Summer Holcombe
Belton,SC
Summary
Team-minded Coordinator with 10 years of CDI experience performing administrative support duties and clinical documentation chart reviews. Expertise in reviewing medical records for physician accuracy and completeness of documented information. Well-trained in pathophysiology, anatomy/physiology, pharmacology, medical coding and guidelines. Dependable and detail-oriented to manage multiple tasks and priorities. Recognized frequently for exemplary performance in individual CDI monthly metrics, organizational skills and team collaboration. Strong work ethic, adaptability, and exceptional interpersonal skills and time management abilities. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Coordinator-Clinical Documentation
AnMed Health Medical Center
Anderson , South
03.2010 - Current
- Created a second level review process of concurrent and retrospective reviews.
- Attends and participates in CDI/HIM leadership meetings
- Actively participates in 3M Bi-weekly calls concerning ways to improve CDI review rate, review process, financial reimbursement, SOI/ROM and target DRG's.
- Mortality reviews
- Runs and prepares monthly reports for CDI Manger and upper leadership such as individual team member KPI's, department KPI's, financial reports, and physician response rates to CDI queries.
- Collaborates with Nutritional team, Wound Care team, HIM, physicians and quality.
- Communicates and collaborates with HIM team to resolve discrepancies with DRG assignments and other coding issues.
- Assisted in interview process of new hires.
- Primary preceptor for orientation of all new hires.
- Provides technical support to team members regarding software applications and hardware systems.
- Certified Clinical Documentation Specialist
- Discusses job performance problems with employees, identifying causes and issues to find solutions.
- Monthly CDI education at staff meeting related to documentation, diagnosis, procedures, and coding.
- Proficient in EPIC and 3M 360 systems. Also have used Cerner and Midas.
- Completes daily and concurrent reviews of charts for appropriate, complete and accurate physician documentation related to diagnosis and procedures.
- Recognizes opportunities for provider documentation improvement.
- Formulates compliant CDI queries with excellent physician response.
- Consistently does continuing education to maintain a high level of proficiency in ICD-10/PCS code changes, coding guidelines and compliance.
Medical Surgical Registered Nurse
AnMed Health Medical Center
Anderson , SC
03.2010 - 03.2014
- Conducted assessments upon admission of new patients in order to develop an individualized plan of care.
- Monitored vital signs, administered intravenous fluids, medications, blood transfusions, chest tubes, surgical wound dressings, NG tubes, and other treatments according to physician orders.
- Cared for post-surgical patients as well as pulmonary, cardiac, renal, neuro, infectious disease, and orthopedic patients.
- Collaborated with interdisciplinary team members to ensure optimal patient outcomes and excellent patient care.
- Patient education committee.
- STAR of the Month for providing excellent patient care.
- Adhered to facilities policy, procedures and protocols.
- Assisted physicians with procedures as needed during rounds or bedside examinations.
- Exhibited professionalism and leadership to peers by participating in professional activities, continuing education and precepting new hires and nursing students.
LPN
Riverside Nursing Center
Piedmont , SC
10.2007 - 03.2010
- Ensured that all medications were administered accurately and on time as prescribed by the physician.
- Maintained accurate medical records of each patient's health condition.
- Coordinated with interdisciplinary team members such as doctors, nurses and social workers to ensure quality patient care was provided.
- Instructed patients and their families about proper nutrition and medication management.
- Performed wound care including changing dressings, cleaning wounds, applying ointments and medications and providing other necessary treatments.
- Collected and documented vital signs to track current patient conditions.
- Monitored patient's respiration activity, blood pressure and blood glucose levels in response to medical administration.
- Communicated concerns regarding patients' status, care and environment to nursing supervisors, clinical care supervisors and case managers.
- Followed rehabilitation and treatment care plans to accelerate patient recovery, minimize pain and optimize patient outcomes.
- Observed strict confidentiality and safeguarded all patient-related information.
- Provided emotional support during difficult times such as end-of-life decisions and treatment options.
Care Plan Team- Data Entry
Riverside Nursing Home
Piedmont , SC
06.1999 - 08.2004
- Performed data entry of Care Plans and MDS.
- Transmitted Care Plans and MDS to Medicaid/Medicare.
- Scheduled appointments for team and family members.
- Updated existing records with new or revised information as needed.
- Created spreadsheets to track data entries.
- Maintained confidentiality of sensitive information entered into the system.
- Collected and organized information for entry, prioritizing entries to increase efficiency.
- Responded to daily inquiries and requests within mandated timeframe to meet deadlines.
- Scanned and stored files and records electronically to reduce paper files and secure data.
- Prepared summaries of daily work completed for review by supervisors.
- Completed database backups to secure information.
- Ensured compliance with all relevant rules and regulations governing data entry activities.
- Answered incoming phone calls and directed callers to appropriate departments and personnel.
- Transferred data from hard copies to digital databases, organizing information in new formats.
Education
Associate of Science - Nursing
Tri-County Technical College
Pendleton, SC12-2009
Skills
- Documentation Improvement
- Administrative Leadership
- Proficient in Coding Terminology
- Report Creation and Generation
- Training and Mentoring
- Task Prioritization
- Problem-Solving Abilities
- Teamwork and Collaboration
- DRGs Patient Assignments
- Microsoft Word Processing Software
- Proficient in EPIC and 3M 360 Systems
Certification
- Certified Clinical Documentation Specialist
Timeline
Coordinator-Clinical Documentation
AnMed Health Medical Center
03.2010 - Current
Medical Surgical Registered Nurse
AnMed Health Medical Center
03.2010 - 03.2014
LPN
Riverside Nursing Center
10.2007 - 03.2010
Care Plan Team- Data Entry
Riverside Nursing Home
06.1999 - 08.2004
Associate of Science - Nursing
Tri-County Technical College
- Certified Clinical Documentation Specialist
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