change rate by 35% and ROM by 48%
- Authored compliant, evidence-based physician queries resulting in a 95%+ response rate and proper reflection of patient acuity.
- Reduced potentially preventable complications (PPCs) and hospital-acquired conditions (HACs) reporting errors via proactive chart tracking.
Registered Nurse
Baycare Health Systems, St. Joseph Hospital
06.2006 - 02.2021
- Collaborated with interdisciplinary teams to develop individualized care plans for diverse patient populations.
- Monitored and assessed patients' vital signs, responding promptly to changes in condition or emergencies.
- Administered medications and treatments per established protocols, ensuring patient safety and compliance.
Education
Bachelor of Science in Nursing - Nursing
University of South Florida
Tampa, FL08-2015
Skills
- Severity of Illness (SOI) / Risk of Mortality (ROM)
- Hierarchical Condition Category (HCC)
- Medical Record Analysis
- Cerner EMR
- ICD-10-CM / ICD-10-PCS Coding
- CMS Coding Guidelines Compliance
- MS-DRG (Diagnosis-Related Groups)
- Patient Data Management
- Staff Training and Development
Accomplishments
- Sparked changes in the retrospective TAVR case review process system wide
- Triggered retrospective billing review of all TAVR cases system wide
Timeline
Clinical Documentation Improvement Specialist
Baycare Health Systems, St. Joseph Hospital
02.2021 - Current
Registered Nurse
Baycare Health Systems, St. Joseph Hospital
06.2006 - 02.2021
Bachelor of Science in Nursing - Nursing
University of South Florida