
CAREER OBJECTIVE
To continue to use my knowledge as a Registered Nurse and Certified Clinical Documentation Specialist to improve the accuracy, integrity, and compliance of medical record documentation to improve patient care.
CAREER SUMMARY
30+ years of experience as a Registered Nurse in various areas of health care.
Proven ability to manage care of various patient populations.
Effective charge nurse responsibilities including basic unit operations, staffing issues, delegation of duties, patient/bed flow managements, collaboration with physicians and other care partners and patient and family interventions.
Effectively acted as a preceptor to newly hired registered nurses and nursing students.
Strong analytical/quantitative skills.
Proficient at working independently, handling simultaneous tasks, and meeting deadlines.
Ability to assess client/organization needs and implement effective interventions.
Effective at communicating with leadership and healthcare professionals.
Competent in APR-DRG validation, severity of illness and risk of mortality to reflect quality indicators, resource consumption and outcome measures to ensure accurate and complete documentation for final coding and billing.
Knowledge in written physician/providers query both concurrent and retrospective in compliance with AHIMA.
Collaborates with other departments of HIM regarding reconciliations to ensure that the medical record accurately reflects the diagnosis/procedures, care, and severity of illness of the patient.
Maintains strong concurrent medical record analysis capabilities (EMR).
Reviews the medical records and risk adjust as it relates to comorbid conditions (CC) and major comorbid conditions (MCC).
Present of admission (POA), pertinent diagnosis that impact quality,
safety, and mortality measures.
Charge Nurse
Managed patient careof complex surgical patients in an Adult Intensive Care Unit.
Competencies in ares of: Continuous Cardiac/SVO2 monitoring, Temporary Transvenous Pacing, CWHD - Dialysis, Temporary External Pacing, Hemodynamics, ICP monitoring, Arterial Pressure/CVT monitoring, Arterial blood sampling, Conscious Sedation, Ventilation therapy and management, Vasoactive/Inotropic drug administration, Epineural, Perineural and Epidural analgesia, and Post-Operative Reversal Agent drug administration and monitoring.
Managed patient care of complex Medical/Surgical/Trauma patients in an Medical/Surgical IMC.
Competencies in areas of: Arterial Pressure/CVP monitoring, Arterial blood sampling, Conscious Sedation, Ventilation, therapy and management. Vasoactive/Inotropic drug administration, Epineural, Perineural and Epidural analgesia, and Post-Operative Reversal Agent drug administration and monitoring.
AHIMA - American Health Information Management Association
ACDIS - Association of Clinical Documentation Integrity Specialists
Maryland Chapter
References available upon request
204 Whirlaway Lane
Havre de Grace, Maryland 21078
ahctff25@aol.com