
Quality improvement professional within MultiCare Health System specializing in clinical quality measurement, regulatory compliance, and performance analysis. Experienced in interpreting registry and chart review data to identify improvement opportunities, support patient safety initiatives, and improve measure performance. Strong background in HIM, coding, and documentation integrity with proven collaboration across clinical teams. Bachelor’s degree in Health Information Management (2026), RHIT and CCS certified.
- Analyze clinical registry data (AHA Get With The Guidelines) to identify performance trends and improvement opportunities in stroke care
- Perform detailed Epic chart review to validate quality metrics and regulatory reporting accuracy
- Collaborate with physicians, nursing, and leadership to resolve documentation discrepancies and improve measure compliance
- Conduct data integrity audits and provide feedback to clinical teams
- Support performance improvement initiatives through ongoing outcome monitoring
- Translate complex clinical data into usable quality reporting information
- Participate in patient safety and quality assurance activities
- Maintain high-volume abstraction workload while ensuring regulatory accuracy
- Led facility documentation compliance and regulatory readiness for CMS and state survey
- Conducted chart audits to identify trends, deficiencies, and risk areas
- Partnered with nursing leadership and providers to correct documentation issues
- Implemented documentation process improvements to reduce deficiencies
- Monitored quality indicators related to record completeness and timeliness
- Investigated discrepancies and supported corrective action planning
- Educated staff on documentation standards and compliance requirements
- Supported performance improvement activities through chart review an validation
- Served as coding subject matter resource for interdisciplinary team
- Conducted chart audits and assisted with compliance reviews
- Supported survey preparation and documentation corrections
- Maintained record accuracy in accordance with regulatory standards
- Provided direct patient care and monitored condition changes
- Collaborated with interdisciplinary care team
- Followed infection prevention protocols
Quality & Performance Improvement
Clinical quality metrics analysis (AHA Get With The Guidelines Stroke)
Regulatory readiness & compliance validation
Documentation quality auditing
Patient safety & performance monitoring
Measure compliance evaluation
Analytics & Reporting
Clinical data trend identification
Outcome variance identification
Quality reporting & dashboard interpretation
Epic chart review & abstraction
Descriptive statistics
Process Improvement & Collaboration
Provider documentation feedback
Interdisciplinary team collaboration
Workflow gap identification
Corrective action support
Systems & Regulations
EPIC
AHA Get With The Guidelines
CMS & State regulatory standards
HIPAA compliance
RHIT - Registered Health Information Technician (AHIMA)
CCS - Certified Coding SPecialist (AHIMA)
RHIA - (Exam Scheduled - March 2026) Registered Health Information Administrator (AHIMA)
- Clinical Quality registry reporting (AHA GWTG Stroke)
- Measure validation and compliance monitoring
- Regulatory documentation review
- Identification of workflow and documentation gaps
- Provider collaboration to improve measure performance
- Data discrepancy investigation and resolution
- Patient safety and quality assurance participation