Healthcare professional with 12+ years in surgical technology, anesthesia support, and patient care, transitioning expertise into Clinical Documentation Integrity leadership. Skilled in medical terminology, EHR data analysis, and accurate documentation to support quality care, coding compliance, and regulatory standards. Proven ability to lead teams, train staff, and ensure documentation reflects the full scope of patient care. Holds a Bachelor’s in Healthcare Management.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Certified Surgical Technologist – Traveler
Multiple Facilities
07.2021 - Current
- Partner with surgeons, anesthesia providers, and nurses to ensure optimal patient outcomes, maintaining precise documentation of surgical procedures and perioperative events.
- Ensure accurate EHR documentation in Epic and Cerner to support coding, billing, and compliance with CMS and Joint Commission standards.
- Train and mentor new staff on procedural protocols, regulatory compliance, and quality assurance processes.
- Conduct instrument and supply audits to reduce procedural delays and improve efficiency.
Assisted with complex surgical cases while maintaining adherence to infection control and patient safety standards.
Assist Surgeons in 60 cesarean sections and GYN cases monthly, supporting comprehensive documentation and real-time operative reporting.
Led training for circulating nurses on clinical documentation accuracy and infection prevention.
Conducted thorough reviews of operative notes, anesthesia records, and patient charts to ensure documentation accuracy and compliance with CMS and Joint Commission standards.
Partnered with physicians, nurses, and administrative staff to enhance clarity and completeness of medical documentation for accurate coding and quality reporting.
Identified documentation gaps and initiated timely clarifications to capture the full scope of patient care.
Provided in-service education for surgical teams on documentation best practices to support CDI goals.
Applied advanced knowledge of anatomy, physiology, and procedural steps to ensure accurate and compliant charting.
Education
Bachelor of Science - Healthcare Management
National Louis University
Chicago, IL
12.2020
Associate of Applied Science - Surgical Technology