Karen Harvey

• Worked within applicable standards, policies and regulatory guidelines to promote safe working environment.
• Collaborated with team members to achieve target results.
• Collaborated with physicians to discuss documented diagnoses that best optimized patient care during hospitalization through Meditech/3M 360 queries.
• Followed up with physicians through Meditech validation for query responses to ensure optimal care of patient was being documented.
• Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
• Managed electronic clinical documentation and uploaded changes or updates

• Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
• Managed electronic clinical documentation and uploaded changes or updates using Cerner and 3M360.
• Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
• Questioned 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.
• Maintained accuracy, completeness and security for medical records and health information.

- Utilize advanced coding and/ or clinical expertise to direct efforts toward the improvement of overall quality, completeness, and accuracy of medical record documentation through extensive review.

- Demonstrate understanding of and facilitates appropriate clinical documentation, to ensure that the severity of illness, risk of mortality and level of services provided are accurately reflected in the health record.

- Communicate and educate the physicians and all other members of the healthcare team regarding clinical documentation, and monitor provider participation.

- Broad, comprehensive background in critical care nursing including Medical and Surgical ICU, Burns, PACU, ED and transplant ICU.

- Experience working with 3M, Cerner, Soarian, and EPIC. Have participated in 2 EPIC go-lives.

• Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
• Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
• Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
• Maintained accuracy, completeness and security for medical records and health information.
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Communicated with healthcare staff, including physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
• Managed electronic clinical documentation and uploaded changes or updates using Cerner, EPIC and 3M360.
• Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.

• Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
• Took active role in patient and family planning process, detailing instructions and responding appropriately and effectively to questions and concerns.
• Prepared clinical notes and updates for review by primary physician.
• Effectively communicated with physicians regarding patient needs, performance, medications and changes in a 40 bed LTAC hospital.
• Directed appropriate preventive and rehabilitative nursing processes and protocols.
• Responded promptly and professionally to patient questions and concerns.
• Negotiated with suppliers and vendors to procure medical equipment, supplies and services.
• Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
• Provided home healthcare providers with training, guidance, support and supervision to achieve objectives.
• Completed initial assessments of patients and family to determine and address individual home care needs. ·