Results-driven RN with 19 years of diverse clinical experience and a focus on documentation integrity. Proven track record in conducting comprehensive chart reviews and collaborating with providers to enhance quality outcomes. Aiming to leverage EMR expertise in a remote Clinical Documentation Improvement role to advance healthcare excellence.
Overview
1
1
Certification
19
19
years of professional experience
Work History
Registered Nurse
Mercy Internal Medicine Clinic
Rogers, AR
07.2022 - Current
Triage patient concerns in person and by phone, assessing acuity and identifying appropriate care pathways for timely interventions.
Reviewed concurrent and retrospective patient records, lab results, diagnostic findings, and clinical histories in Epic EHR to support accurate clinical decisions and documentation integrity.
Maintained timely, accurate, and compliant documentation of patient encounters.
Worked with physicians and interdisciplinary teams to support documentation needs, capture patient conditions and status, and maintain chronic disease management and continuity of care.
Reconciled medications and documented medication changes, adherence concerns, and adverse reactions.
Assisted with Medicare Annual Wellness Visit documentation, health-risk assessments, and preventive care planning.
Provided patient education on chronic disease management, treatment plans, and follow-up care; documented understanding and compliance.
Managed prior authorizations, disability documentation, FMLA paperwork, and other clinical documentation processes requiring accuracy and regulatory compliance.
Selected as clinic's only on-site staff member authorized to work remotely during inclement weather and on-site operational disruption, maintaining patient triage workflow support, provider communication, and accurate documentation.
Registered Nurse
Medexpress Urgent Care Clinic
Springdale, Arkansas
08.2016 - 10.2023
Maintained accurate EMR records in Athena and Docutap for assessments, treatments, procedures, and patient visits.
Supported compliance with MedExpress, OSHA, and accreditation requirements through documentation checks and quality monitoring.
Reviewed lab results and helped coordinate follow-up care for proper documentation and patient management.
Completed quality charting while managing high patient volume and complex clinical workflows.
Conducted medication audits and compliance efforts to ensure documentation quality and regulatory adherence.
Trained and supported nursing staff on clinical workflows, documentation standards, and EMR use.
Registered Nurse
Mercy Hospital Northwest Arkansas
Rogers, AR
06.2007 - 08.2016
Managed 48-bed medical/surgical floor, coordinating admissions, discharges, and overall patient care, ensuring thorough and accurate documentation.
Collaborated with physicians and interdisciplinary teams to develop and document comprehensive patient care plans.
Conducted detailed patient assessments and documented changes in condition to support clinical decision-making and regulatory compliance.
Trained over 40 nursing staff members on clinical systems, workflow processes, and documentation best practices to enhance team competency.
Engaged in quality improvement initiatives aimed at enhancing patient outcomes through collaborative strategies.
Achieved departmental goals and objectives by instituting new processes and standards for in-patient care.
Trained staff as an Epic Super User during organization-wide EMR implementation, providing education, troubleshooting, workflow guidance, and documentation support.
Managed multiple tasks simultaneously while prioritizing urgent requests from physicians or nurses.
Education
Associate in Applied Science - Degree in Nursing
East Arkansas Community College
Forrest City, AR
05-2007
Skills
Clinical Documentation Improvement
Concurrent & Retrospective Chart Review
Medical Record Analysis
Documentation Integrity
Quality & Regulatory Compliance
Diagnosis Validation
Clinical Data Review
EMR Optimization
Provider Collaboration
Medicare Documentation Requirements
Risk Identification
Quality Metrics
Care Coordination
Epic Super User
Remote Work & Time Management
Clinical Auditing
Healthcare Compliance
Interdisciplinary Communication
Detail Oriented
Clinical Documentation & Quality Experience
19+ years of clinical experience interpreting patient histories, laboratory results, diagnostic findings, and treatment plans to support accurate patient care documentation.
Epic Super User supporting EMR implementation and staff training
Supported quality initiatives through medication audits, chart review activities, and compliance monitoring.
Collaborated with providers to review clinical data, coordinate patient care, and ensure complete clinical documentation.
Successfully managed prior authorizations, disability documentation, FMLA paperwork, and other healthcare documentation processes requiring accuracy and regulatory compliance.
Skilled at managing documentation-intensive workflows while maintaining accuracy and compliance.
Personal Information
Title: Registered Nurse
Certification
Arkansas State Board of Nursing Issued: 06/2007 Current Expiration: 07/31/2028 License number: R079182 Compact Status: Multistate
Basic Life Support American Heart Association Issued: 06/30/2026 Expiration: 06/30/2028