Patricia Williams
Saint Charles,MO
Summary
Detail-oriented Clinical Documentation Specialist with a proven history in documentation compliance and process improvement. Expertise in medical terminology and collaboration with healthcare teams to enhance documentation quality and patient record accuracy.
Overview
33
33
years of professional experience
Work History
Clinical Documentation Specialist
R1 RCM
Remote
07.2024 - Current
- Analyzed clinical documentation for accuracy and compliance with regulatory standards.
- Collaborated with healthcare teams to ensure completeness of patient records.
- Reviewed coding and billing practices to enhance documentation quality.
- Implemented best practices for documentation improvement initiatives across departments.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
Clinical Documentation Specialist
Providence Health & Services
Remote
10.2009 - 07.2024
- Utilized electronic health record systems to optimize data entry efficiency and accuracy.
- Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Contributed to revenue optimization by identifying opportunities for appropriate clinical documentation improvement.
Registered Nurse
Providence Health & Services
Olympia, WA
09.2001 - 10.2009
- Administered patient care by assessing needs and implementing individualized nursing plans.
- Collaborated with multidisciplinary teams to enhance patient outcomes and streamline care processes.
- Mentored junior nurses, fostering skill development and promoting adherence to best practices in clinical settings.
- Implemented quality improvement initiatives that increased patient satisfaction and reduced readmission rates.
- Charge nurse on a daily basis responsible for team assignments and leadership for the day to day nursing role.
Behavioral Health Specialist - RN
TriCare
Tacoma, WA
10.1998 - 09.2001
- Case management duties for the psychiatric care of military dependents
- Preauthorization of inpatient and outpatient psychiatric and chemical dependency care for military dependents
- Continued stay review for inpatient psychiatric care
- Coordination of care between military and civilian caregivers for military dependents
RN3 - RN2 - RN1
Western State Hospital
Lakewood, WA
10.1993 - 10.1998
- Supervisory responsibilities for 15 employees
- Hiring and disciplinary responsibilities as needed.
- Staff scheduling and evaluations
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Worked flexible hours across night, weekend, and holiday shifts.
- Organized and detail-oriented with a strong work ethic.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
Education
Bachelor of Science - Nursing
Washington State University
On-line06.2010
Associate of Science - Nursing
South Puget Sound Community College
Olympia, WA06.1993
Skills
- Documentation compliance / improvement
- Healthcare staff interaction
- Strong attention to detail
- HIPAA regulations
- Healthcare coding
- Organization skills
- Problem-solving
- Process improvements
- Proficient in Epic, Nuance CDE, Word, Power Point, Excel
- Medical terminology
- Exemplary communication skills
- Teamwork and collaboration
- Attention to detail
- Reliability
Timeline
Clinical Documentation Specialist
R1 RCM
07.2024 - Current
Clinical Documentation Specialist
Providence Health & Services
10.2009 - 07.2024
Registered Nurse
Providence Health & Services
09.2001 - 10.2009
Behavioral Health Specialist - RN
TriCare
10.1998 - 09.2001
RN3 - RN2 - RN1
Western State Hospital
10.1993 - 10.1998
Bachelor of Science - Nursing
Washington State University
Associate of Science - Nursing
South Puget Sound Community College