Hi, I’m
Dinalyn Arguelles
Summary
Confident Clinical Documentation Specialist facilitating positive changes to documentation through close collaboration with healthcare providers. Analysis-oriented professional with exemplary Cerner use, judgement and critical thinking skills. Consistently finding ways to improve workflows and processes that save time and money.
Overview
17
years of professional experience
1
Certification
Work History
Northern Westchester HospitalMount Kisco, NY
Clinical Documentation Integrity Specialist
07.2019 - Current
Job overview
- Queried physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
- Managed electronic clinical documentation and uploaded changes or updates using Cerner and Meditech.
- Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
- Processed records quickly to avoid delays and keep workflows running smoothly.
- Verified accuracy and overall completeness of medical records by auditing and reviewing patient information.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
New York Presbyterian Columbia Medical CenterNew York, NY
Cardio-Thoracic ICU Nurse
06.2014 - 07.2019
Job overview
- Provided acute care for adult population post-open heart surgery recovering from anesthesia with invasive and extensive surgeries and trauma.
- Identified and managed life threatening post operative and anesthetic complications such as bleeding,cardiac tamponade and others.
- Performed a broad scope of clinical procedures utilizing various invasive monitoring equipment such as , but not limited to,
ET-CO2, ICP, CVP, Spinal Drain, EKG, Swan-Ganz catheter, Ventilator, Defibrillator, ECMO,Continuous Renal Replacement Therapy, Endoscopy and the likes. - Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Observed patients' vital signs and administered physician-prescribed medications and treatments.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
Yale New Haven Hospital Saint Raphael CampusNew Haven, CT
Cardiovascular ICU Registered Nurse
01.2014 - 05.2014
Job overview
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Liaised with patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
St Vincent's Private HospitalWorcester, MA
Intensive Care Registered Nurse
10.2013 - 12.2013
Job overview
- Developed and implemented patient care plans based on physicians' instructions and generally accepted nursing practices.
- Explained health care issues and ramifications to patients and families to promote informed medical care choices.
- Monitored patients' respiratory status and ventilator operation and made adjustments to promote stabilization.
- Coordinated patients' post-discharge treatment plans with physicians and other nurses to promote continuity of medical care.
Florida Hospital Heartland Medical CenterSebring, FL
Nursing Supervisor
06.2013 - 07.2013
Job overview
- Investigated and reported all incidents per hospital policies.
- Supervised staff of registered nurses, licensed practical nurses and certified nursing assistants.
- Confidently directed overall operation of nursing services and patient care.
- Ensured staffing for all hospital units.
Yale New Haven Health SystemNew Haven, CT
Cardiovascular ICU Registered Nurse
02.2013 - 05.2013
Job overview
- Administered nursing care to cardiac patients undergoing diagnostic, therapeutic or emergency services.
- Prioritized and revised patient care activities based on acuity of symptoms and patient preferences.
- Liaised with patients following cardiothoracic surgical procedures, providing support and education on post-surgical care.
- Contributed to the facility's top ranking in cardiovascular and thoracic patient care.
Florida Hospital Heartland Medical CenterSebring, FL
Charge Nurse, ICU
06.2006 - 01.2013
Job overview
- Trained new nurses in proper techniques, care standards, operational procedures, and safety protocols.
- Administered medications and treatments to patients as ordered by physician, maintaining accountability for accurate narcotic count at end of each shift.
- Supervised and managed daily scheduling, tasking, and administration.
- Coordinated nursing care on unit through staff assignments, assisting and rounding with physicians, monitoring patient orders, and communicating with ancillary departments.
- Implemented quality patient care techniques to align with safety, health, and organizational regulations.
Education
Purdue University, West Lafayette, IN
Master of Science from Nursing Administration
05.2019
Adventist University of The Philippines, Silang Cavite, Philippines
Bachelor of Science from Nursing
03.2004
Skills
- Medical Records and Documentation
- Process Improvement
- Accurate Record Reviews
- Record Auditing
- Professional Relationships
- Documentation Improvement
- Validation Procedures
- Medical Terminology
- Inpatient Coding
Certification
- Certified Clinical Documentation Specialist
- Certified Critical Care Nurse
- Cardiac Surgery Certification
Timeline
Clinical Documentation Integrity Specialist
Northern Westchester Hospital
07.2019 - Current
Cardio-Thoracic ICU Nurse
New York Presbyterian Columbia Medical Center
06.2014 - 07.2019
Cardiovascular ICU Registered Nurse
Yale New Haven Hospital Saint Raphael Campus
01.2014 - 05.2014
Intensive Care Registered Nurse
St Vincent's Private Hospital
10.2013 - 12.2013
Nursing Supervisor
Florida Hospital Heartland Medical Center
06.2013 - 07.2013
Cardiovascular ICU Registered Nurse
Yale New Haven Health System
02.2013 - 05.2013
Charge Nurse, ICU
Florida Hospital Heartland Medical Center
06.2006 - 01.2013
Purdue University
Master of Science from Nursing Administration
Adventist University of The Philippines
Bachelor of Science from Nursing
- Certified Clinical Documentation Specialist
- Certified Critical Care Nurse
- Cardiac Surgery Certification
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