Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
References
Timeline
Generic

Kristen Woodard

Dinwiddie

Summary

Dedicated Clinical Documentation Specialist with a background as a Clinical Coordinator for Orthopedics looking for opportunities to utilize experience in achieving organizational goals and objectives by performing quality record reviews, submitting impactful queries, and collaborating with an effective team.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Clinical Documentation Specialist

HealthRise
07.2024 - Current

Perform reviews on clinical documentation and issue queries when appropriate to clarify missing, unclear, or conflicting documentation


Accurate and timely review of records to include an initial, subsequent, and retrospective reviews


Review records to identify the most appropriate principal and secondary diagnosis to accurately reflect the patient's severity of illness and risk of mortality

Clinical Documentation Specialist

Ensemble Health Partners
05.2019 - 06.2024

Perform review on clinical documentation and issue queries when appropriate to clarify missing, unclear, or conflicting documentation


Accurate and timely review of records to include new, concurrent and retrospective reviews


Review records to identify most appropriate principal and secondary diagnosis to accurately reflect the patient's severity of illness and risk of mortality


Works closely with coders to ensure appropriate DRG, SOI and ROM


Collaborates with Infection Prevention and Quality to identify HAC and PSI


Assist with staff and provider education when needed


Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.

RN Joint and Spine Unit

Southside Regional Medical Center
12.2013 - 05.2019

Assist pts with the post care of having knee, hip, shoulder, and spinal surgeries


Assist pts with transferring from bed to chair, post-operative ambulation, and pain management


Proficient in removing drains from incision sites and re-dressing incisions, monitoring pt vital signs and consciousness to determine over sedation of pt


Performing a complete head to toe assessment of pts and assisting physicians with any bedside procedure that the pt may require


2015 till present Clinical Coordinator position, pre-op education to all elective total joint replacement patients, delegating tasks to staff, chart reviews and audits, core measure compliance with pre-op antibiotics and foley catheter insertion, care, and discontinuation, audit of patients chart to monitor neuro assessments as well as care plans are patient specific, and pt education is performed, monthly staff schedule and daily staffing of unit, time keeping and adjustments in payroll, approval of payroll, established admission and discharge checklist, perform competencies of staff in care plans, established individual staff education binders, performs daily joint commission readiness check list, active participant in accreditation with Joint Commission to include preparing unit and staff for survey, precepts all new staff members to unit, provide education to all staff members in pain management, monthly handwashing monitoring and compliance, monitor all orthopedic physician orders and address any issues, needs or concerns, along with assisting case managers in identifying equipment needs as well as home health versus skilled nursing facility needs, and weekly inventory of department and ordering of needed supplies

RN - Hospital Float Program

Southside Regional Medical Center
12.2012 - 12.2013

As a member of this program I was required to rotate throughout the facility utilizing my nursing skills

I worked on the Cardiac Unit, Joint and Spine Unit, Nursery, Oncology unit, and Post-Surgical Unit

I remained efficient in my nursing skills such as starting IV's, inserting foley catheters, using a bladder scanner, working with the Patient Touch medication scanning system, and computer charting.

RN Endoscopy and Special Procedures

Southside Regional Medical Center
11.2006 - 12.2012

Assist physicians during outpatient procedures including: colonoscopy, upper endoscopy, bronchoscopy, EUS with fine needle aspirations, ERCP with stent placements, liver biopsy and paracentesis and feeding tube placements

Proficient in conscious sedation, monitoring patient vital signs during procedures, labeling of specimens, completes admission process including admission assessment, nurse notes, MD orders and medication reconciliation forms

Trained in drawing blood for lab work, recovery and discharge of patients, interaction with family members including post-op education, maintaining advanced learning criteria for staff members, charge nurse on rotating days, precepting new employees, daily assignments, and logging patients into computer system

RN Med Surg Unit

Southside Regional Medical Center
09.2004 - 11.2006

Experience in admitting patients to the unit, assessment and monitoring of patients, administering medications, starting IV therapy, inserting foley catheters and Naso Gastric tubes, assisting physicians at the bedside for chest tube insertions and thoracentesis, charge nurse of the unit during evening and weekend shifts, and providing support and chart review for
LPN's.

Assistant

Drs. Gilbert & Farley
04.1995 - 06.2000
  • Filing patient records, answering phones, scheduling appointments, working up patients for physicians, contact lens fittings and glasses/frame adjustments, and payment processing after exams

Education

Associates Degree - Applied Science

Richard Bland College

Nursing Diploma -

Southside Regional Medical Center School of Nursing

Bachelor Degree - Nursing

Chamberlain College of Nursing

Skills

  • PROCEDURE CODING
  • HIPAA COMPLIANCE
  • REVIEW RECORDS
  • SELF-MOTIVATED
  • TIME MANAGEMENT AND ORGANIZATIONAL SKILLS
  • EPIC
  • CERNER
  • 3M 360 SOFTWARE
  • MICROSOFT OFFICE AND TEAMS
  • Optum

Certification

Certified Revenue Cycle Representative

Accomplishments

  • Consistent GEM participation (3 consecutive years)
  • Clinical Advancement Program
  • Shared Governance 2015-2019

References

Available upon request

Timeline

Clinical Documentation Specialist

HealthRise
07.2024 - Current

Clinical Documentation Specialist

Ensemble Health Partners
05.2019 - 06.2024

RN Joint and Spine Unit

Southside Regional Medical Center
12.2013 - 05.2019

RN - Hospital Float Program

Southside Regional Medical Center
12.2012 - 12.2013

RN Endoscopy and Special Procedures

Southside Regional Medical Center
11.2006 - 12.2012

RN Med Surg Unit

Southside Regional Medical Center
09.2004 - 11.2006

Assistant

Drs. Gilbert & Farley
04.1995 - 06.2000

Nursing Diploma -

Southside Regional Medical Center School of Nursing

Bachelor Degree - Nursing

Chamberlain College of Nursing

Associates Degree - Applied Science

Richard Bland College
Kristen Woodard