Rhoda Chism, MHL, RN, CCDS, CCS, CPHQ
Morgantown,KY
Summary
Exceptionally skilled RN with broad clinical knowledge and excellent grasp of coding and quality guidelines; outstanding communicator with clinicians, executive leadership and staff; collaborative and ethical; respected educator with ability to convey complex information in simple terms; previously held Certified Professional in Utilization Review with extensive care coordination experience and denial prevention; presenter at ACDIS national conference in 2019, 2021, 2022, 2023 and 2024; presenter for MN, MA, & IN ACDIS chapters, presenter for HCPRO webinar "Surviving Sepsis in 2019"
Overview
35
35
years of professional experience
1
1
Certification
Work History
Director of Clinical Documentation Integrity
Steward Healthcare
07.2023 - Current
- Managed 70+ team members and 35 hospital sites; responsible for CDI program including monitoring productivity, quality, education/training, auditing, performance improvement, creating/updating policies and procedures, financial reporting to executive leadership, and quality reporting; integral member of quality team; subject matter expert for CDI and coding; worked collaboratively with local and national chief medical officers providing education, feedback, and best practice examples
Manager of CDI Audits and Education
Steward Healthcare
01.2021 - 06.2023
- Provided education to clinical documentation specialists at 40 hospitals across the nation; audited CDI work and created policies to align with best practice; acted as liaison between quality and CDI; assisted with EMR conversion; assisted with physician query application roll-out; responsible for software roll-out capturing retrospective documentation opportunities; responsible for hiring and training corporate auditors, retrained CDI specialists, created PSI 90 collaborative process; active member of sepsis management committee; provided sepsis education to providers; trained quality, chief medical officers, coding, and CDI specialists for HAC/PSI inclusions/exclusions; assisted director with creation of employee handbook, policies & procedures, and CDI workflow
Manager of CDI Audits and Education
Tenet Healthcare
01.2020 - 01.2021
- Provided education and leadership to clinical documentation specialists at 65 hospitals across the nation; audit CDI work and create policies to align with best practice; interim CDI operations manager for 10 Florida hospital's CDI staff; responsible for software roll-out capturing retrospective documentation opportunities; responsible for hiring and training corporate auditors
Clinical Documentation Specialist/Educator
MedCenter Health
10.2001 - 01.2020
- Provided concurrent review of clinical documentation; assisted with CDI data management and interpretation; compiled clinical information to assist appeals department with denials and RAC audits; responsible for auditing CDI reviews and providing educational feedback; provided education for resident and attending physicians; responsible for health system mortality reviews; CDI representative for heart failure, sepsis, and chest pain committees; liaison with quality department
Care Coordinator
MedCenter Health
10.1997 - 10.2001
- Coordinated care with internal departments, physicians, and payers to safely transition patients through the continuum of care; obtained precertification for patient care and ensured medical necessity criteria met for inpatient admissions, applied Interqual criteria and communicated with physician advisors as necessary; performed clinical documentation improvement for Medicare admissions
Staff Nurse
MedCenter Health
10.1995 - 10.1997
- Provided care to CCU patients
- Managed elements of patient care, from admission to discharge or transfer to other units, using nursing expertise to conduct assessments, administer medications, initiate nursing and emergency interventions, contribute to care plan development and educate patients
Charge Nurse
Lakeview Health Care
10.1993 - 10.1995
- Directed patient care activities and provided guidance and training to RNs, LPNs and residential advisors during shift while delegating assignments and providing treatment
Staff Nurse
Greenview Hospital
05.1989 - 10.1993
- Managed elements of patient care, from admission to discharge or transfer to other units, using nursing expertise to conduct assessments, administer medications, initiate nursing and emergency interventions, contribute to care plan development and educate patients
- Provided care to patients in the emergency department, ICU/CCU, and orthopedic units
Education
Master's Degree - Health Leadership
Western Governors University
Salt Lake City, UT05.2021
Bachelor of Science - Nursing
Indiana Wesleyan University
Marion, IN12.2015
Associate of Science - Nursing
Western Kentucky University
Bowling Green, KY05.1989
Skills
- Excellent interpersonal and communication skills
- Poised under pressure
- Auditing
- Interpersonal and communication
- Data management
- Documentation
- Quality
- Group and individual instruction
- Flexible & Adaptable
- Responsible
- Charismatic Leader
- Issues Resolution
- People Management
Certification
- Certified Clinical Documentation Specialist
- Certified Coding Specialist
- Certified Professional in Healthcare Quality
Personal Information
Title: MHL, RN, CCDS, CCS, CPHQ
Timeline
Director of Clinical Documentation Integrity
Steward Healthcare
07.2023 - Current
Manager of CDI Audits and Education
Steward Healthcare
01.2021 - 06.2023
Manager of CDI Audits and Education
Tenet Healthcare
01.2020 - 01.2021
Clinical Documentation Specialist/Educator
MedCenter Health
10.2001 - 01.2020
Care Coordinator
MedCenter Health
10.1997 - 10.2001
Staff Nurse
MedCenter Health
10.1995 - 10.1997
Charge Nurse
Lakeview Health Care
10.1993 - 10.1995
Staff Nurse
Greenview Hospital
05.1989 - 10.1993
Master's Degree - Health Leadership
Western Governors University
Bachelor of Science - Nursing
Indiana Wesleyan University
Associate of Science - Nursing
Western Kentucky University
Similar Profiles
Vanessa GarayVanessa Garay
Data Analyst at Steward HealthcareData Analyst at Steward Healthcare
Melanie CampbellMelanie Campbell
Trainer / Quality Assurance Specialist / Biller at Steward HealthcareTrainer / Quality Assurance Specialist / Biller at Steward Healthcare
Mattie LovelyMattie Lovely
Revenue Cycle Representative at Steward HealthcareRevenue Cycle Representative at Steward Healthcare
JAMES SHEPHERDJAMES SHEPHERD
Class A CDL Driver at Owen Transport ServicesClass A CDL Driver at Owen Transport Services
Ronald BurdenRonald Burden
custodian at Frantzcustodian at Frantz