Kristen Jacquard
Algonquin,Illinois
Summary
Results-driven Clinical Documentation Specialist known for high productivity and efficient task completion. Possess specialized skills in medical coding, clinical information management, and regulatory compliance. Excel in critical thinking, teamwork, and effective communication to ensure accuracy and integrity of clinical documentation.
Overview
5
5
years of professional experience
Work History
Clinical Documentation Specialist
Advocate Condell Medical Center
Libertyville, Illinois
06.2024 - Current
- Assisted physicians in development of comprehensive patient care plans through accurate coding and effective communication of results.
- Developed strategies designed to improve quality outcomes associated with specific diagnosis groups.
- Analyzed data from multiple sources including laboratory, radiology and pathology reports.
- Reviewed medical records to ensure accuracy and completeness of clinical documentation.
- Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
- Maintained current knowledge of ICD-10 coding requirements, CPT and HCPCS coding systems, DRG assignment criteria and CMS regulations.
- Provided education to healthcare professionals on proper utilization of ICD-10 codes and other relevant coding guidelines.
- Acquired strong background in medical terms, illnesses and conditions and medical procedures.
- Maximized accuracy and completeness of medical records through in-depth audits and patient information reviews.
- Identified mistakes in reports and checked with doctors to obtain correct information.
- Reviewed diagnostic and procedural terminology for accuracy.
Assistant Director of Nursing
Alden Long Grove
Long Grove, IL
05.2023 - Current
- Developed infection control policies and procedures for healthcare facility.
- Conducted surveillance of infections, outbreaks, and antibiotic resistance patterns.
- Provided education to staff on the principles of infection prevention and control.
- Investigated potential sources of infectious disease transmission in the facility.
- Responded to suspected or confirmed cases of communicable diseases within the facility setting.
- Reviewed medical records for accuracy and completeness regarding infection prevention protocols.
- Created reports summarizing data on HAIs, antimicrobial usage, and other related topics.
- Analyzed data from various sources such as laboratories, public health agencies., to monitor emerging threats from infectious agents.
- Investigated incidents reported by staff members or patients and families.
- Developed and implemented strategies to promote patient safety and quality care outcomes.
- Created policies and procedures to ensure compliance with state regulations.
- Reviewed medical charts to ensure accuracy of patient information and coding.
- Identified discrepancies in medical records, such as missing or incorrect documentation.
- Evaluated the appropriateness of care provided by physicians and other healthcare providers.
- Performed audits of medical charts using established criteria and protocols.
Travel RN, ICU
Blessing Hospital
Quincy, Illinois
04.2023 - Current
- Deliver high-quality care to 2-3 patients in the ICU, while assessing and recording patient conditions
- Support healthcare teams by responding to patient needs and concerns, while providing education on management of illness, compliance of medications, plan of care, pain management, activity, and safety
- Communicate with providers, case managers, and other healthcare team members to facilitate comprehensive medical record documentation to reflect clinical treatment, decisions, and diagnoses
- Identify opportunities for positive hospital outcomes, as well as provide support to all internal customers related to compliance and clinical documentation issues by evaluating day-to-day documentation
- Coordinate care with multidisciplinary care team members while on assignment, accurately documenting updates in EMR systems, which has resulted in improved data accuracy and reliability
- Triage and assess multiple patients per week, evaluating presentation, vital signs, and medical histories for proper admissions, which has resulted in faster service times and greater patient satisfaction.
Travel RN, ICU
Sarasota Memorial Hospital
Sarasota, Florida
01.2023 - 04.2023
- Utilized best nursing practices for unstable angina, cardiomyopathy, coronary artery disease, and cardiac dysrhythmia, as well as report any changes in condition to medical providers
- Applied evidence-based procedures for treatments, interventions, traumas, and bedside care, maintaining patient confidentiality and ensuring HIPPA compliance at all times
- Performed record reviews for patients of all ages, as well as document nursing procedures and treatment plans/outcomes.
Travel RN, PCU, Float
Vanderbilt Medical Center
Nashville, Tennessee
05.2022 - 12.2022
- Completed initial medical records reviews of patient records within hours of admission, as well as evaluate documentation to assign the principal diagnosis
- Modeled excellence with patient engagement, service delivery, and compliance with strict regulations, resulting in the achievement and performance of goals and improving patient satisfaction
- Collaborated with case managers, nursing staff, and other support staff regarding documentation, as well as resolve physician queries prior to discharge.
Travel RN, Critical Care Registered Nurse
Largo Medical Hospital
Largo, Florida
01.2022 - 04.2022
- Evaluated the scope of illnesses and injuries, creating an immediate plan of care based on symptoms, evidence, and best practices, which resulted in faster service delivery and recovery times
- Reviewed medical records and clinical documentation, as well as engage physicians in discussion to clarify documentation to ensure medical records accurately reflected patient services provided
- Provided patient-centered care using a calm, consultative approach, which led to recognition from coworkers, management, and patients for exceptional customer service and support with recovery.
Charge Registered Nurse
Sarasota Memorial Hospital
Sarasota, Florida
10.2020 - 01.2022
- Conducted ongoing assessments to determine need for additional diagnostic services to maximize patient safety and optimize medical resource utilization
- Documented treatment plans, care provided, and patient outcomes in accordance with regulatory requirements and guidelines
- Acted as a nurse mentor to provide coaching to multiple new hires on policies and best practices in a 37-bed unit, helping to reduce learning curves and increase productivity.
Skills
- Evidence-Based Nursing Practices
- Care Plan Development
- HIPAA
- Healthcare Coordination
- EMR
- Epic
- Cerner
- Meditech
- Allscripts
- Point click care
- Physician Documentation
- Medicare/medicaid/public aid
- CLABSI & CUTI Prevention/Management
- Surgery
- Infection prevention
- GI Procedures
- Clinical documentation
- Medical record review
- Skilled in 3M Solventum
- Clinical documentation management
- Documentation compliance
- Medical terminology
- Documentation improvement
- Healthcare coding
- Medical documentation
Education/Certifications
- Bachelor of Science in Nursing, Chamberlain College of Nursing
- Advanced Cardiac Life Support (ACLS) Certification
- Basic Life Support (BLS) certification
- NIH Stroke scale
- Pursuing certification in CCDS
- Nursing Home Infection Preventionist Training Course
Timeline
Clinical Documentation Specialist
Advocate Condell Medical Center
06.2024 - Current
Assistant Director of Nursing
Alden Long Grove
05.2023 - Current
Travel RN, ICU
Blessing Hospital
04.2023 - Current
Travel RN, ICU
Sarasota Memorial Hospital
01.2023 - 04.2023
Travel RN, PCU, Float
Vanderbilt Medical Center
05.2022 - 12.2022
Travel RN, Critical Care Registered Nurse
Largo Medical Hospital
01.2022 - 04.2022
Charge Registered Nurse
Sarasota Memorial Hospital
10.2020 - 01.2022