Michelle Smith
Bay Village
Summary
Registered Nurse (BSN) with 27+ years of experience across inpatient, outpatient, and long-term care settings. Skilled in clinical documentation, chart analysis, and regulatory compliance with a strong ability to identify patient needs and support quality initiatives. Detail-oriented and collaborative, ensuring documentation is accurate and compliant with CMS and facility standards. Currently preparing for AHIMA’s CDIP certification to advance expertise in CDI, HCCs, and risk adjustment. Passionate about remote roles focused on documentation integrity and data accuracy.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Independent Nurse Contractor
Cortex Health
09.2023 - Current
- Conduct 20–50 post-discharge outreach calls per week to assess patient recovery, address concerns, and support safe transitions of care.
- Gather and communicate relevant updates on symptoms, follow-up appointments, and medication adherence to help prevent readmissions.
- Ensure all required post-discharge questions are completed accurately and concisely in alignment with facility protocols.
- Consistently meet and maintain required monthly call quotas and performance metrics to ensure compliance with Cortex Health and facility expectations.
- Deliver professional, compassionate communication that enhances patient satisfaction and reinforces quality of care.
- Remote
Clinical Documentation & Chart Review Nurse / Care Plan Coordinator
Centers For Dialysis Care
11.2012 - Current
- Perform detailed chart reviews to ensure complete, compliant, and clinically accurate documentation aligned with CMS and ESRD standards.
- Identify and correct documentation gaps, duplications, and diagnosis discrepancies to optimize coding accuracy and data integrity.
- Partner with providers to clarify clinical details and support accurate risk adjustment and quality reporting.
- Collaborate with the interdisciplinary team to enhance communication, care coordination, and overall documentation quality.
- Mentor 2012–2017; Heather Hill 2017–Current
Registered Nurse – Chronic Dialysis
Fresenius Medical Care
05.2008 - 05.2010
- Delivered hemodialysis treatments in a 24-chair outpatient unit, managing a diverse caseload of chronic end-stage renal disease patients.
- Monitored patient status and lab results throughout treatment sessions, ensuring early identification of complications.
- Implemented critical safety measures and emergency interventions when necessary to protect patient wellbeing.
- Maintained accurate documentation to support regulatory compliance, quality assurance, and interdisciplinary communication.
- Collaborated with nephrologists and technicians to optimize patient outcomes and workflow efficiency.
Education
Bachelor of Science - Nursing (BSN)
Capella University
Minneapolis, MN11-2024
Associate Degree - Nursing (ADN)
Kent State University
Ashtabula, OH05-1997
Skills
- EMR Systems
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- ImpactSIIS
- Clinisync
- Cortex
- Adaptable to Epic, Cerner, and other systems
- Clinical Documentation Review & Chart Auditing
- EMR Accuracy & Problem List Reconciliation
- Quality Improvement & Compliance (CMS / AHIMA Standards)
- Documentation Clarification & Record Summarization
- Remote Clinical Review & Patient Follow-Up
- Interdisciplinary Communication & Collaboration
- HIPAA Compliance & Confidential Record Management
Certification
- Registered Nurse – Ohio (Active), Expires Oct 2027
- BLS & AED – American Heart Association, Valid through Aug 2026
- Certification in Quality Improvement – Case Western Reserve University (Coursera), 2025
- CDIP (Certified Documentation Improvement Practitioner) – AHIMA ( Expected Dec 2025)
- Member, American Health Information Management Association (AHIMA) – Active Member
PROFESSIONAL INTERESTS
Clinical Documentation Integrity • Chart Review • Compliance • Quality Improvement • Remote Clinical Review Roles
References available upon request.
Personal Information
Title: Clinical Documentation & Chart Review Nurse | Care Plan Coordinator
ADDITIONAL WORK EXPERIENCE ( 1997-2008)
Roles included Travel Nurse – Multiple Dialysis Centers (Chronic and Acute, U.S.), Registered Nurse – Chronic Dialysis (Fresenius Medical Care), and ICU/Acute Care Dialysis Nurse (Cleveland Clinic Foundation). Gained extensive clinical and documentation experience across diverse inpatient and outpatient settings.
Timeline
Independent Nurse Contractor
Cortex Health
09.2023 - Current
Clinical Documentation & Chart Review Nurse / Care Plan Coordinator
Centers For Dialysis Care
11.2012 - Current
Registered Nurse – Chronic Dialysis
Fresenius Medical Care
05.2008 - 05.2010
Bachelor of Science - Nursing (BSN)
Capella University
Associate Degree - Nursing (ADN)
Kent State University