1. ANGELA M. (KERTZ)MOSS
440 South 4th Street
(573) 883-0562
angiemmoss@yahoo.com
PROFESSIONAL EXPERIENCE
MedPartners HIM
Clinical Documentation Improvement Specialist
Barnes Jewish Hospital October 2012-Present
• Assist in the direction and management of the Clinical Documentation
Improvement program to ensure the highest quality of medical record
documentation and coding, which demonstrate clinical excellence, severity
of illness, and risk of mortality.
• Participate in identifying opportunities and implement initiatives to advance
the organizations’ revenue cycle performances.
• Ensure compliance within the regulatory and contractual requirements
with adherence to established policies and procedure for compliance and
appropriate institutional reimbursement and outcomes reporting.
• Conduct second level reviews on mortality cases to improve Mortality
Index score. Barnes had a UHC Mortality Index of 0.73 in spring of this
year. This is an improvement from 1.4 in 2012.
• Lead a joint effort between CDI and Quality Assurance to reduce or avoid
penalties from the Hospital Value-Based Purchasing Program.
• Assist in leading a team of 29 highly experienced RN Clinical
Documentation Specialists. The core 25 are responsible for integrating a
holistic approach to documentation integrity by congruent relationship
development and ongoing information sharing.
• Developed and lead various service lines with focus on metrics, quality
and the impact of documentation for Neurology, Neurosurgery,
Orthopedics, Trauma Surgery, BMT and Medical Oncology.
• Function in a role utilizing concurrent and retrospective second level
reviews with RAC focus DRGs, high dollar cases and
sepsis/malnutrition/DVT cases.
• Developed query escalation processes for service lines hospital wide.
• Formulated CDI processes and best practices in alignment with
ACDIS/AHIMA Practice Briefs.
• Instrumental in three program expansion initiatives growing Barnes to the
second largest CDI team in the nation.
• Developed mentor/orientation program for new and experienced Clinical
Documentation Specialists.
• Promoted synergistic environment within the CDI team which led to staff
retention and a working relationship within the HIM team.

2. • Developed and presented educational programs to residents, attendings,
midlevels and CDI staff.
• Performed extensive audits and analysis of current and retrospective CDI
activity.
• Monitored and analyzed program metrics.
• Sit on the PSI and Quality Department twice weekly committee meetings
to aid in the development of a hospital wide PSI and HAC process along
UHC guidelines and recommendations and input from key physician
leaders. Developed CDI processes to bridge this gap. BJH began in 2011
with a ranking of 91 on their UHC scorecard, and then in 2012 rose to 57,
in 2013 rose to 18 and for 2014, BJH finished #9 in the nation.
• Assisted on the ICD-10 CDI/coding process build for 3M CDIS
implemented March 2014
• Collaborated with Case Management on current issues that cross both
fields.
• Led CDI team through a seamless transition of assigning principal and
secondary diagnoses solely in ICD-10-CM/PCS.
Dell Healthcare Services
Principal Consultant
Virtual travelling position March 2012-present
*Consulting with contracted healthcare facilities for ICD-10 gap analysis and
readiness assessments
*Assess CDI, Quality Management, Revenue Cycle and Case Management
departments giving recommendations, reporting tools, system requirements for
ICD-10 readiness and current state gaps; assisting with future state
recommendations for robust, effective programs to transition to ICD-10
effectively
Maxim Healthcare
Clinical Documentation Improvement Specialist
February 2012-March 2012
*Assisted in the development of HCC CDI auditing tool for outpatient clinical
and ancillary services
*Performed HCC Clinical Documentation Integrity audits, assisting in recovery
of over 8 million dollars in undocumented, under coded revenue
Conduct retrospective audit of a large Medicare Advantage Plan clinical
documentation methodologies and processes in relation to HCC validation
Assess for opportunities for documentation improvement, coding errors ,and
validation of HCC in comparison to the patient’s documented clinical condition
Provide recommendation for changes in workflow processes, coding, and
clinical documentation
IOD Incorporated HIM Services
CDI Consultant Thomas Jefferson University Hospital
Philadelphia, PA November 2011-February 2012

3. *Performed CDI audits and DRG assignment for various SICU/ISICU areas in
the facility on two campuses.
*Assisted in developing physician “buy-in” of the program, developing physician
education, physician champion assignment. Helped establish a routine
rounding program with the physicians, interns and residents.
*Assisted in staff development to broaden CDI knowledge. Encouraged
development of CDI impact reports for staff and administration.
*Performed Quality Measures abstracting on the appropriate charts.
Jefferson Regional Medical Center, Crystal City, MO
Case Manager- Case Management Department October
2007-November 2011
*Case managed a ten bed observation chest pain unit, 22 bed progressive
(intermediate) telemetry level unit for reimbursement, billing, admission
compliance and authorization requirements within CMS and HMO/PPS
contractual requirements.
*Held position with responsibilities as ER and the outpatient surgical hospital
case manager.
*Communicate closely with physicians regarding level of care requirements,
continued stay needs and treatment standards attempting to maximize care
while minimizing costs and days of stay.
* Coordinate discharge planning on a daily and weekly basis with physicians,
families and other health disciplines.
*Jefferson Regional Case Management was recognized in 2010 with the Case
in Point Platinum Award for best overall case management program nationally.
Clinical Documentation Integrity Specialist 2009-July 2010
(Interim position 2011)
*Served as interim director for the CDI program overseeing RAC medical
necessity and DRG denials, participate in denial/appeals management
*Participated in the start of the new Compliance Documentation Program
utilizing J.A. Thomas software. Exceeding Best Practice for J.A. Thomas, and
setting new benchmarks for users around the country utilizing their software,
during the initial phase of the program.
*Received certification through J.A.Thomas. Participated in the first program of
its type with their company; combining the utilization review of Medicare records
with compliance documentation.
*CMI increase from 1.39 to 1.77 while I was participating in the program.
Averaging 1.55 during my tenure there.
*Worked closely with coders for DRG maximization with an approximate
agreement rate of 80%.
*Communicated closely with physicians to assist them in providing a more
complete, compliant and accurate record.

4. Centene Corporation, Festus, MO
Clinical Code Review Auditor 2005-2007
*Handled authorization appeals on a first and second level basis. Reviewed
medical records for medical necessity, Interqual standards and certification
requirements.
*Performed code review audits of all outpatient claims and miscellaneous
codes. Assisted with code review appeals and adjudication of those claims.
*Audited emergency room charts for Medicaid HMO patients for medical
necessity.
Jefferson Regional Medical Center Crystal City, MO
Staff RN-Home Health Department 2001-2005
*Served on Outcome Based Quality Improvement committee assisting with care
plan development and policy changes.
*Member of mentor group for new medical record documentation system.
*Staff RN for home health patients.
*Strengthened my knowledge base for disease management immensely.
Sainte Genevieve County Memorial Hospital, Sainte Genevieve, MO
Staff RN-Various Departments 1996 and 1999-2001
*Interim Director of the Outpatient Clinic for 20+ physicians for a four month
period.
*Worked as a staff RN covering the ER, ICU, med/surg unit, post partum and
pediatric wards. Also served as charge nurse and house supervisor.
*Office supervisor for OB/GYN physician practice. Assisted with billing and
coding. Performed patient support, triage and interviewing.
*Established a general medical practice from ground-floor up (rural health
clinic). Including insurance contracting, marketing strategies, patient recruiting.
St. Francis Medical Center, Cape Girardeau, MO
Staff RN- Intensive Care Unit 1996-2000
*Provide care to general ICU patients, surgical, neurosurgical, cardiovascular,
trauma and pediatric patients.
*Charge RN for two years; in addition to normal ICU duties handled shift
staffing, bed assignments and headed code team for house codes.
*Coordinated scheduling for 40+ nurses for 6 month period.
*Served as diabetic competency coordinator for the ICU.

5. EDUCATION
Southeast Missouri State University
Associates Degree in Nursing
Cape Girardeau, Missouri
January 1992 to December 1994
CERTIFICATIONS
*CCDS certified since January 2015
*Past speaker at the national ACDIS conference (2014)
*Member of ACDIS since 2011
*BLS Certification since 1991
*ACLS certification from 1995 to 2003
*PACS PALS from 1997 to 1999
*JA Thomas Coding Compliance Training in 2009
*Licensed in the State of Missouri as a Registered Nurse since January of
1995.
COMMUNITY INVOLVEMENT
*Past board member for the Patron’s Club for Valle Catholic Grade School
2007-2009.
*Chaired various fundraisers for the local church and school in the last ten
years.
*Taught AWANAS at Sainte Genevieve First Baptist Church 2005 and 2006.
*Volunteered as baseball fundraiser coordinator for local chapters the past
several years.
*Served as fundraising chair and concession coordinator on the Sainte
Genevieve County Youth Football League board 2008-1010.

6. EDUCATION
Southeast Missouri State University
Associates Degree in Nursing
Cape Girardeau, Missouri
January 1992 to December 1994
CERTIFICATIONS
*CCDS certified since January 2015
*Past speaker at the national ACDIS conference (2014)
*Member of ACDIS since 2011
*BLS Certification since 1991
*ACLS certification from 1995 to 2003
*PACS PALS from 1997 to 1999
*JA Thomas Coding Compliance Training in 2009
*Licensed in the State of Missouri as a Registered Nurse since January of
1995.
COMMUNITY INVOLVEMENT
*Past board member for the Patron’s Club for Valle Catholic Grade School
2007-2009.
*Chaired various fundraisers for the local church and school in the last ten
years.
*Taught AWANAS at Sainte Genevieve First Baptist Church 2005 and 2006.
*Volunteered as baseball fundraiser coordinator for local chapters the past
several years.
*Served as fundraising chair and concession coordinator on the Sainte
Genevieve County Youth Football League board 2008-1010.