Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Clinical Documentation Integrity Specialist
Mobile Infirmary Medical Center
Mobile, Alabama
11.2020 - Current
Reviewed medical records to ensure accuracy and completeness of clinical documentation.
Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
Analyzed data from multiple sources including laboratory, radiology and pathology reports.
Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines.
Collaborated with interdisciplinary teams to identify opportunities for improvement in clinical documentation processes.
Participated in regular meetings with physicians, nurses, case managers, coders, therapists. to discuss changes or improvements needed for clinical documentation processes.
Used Epic, 3M endcoder and Iodine
Nursing Informatics Specialist
University of South Alabama Medical Center
Mobile, AL
01.2018 - 11.2020
Developed and maintained electronic health records systems for clinical staff.
Provided training to healthcare personnel on the use of computerized medical applications.
Designed and implemented policies and procedures related to the use of nursing informatics technologies.
Integrated new software into existing systems, ensuring compatibility across multiple platforms.
Assisted with troubleshooting issues related to system upgrades and maintenance activities.
Collaborated with other departments to ensure accurate data entry into the system.
Documented workflow processes associated with the implementation of new technologies.
Maintained up-to-date knowledge regarding advancements in healthcare IT systems and standards.
Staff RN-CCU/SICU
Infirmary Health Systems
Mobile, Alabama
02.2010 - 12.2018
Provided patient care in a surgical ICU setting, including monitoring vital signs, administering medications and providing wound care.
Assisted physicians with procedures such as intubations, chest tube insertions and central line placements.
Performed assessments of patients' physical condition to identify changes in status or risk for complications.
Collaborated with interdisciplinary team members to coordinate patient care plans based on individual needs.
Managed complex medical cases requiring close observation and frequent interventions.
Maintained accurate documentation of patient progress notes, treatments and medication administration records.
Assisted with orientation of new staff members within the Surgical ICU unit.
Responded quickly to life-threatening situations involving unstable patients in a timely manner.
Supervised cardiac monitors, mechanical ventilators and alarms and oxygen delivery devices.
Detected emerging problems by monitoring patients' behavior, vital signs and fluid intake and output.
Staff RN, Critical Care
South Baldwin Regional Medical Center
Foley, AL
05.2007 - 04.2018
Provided direct nursing care to patients of all ages in a variety of settings including medical and surgical units, critical care, emergency departments, and home health.
Assisted physicians in providing patient care by taking vital signs, administering medications, and performing treatments.
Assessed patients for changes in condition and reported any abnormalities to the physician.
Provided direct patient care, including wound dressing, administering medications, catheterization, and IV therapy.
Communicated effectively with physicians, family members, allied health professionals, and other healthcare providers regarding patient care issues.
Utilized critical thinking skills to assess complex situations and make appropriate decisions in emergency situations.
Demonstrated leadership by serving as charge nurse when needed.
Education
Bachelor of Science - Nursing
Cedar Crest College
Allentown, PA
05-2007
Skills
Technical Troubleshooting
Interdisciplinary Team Collaboration
Clinical Evaluations
Patient Advocacy
Patient Education
Clinical Assessment Management
Documentation Management
Patient Safety
Patient Stabilization
Critical Thinking
Medication Side Effect Knowledge
Infection Control Measures
Surgical Preparation
Patient Charting
Advanced Life Support
Urgent Care Procedures
Critical Care
Clinical Issues Understanding
Staff Education
Accomplishments
Sigma Theta Tau, International Nursing Honor Society