Nikki Clements

Direct day-to-day administrative and operational functions for 70 bed facility, providing guidance and leadership to over 90+ employees across more than 6 departments.

• Maintained compliance with statutory, regulatory, state and federal guidelines for benefits and developed appropriate procedures to meet nursing home objectives.
• Oversaw financial transactions and management functions, ( During my last 12 months of successfully increased net profit from ($14,993) to $121,955.
• Discussed resident census data and admissions and discharge information in department-head meetings.( Worked collaboratively with Scheduling Coordinator to ensure proper staffing for resident ration managing over time and reducing agency usage.
• Created documents such as Plan of Corrections (POC), Informal Dispute Resolution (IDR) and Audit tools.
• Reduced staff turnover by fostering a positive work environment through open communication and proactive problem solving.
• Evaluated vendor contracts for cost-effectiveness, negotiating favorable terms for supplies and equipment purchases that reduced overall expenses.
• Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
• Knowledgeable and strong leadership skills when state agencies enter the building for complaint or Annual survey regarding deficiencies and tags.
• Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
• Utilized data analysis techniques to identify trends in patient outcomes and inform strategic decision-making processes.
• Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.

Responsible for the day-to-day operations and practice functions while maintaining high quality, efficient and financially responsible healthcare for 12 family and specialty outpatient clinics.

• Worked in collaboration with TPMG executive management, medical directors, operation, directors, providers, office, managers, other regional managers, and staff to achieve goals and strengthen communication between practices and Administration.
• Worked closely with the Medical Office Managers and Ancillary managers to attain productivity and financial goals for the assigned areas
• Regularly review financial performance of practices with Managing Physician and Office Manager to identify negative trends and expenses and assist in developing a plan of action to address variance ( Analyze P&L statements, GL reports, inventory control, etc).
• Partnered with Office Managers, and Central Billing Office in order to facilitate audit and education on proper coding with Physicians and staff.
• Acted as a liaison between the Quality Services teams and the practice in order to support performance improvement initiatives to enhance quality of care and positively impact ACO performance.
• Developed and maintained systems and/or processes that measured results of frontline staff work, productivity, volume, patient/staff/provider satisfaction or other work improvement indicators.
• Supported managers with functional area responsibilities to include recruitment, hiring termination, corrective action, and performance reviews.
• Oversaw the process of onboarding new Physicians and/or Practices that joined TPMG within assigned region.

Abstract data from the patient's chart, notes, including notes from the hospital systems internal office notes and accurately code the appropriate codes for services rendered.

• Review all diagnosis coding and assign the appropriate ICD-10 code based on the providers written diagnosis.
• Apply modifiers, review procedure, E&M coding and imaging test performed during the patients visit.
• Reconciling collections taken at time of service and applying to encounters.
• Work accounts receivable and denial reports with Central Billing Office and communicating coding trends and discrepancies to the Office Manager and Physicians.
• Verified signatures and checked medical charts for accuracy and completion.
• Verified accuracy of patient information in medical records.
• Utilize electronic medical record systems to store, retrieve and process patient data.
• Follow up with medical staff regarding missing information in patient records.
• Monitor changes in coding regulations to provide recommendations for compliance.