Teresa Miller
Bryant,AR
Summary
Registered Nurse with Masters degree and 28 years of nursing experience in various patient care settings. Most recently have worked in Clinical Documentation Improvement.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Clinical Documentation Improvement Specialist
Cooper University Hospital
10.2014 - Current
- Reviewed charts for appropriate physician documentation.
- Liaison between physicians and coding/billing department
- Educated providers on documentation required for appropriate reimbursement
- Reviewed and assessed clinical and technical accuracy of provider documentation
Healthcare Consultant/CDI
Nuance Communications/JA Thomas and Associates
01.2013 - 07.2014
- Performed Assessments, Implementations, Continuing Education, Follow up visits.
- Trained new CDS.
- Interim Staffing both remote and on site.
- Assisted with regulatory issues such as compliance
- Produced detailed and relevant reports for use in making business decisions
- Collected, organized and modeled data using JATA software
Clinical Documentation Specialist
MedPartners
10.2012 - 01.2013
- Travel CDI...interim staffing.
- Worked with 3m CDIS software.
- Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care
Clinical Documentation Specialist
Arkansas Heart Hospital
04.2012 - 10.2012
- Clinical documentation specialist.
- Used Siemens Sorian EMR and JATA CDMP software.
- Cardiac patients.
- Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care
RN Case Manager
American Health Holding
11.2010 - 10.2012
- Managed case load of patients, reporting to third party administrator.
- Utilized Milliman criteria to determine medical necessity for services and approve/deny as applicable.
- Patient teaching.
- Health Coaching.
Clinical Documentation Specialist
Baptist Medical Center CDI
04.2007 - 10.2010
- Reviewed patient records to identify errors in documentation.
- Acted as liaison between providers and the coding/billing department.
- Educated providers on language required by billing companies to obtain proper reimbursement.
- Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures
RN Case Manager
Baptist Medical Center
07.2005 - 04.2007
- Case management,
- Utilization review,
- Discharge planning,
- Audits/appeals/denials.
- Created customized care plans, working with hospital staff and families to assess and meet individual needs
Patient Services Representative Independent Contractor
Zoll Lifecor
08.2006 - 03.2009
- Provided patient education, fitting, and ongoing support with the LifeVest Wearable External Defibrillator.
- Actively listened to customers' requests, confirming full understanding before addressing concerns
- Worked flexible hours; night, weekend, and holiday shifts
- Identified issues, analyzed information and provided solutions to problems
RN Case Manager Case Management RN Staff
Jefferson Regional Medical Center
08.2002 - 07.2005
- Utilization review
- Discharge planning
- Case Management
RN Staff Nurse
Arkansas Childrens Hospital Regional Burn Center
12.1999 - 08.2002
- Took care of both adults and children, critical care and regular burn patients.
- Occasionally was pulled to other floors such as oncology and med surg.
RN Staff Nurse Home Health Nurse
Area Agency on Aging/Southeast Arkansas Home Health Agency
03.1995 - 08.2001
- This was a contract position for a disabled child who attended public schools. I was a on site help to school based nurses. Helped with vision and hearing screenings, and first aid.
Education
Master of Science - Nursing-Family Nurse Practitioner
Walden University
Minneapolis, MN02.2022
Bachelor of Science - Nursing
Walden University
Minneapolis, MN01.2017
Associate of Science - RN
Jefferson School of Nursing
Pine Bluff, AR05.1993
Skills
- Strong clinical judgment
- High level of autonomy
- Qualified in healthcare billing
- Health education
- Client and community outreach
- Developmental disorders knowledge
- Self-directed
- Acute care expertise
- Healthcare management
Certification
- Registered Nurse in AR, License number R044096, exp. 2026.
- Certified Clinical Documentation Specialist (CCDS).
- Certified Case Manager (CCM).
- Certified Coding Specialist (CCS).
- Certified Risk Adjustment Coder (CRC).
Timeline
Clinical Documentation Improvement Specialist
Cooper University Hospital
10.2014 - Current
Healthcare Consultant/CDI
Nuance Communications/JA Thomas and Associates
01.2013 - 07.2014
Clinical Documentation Specialist
MedPartners
10.2012 - 01.2013
Clinical Documentation Specialist
Arkansas Heart Hospital
04.2012 - 10.2012
RN Case Manager
American Health Holding
11.2010 - 10.2012
Clinical Documentation Specialist
Baptist Medical Center CDI
04.2007 - 10.2010
Patient Services Representative Independent Contractor
Zoll Lifecor
08.2006 - 03.2009
RN Case Manager
Baptist Medical Center
07.2005 - 04.2007
RN Case Manager Case Management RN Staff
Jefferson Regional Medical Center
08.2002 - 07.2005
RN Staff Nurse
Arkansas Childrens Hospital Regional Burn Center
12.1999 - 08.2002
RN Staff Nurse Home Health Nurse
Area Agency on Aging/Southeast Arkansas Home Health Agency
03.1995 - 08.2001
Master of Science - Nursing-Family Nurse Practitioner
Walden University
Bachelor of Science - Nursing
Walden University
Associate of Science - RN
Jefferson School of Nursing