Matthew Lyons MSN, MBA, RN, CCDS, CCM

Experience

• 

  Trinity Health MI

  Jan 2009 - Nov 2022

  This job role enabled me to examine key quality and performance metrics across all sites. Moreover, I developed and streamlined standardized workflow processes at all Trinity Michigan sites. I also executed data driven performance improvement initiatives and deployed a comprehensive education plan across all Michigan sites. I facilitated and oversaw daily operations of CDI programs for all Michigan Trinity Health regional health ministries.The contributions from this role include the following:-Led 40+ direct reports, completed annual performance evaluations, and conducted audits regarding quality and compliance.-Endured successful regionalization of seven individual hospital sites and implemented physician education efforts. Show less This role allowed me to ensure adherence to corporate program standards and implement new workflow changes. I maximized organizational financial security by maintaining precise and consistent medical records. Moreover, I cooperated with eight direct reports to administer routine activities of CDI program at St. Joseph Mercy Oakland. I orchestrated and led joint CDI and coding (CDMP) meeting on a monthly basis. I conducted ongoing audits for denial management and appeals. I also designed CDS and physician education curriculum based on denials and query trend data. I analyzed CDI benchmark data and presented monthly reports related to CMI to hospital CMO and CFO. I assessed CDS program metrics, including case mix index, team productivity, and individual CDS productivity.My key highlights for this role include the following:-Enabled documentation improvement by delivering education to CDS staff, providers, and coders regarding best practice documentation.-Accomplished individual goals by conducting audits and participating in annual evaluation process. Show less In this role, I improved patient flow through continuum of care by ensuring patients' care occurred at the appropriate time in coordination with clinical management, physicians, and nursing staff. Cooperating with physicians and mid-level providers, I prepared accurate documents to avoid audits, prevent payment denials, and maximize reimbursement. Directing management level functions within outcomes management department, I performed clinical documentation improvement, case management, and utilization management responsibilities by providing leadership and clinical oversight.The key contributions from this role include the following:-Successfully led CDI, case management, and utilization review functions.-Recognized as member of departmental continuous improvement committee. Show less Collaborating with the home health care team, I introduced and developed effective care plans for patients at high risk for hospital readmission. I guided patients and families regarding the plan of care, discharge planning, and home health care services.The achievements for this role are mentioned below:-Ensured a smooth transition to the home setting by assisting authorization and delivery of durable medical equipment.-Deployed patient discharge plans and delivered exceptional home health care services by coordinating with care management team at St. Joseph Mercy Oakland Hospital. Show less My role as Staff Nurse allowed me to cooperate with cross-functional teams to coordinate patient care activities from hospital admission to discharge operations. Moreover, I administered multiple patient care functions, including patient assessment, patient/family education, discharge planning, and medication management. The accomplishments for this role are following:-Leveraged electronic health record and experience in orthopedic trauma, joint replacements, neurosurgery, and medical disciplines for delivering care to up to five patients.-Acted as patient advocate and navigator to assist patients by developing healthcare system. Show less

  • Regional CDI Manager, Michigan

    Mar 2021 - Nov 2022

  • Clinical Documentation Integrity Specialist – Supervisor

    Jan 2017 - Mar 2021

  • Patient Logistics Practitioner

    Jun 2015 - Jan 2018

  • RN Clinical Care Coordinator

    Jan 2013 - Jun 2015

  • Staff Registered Nurse

    Jan 2009 - Jan 2014
• 

  Claro Healthcare

  Nov 2022 - now

  • Senior Associate

    Feb 2024 - now

  • Associate

    Nov 2022 - Feb 2024