Kelly Boell
Langhorne
Summary
Registered Nurse with extensive experience in acute care, home health, and hospice. Expertise in managing complex medical conditions and collaborating with multi-disciplinary teams to enhance patient outcomes. Strong advocate for patient needs, focusing on effective communication and quality improvement initiatives.
Overview
1
1
Certification
21
21
years of professional experience
Work History
Coding Specialist
Smart Healthcare Resources
Franklin
01.2024 - Current
- ICD 10-CM Coding for Hospice and Home Health
- OASIS review including: start of care, transfer, resumption of care, recertification, follow-up, and discharge for all insurance Carriers.
- Conducted a comprehensive review of form 485 to ensure accuracy and compliance with regulatory standards.
- Conducted utilization review across all disciplines to ensure compliance and quality standards.
- Thorough Face-to-Face documentation review.
- Processed physician orders from various disciplines to ensure timely implementation of patient care plans.
- Educate clinicians on documentation, OASIS, and outcomes.
- Collaborated with Clinical Manager and QAPI department to enhance agency outcomes through data analysis using SHP Software.
- Working knowledge of PDGM as it pertains to clinical documentation.
- Delivered training and education to peers on coding updates to maintain accuracy and compliance.
Senior Medical Coding Specialist
Wellsky
Overland
09.2022 - 01.2024
- ICD 10-CM Coding for Hospice and Home Health
- Utilization review for all disciplines.
- Comprehensive 485 review.
- Thorough Face-to-Face documentation review.
- Processed physician orders from all disciplines.
- Educate clinicians on documentation, OASIS, and outcomes.
- Collaboration with the Clinical Manager and QAPI department on improvement in agency outcomes using SHP Software.
- Working knowledge of PDGM as it pertains to clinical documentation.
- OASIS review including: start of care, transfer, resumption of care, recertification, follow-up, and discharge for all insurance Carriers.
Clinical Quality Review Specialist
Trinity Health at Home
Livonia
09.2021 - 01.2022
- Performed OASIS reviews for start of care, transfer, resumption of care, recertification, follow-up, and discharge, ensuring compliance across all insurance carriers.
- Reviewed 485 forms for accuracy and compliance, enhancing overall documentation quality.
- Thorough Face-to-Face documentation review.
- Utilization review for all disciplines.
- Educate clinicians on documentation, OASIS, and outcomes.
- Collaborated with Clinical Manager and QAPI department to improve agency outcomes utilizing SHP Software.
- ICD 10-CM Coding for Hospice and Home Health
- Working knowledge of PDGM as it pertains to clinical documentation.
- Processed physician orders from all disciplines.
Clinical Quality Supervisor
Southeastern Home Health Services
Bristol
11.2017 - 05.2021
- Conducted OASIS reviews for start of care, transfer, resumption of care, recertification, follow-up, and discharge across all insurance carriers to ensure compliance and quality.
- Completed utilization reviews across all clinical disciplines to assess patient care needs.
- Executed a thorough review of Face-to-Face documentation to ensure compliance with regulations.
- Conducted a comprehensive review of the 485 form to ensure accuracy and compliance.
- Managed the processing of physician orders across all clinical disciplines to facilitate timely care.
- Educated clinicians on effective documentation practices, OASIS requirements, and outcome measures to enhance overall patient care.
- Collaborated with Clinical Manager and QAPI department to improve agency outcomes using SHP Software, driving quality enhancement initiatives.
- Performed ICD-10-CM coding for various insurance carriers to ensure billing accuracy.
- Working knowledge of PDGM as it pertains to clinical documentation.
Quality Improvement Nurse
Southeastern Home Health Services
Bristol
11.2015 - 11.2017
- Assisted the Quality Improvement Coordinator with both the State and Joint Commission Surveys in 2017.
- Conducted Probe and Educate Audit to assess adherence to best practices and enhance quality improvement initiatives.
- Monitored potentially avoidable events in patient records and audited charts for accuracy, ensuring compliance with quality standards.
- Reported outcomes to clinical leadership monthly, tracking individual branch progress using Benchmark Software to identify areas for improvement.
- Provided ongoing education to the company's sixteen branches on Star Ratings.
- Developed Performance Improvement Plan for agency.
- Tracked Home Health Compare Outcomes and pulled reports from QIES.
- Performed quarterly chart reviews.
- Reviewed over 80 charts for a Medicare Focus Review and handled appeals.
- Submitted all ADRs and appeals to CGS.
- Assisted with other insurance audits.
Home Health Nurse
Southeastern Home Health Services
Bristol
10.2005 - 11.2015
- Assisted in opening two new branches and served as nursing supervisor, hiring and training all staff to ensure quality care.
- Provided patient care and supported Nursing Administrator by reviewing documentation for accuracy and compliance.
- Obtained Home Care Coding Specialist Certification to improve coding skills in patient care documentation during ICD-9 transition.
- I eventually went back in the field and remained on per diem.
- Bristol, PA
Home Health/Hospice Nurse
Chandler Hall Hospice
Newtown
09.2012 - 02.2014
- Delivered compassionate care to home health and terminally ill patients in community settings and inpatient hospice pavilion, ensuring comfort and dignity.
- Administered nursing care to patients in Newtown, PA, addressing individual health needs and promoting quality of life.
Education
Bachelor of Science - Nursing
Temple University
Philadelphia, PA01-2003
Associate's Degree - Nursing
Bucks County Community College
Newtown, PA01-1999
Skills
- Compassionate patient care
- Problem Solving
- Critical Thinking
- Time Management
- Strong Work Ethic
- Attention to detail
- ICD 10-CM coding
- OASIS review
- clinical collaboration
- quality improvement
Certification
- RN License, PA
- HCS-D
- COS-C
Timeline
Coding Specialist
Smart Healthcare Resources
01.2024 - Current
Senior Medical Coding Specialist
Wellsky
09.2022 - 01.2024
Clinical Quality Review Specialist
Trinity Health at Home
09.2021 - 01.2022
Clinical Quality Supervisor
Southeastern Home Health Services
11.2017 - 05.2021
Quality Improvement Nurse
Southeastern Home Health Services
11.2015 - 11.2017
Home Health/Hospice Nurse
Chandler Hall Hospice
09.2012 - 02.2014
Home Health Nurse
Southeastern Home Health Services
10.2005 - 11.2015
Bachelor of Science - Nursing
Temple University
Associate's Degree - Nursing
Bucks County Community College