Scottie Schmalz-Hope
Idaho Falls,ID
Summary
Dedicated professional with over 20 years of experience in clinical and health information management, specializing in medical data classification across diverse healthcare settings, including hospitals, group practices, and specialty clinics. Expertise includes evaluating documentation for completeness and compliance with regulatory standards while ensuring reimbursement integrity. A Doctor of Physical Therapy degree and advanced knowledge in anatomy, physiology, and medical terminology enhance capabilities in coding and analyzing patient health records effectively. Committed to identifying documentation gaps and formulating compliant clinical queries to support quality outcomes and drive efficiency within dynamic healthcare environments.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Owner, Provider, and Manager
Edema Therapy Solutions
Idaho Falls, ID
07.2020 - Current
- Spearheaded innovative lymphedema treatment program, providing specialized services to the Eastern Idaho community.
- Performed detailed assessments of medical records to guarantee accuracy, completeness, and adherence to regulatory standards.
- Designed and executed comprehensive documentation protocols to ensure adherence to regulatory requirements.
- Analyzed ICD-10 and CPT coding practices to pinpoint documentation deficiencies that influence reimbursement and reporting quality.
- Assessed clinical documentation for adherence to medical necessity guidelines and appropriate coding classifications.
- Conducted regular reviews to maintain compliance with state and federal regulations, payer guidelines, and audit standards.
- Assigned codes for documented patient care encounters across various health care services. Conducted a thorough review of patient health records to extract medical, surgical, ancillary, demographic, social, and administrative data for comprehensive data capture.
- Achieved improved operational efficiency by effectively utilizing WebPT, Heno, and Therabill EMRs. Strengthened security measures through the implementation of VPNs and multi-factor authentication.
- Managed daily operations of therapy services, ensuring compliance with industry standards.
- Implemented marketing strategies to increase patient engagement and service awareness.
- Enhanced company's market position by identifying and pursuing new business opportunities.
Physical Therapist & Certified Wound Specialist
Eastern Idaho Regional Medical Center
Idaho Falls, ID
02.2018 - 11.2020
- Evaluated inpatient documentation to ensure clinical accuracy and adherence to regulatory compliance standards.
- Presented comprehensive educational content at wound care symposiums, contributing to professional development in the field.
- Engaged with diverse teams across specialties to facilitate effective communication and collaboration.
- Utilized Meditech and Wound Expert EMRs for efficient documentation and tracking of wound care.
- Improved patient recovery rates through expert wound care as a certified wound specialist. Elevated quality of life for patients with lymphedema through effective therapy as a certified lymphedema therapist.
Adjunct Instructor
College of Eastern Idaho
Idaho Falls, ID
02.2018 - 01.2019
- Facilitated engaging learning experiences in anatomy and physiology to prepare adult pre-nursing students for healthcare careers.
- Demonstrated advanced expertise in medical terminology, anatomy, physiology, disease processes, treatment modalities, diagnostic tests, medications, and procedures.
- Facilitated interactive discussions to foster critical thinking among students.
- Developed engaging curriculum materials to enhance student learning and retention.
Physical Therapist & Certified Wound Specialist
St. Luke’s Wound Care & Home Health
Boise, ID
02.2014 - 12.2018
- Executed advanced offloading and compression care techniques, including total contact casting.
- Conducted targeted training programs to enhance physicians' and staff's proficiency in wound care techniques and accurate documentation.
- Created comprehensive EMR documentation templates and facilitated team transition to Epic for optimized clinical processes.
- Facilitated clinical education and mentorship as a credentialed clinical instructor for American Physical Therapy Association.
Physical Therapist
Summerlin Hospital
Las Vegas, NV
11.2012 - 02.2014
- Assessed and treated patients in acute and rehabilitation units, focusing on neurological conditions and wound care protocols.
- Leveraged Epic EMR to streamline patient data management processes.
Education
Doctor of Physical Therapy -
Idaho State University
Pocatello, ID01-2005
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT01-2023
Bachelor of Science - Zoology
Idaho State University
Pocatello, ID01-2001
Skills
- Experience with multiple EMR platforms
- ICD-10, CPT, and HCPCS coding expertise
- Medical Coding, Record Review, Analysis, and Auditing
- HIPAA compliance expertise
- Patient, Staff, and Physician collaboration and education
- Leadership in program documentation compliance
Certification
Physical Therapist, Idaho (PT)
Registered Health Information Administrator (RHIA)
Certified Wound Specialist (CWS)
Certified Lymphedema Therapist (CLT)
Timeline
Owner, Provider, and Manager
Edema Therapy Solutions
07.2020 - Current
Physical Therapist & Certified Wound Specialist
Eastern Idaho Regional Medical Center
02.2018 - 11.2020
Adjunct Instructor
College of Eastern Idaho
02.2018 - 01.2019
Physical Therapist & Certified Wound Specialist
St. Luke’s Wound Care & Home Health
02.2014 - 12.2018
Physical Therapist
Summerlin Hospital
11.2012 - 02.2014
Bachelor of Science - Health Information Management
Western Governors University
Bachelor of Science - Zoology
Idaho State University
Doctor of Physical Therapy -
Idaho State University