Michelina Decker
Baylor Scott & White Health
Louisville,Kentucky
1
Certification
41
years of professional experience
Registered Nurse/Clinical Documentation Specialist aligning bedside nursing judgment with clinical documentation integrity and DRG accuracy across inpatient chart reviews. Strengthens physician queries, audits complete medical records, and supports compliant reimbursement through ICD-10 and payer guideline review. Brings Epic, Cerner, and 3M coding tools to remote documentation improvement work.
Work History
Registered Nurse/Clinical Documentation Specialist
7 Years- Remotely audit charts for documentation improvement.
- Work and serve as a bridge between health information management and clinical staff especially physicians; providing a link between documentation and patient care at Baylor Scott & White facilities throughout the state of Texas.
- Duties include but are not limited to auditing of entire medical records, maintenance of DRG worksheets, querying physicians for accurate documentation and education of physicians and other staff members.
- Requirements include significant knowledge of Medicare & private insurance guidelines, knowledge of disease processes with background of clinical management experience, understanding of classification and coding systems including ICD-10, use of software to collect and store data as well as internet skills.
- (Part of this time was working under Harmony Healthcare in contract position.)
Registered Nurse/Clinical Documentation Specialist
1 Year 8 Months- Remotely audited charts for documentation improvement
- Worked and served as a bridge between health information management and clinical staff especially physicians; providing a link between documentation and patient care at Seton Healthcare in Austin, Texas.
- Duties included but were not limited to auditing of entire medical records, maintenance of DRG worksheets, querying physicians for accurate documentation and education of physicians and other staff members.
- Requirements included significant knowledge of Medicare & private insurance guidelines, knowledge of disease processes with background of clinical management experience, understanding of classification and coding systems including ICD-10, and use of software to collect and store data as well as internet skills.
Registered Nurse/Clinical Documentation Specialist
3 Years 8 Months- Worked and served as a bridge between health information management and clinical staff especially physicians; providing a link between documentation and patient care at Seton Healthcare in Austin, Texas.
- Duties included but were not limited to auditing of entire medical records, maintenance of DRG worksheets, querying physicians for accurate documentation and education of physicians and other staff members.
Registered Nurse/Physician Assistant
11 Years 7 Months- Served as assistant for 3 physicians and 8 staff member liaison in a 6-bed sleep center.
- Coordinated assessment, education, discharge planning and follow-up care of 1200 patients per year.
- Assisted physicians in dictation of medical records, problem-solving and continuity of treatment.
- Reviewed and obtained information regarding rejected insurance claims for physicians’ review and further recommendation.
- Maintained durable medical equipment and medication needs of patients.
- Marketed for sleep disorders center resulting in 5% increase in patient volume.
Registered Nurse/Physician Assistant/Patient Liaison (1 position)
8 Years 11 Months- Served as assistant to 4 cardiologists in hospital setting.
- Coordinated patient assessment, education, and discharge planning.
- Liaised between patients, physicians, and other team members.
- Responsible for schedule of all 4 physicians.
- Assisted with diagnostic testing and aided in development of treatment plans.
Critical Care Staff Nurse
8 YearsEducation
BSN - Bachelor of Science in Nursing
ADN - Associate Degree in Nursing
Skills
Clinical chart auditing
Physician query development
Documentation improvement
DRG worksheet management
Utilization review
ICD-10 coding
Concurrent review
Retrospective review
Clinical validation review
CDI query compliance
Allscripts Electronic Medical Records
Cerner Electronic Medical Records
3M Coding and Reimbursement System
Meditech Electronic Medical Records
Epic Electronic Medical Records
TruCode Encoder
Iodine Software
Certification
- Registered Nurse-Kentucky-August 1985
- CCDS-Certified Clinical Documentation Specialist- March 2017
Community Activities
Participated in community health education (Health Fairs sponsored by church.) AWAKE Committee (sleep apnea support group.) Volunteered at school and with sporting groups (providing supervision of activities and fund-raisers, assisting with scheduling of outings and overnight stays, working in lunch room and classroom, serving as room mother, performing health screenings and vital sign checks and participating in career days.) Alongside Love (Sarcoma Charity) Participated in community health education (Health Fairs sponsored by church.) AWAKE Committee (sleep apnea support group.) Volunteered at school and with sporting groups (providing supervision of activities and fund-raisers, assisting with scheduling of outings and overnight stays, working in lunch room and classroom, serving as room mother, performing health screenings and vital sign checks and participating in career days.) Alongside Love (Sarcoma Charity)
Timeline
Registered Nurse/Clinical Documentation Specialist
Baylor Scott & White Health
08.2019 - CurrentRead More
Registered Nurse/Clinical Documentation Specialist
Navigant Consulting Company
12.2017 - 08.2019Read More
Registered Nurse/Clinical Documentation Specialist
Conifer Health Solutions
04.2014 - 12.2017Read More
Registered Nurse/Physician Assistant
Kentucky One Health, Saints Mary & Elizabeth Hospital, Sleep Disorder Center
08.2002 - 03.2014Read More
Registered Nurse/Physician Assistant/Patient Liaison (1 position)
Cardiovascular Associates
09.1993 - 08.2002Read More
Critical Care Staff Nurse
Saintsts Mary & Elizabeth Hospital
08.1985 - 08.1993Read More
Bellarmine University
ADN from Associate Degree in Nursing
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Bellarmine University
BSN from Bachelor of Science in Nursing
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