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Dedicated Clinical Documentation Specialist with CCDS certification and 14 years of RN experience. Skilled in improving medical record accuracy through critical thinking and effective communication with physicians and coding professionals. Consistently exceeds daily chart review requirements while driving profitability. Detail-oriented team player with strong leadership and organizational skills, seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management, and problem-solving abilities. Highly organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willing to take on additional responsibilities to meet team goals.

Certified medical coder with 5+ years of experience. Expertise in coding, validation, CDI-IP, and IPDRG denials. Skilled in DRG validation, records management, and clinical documentation improvement. Strong analytical skills and deep knowledge of documentation standards. Experienced in training, auditing, and quality assurance. Resourceful Specialist known for high productivity and efficient task completion. Skilled in data analysis, project management, and strategic planning. Excel at communication, problem-solving, and adaptability, ensuring success in fast-paced environments.

Physician-trained CDI and Denial Management Specialist with 3 years of ACGME-accredited residency training and 1.5+ years of focused experience in DRG and CDI appeals and revenue recovery. Leverages expert clinical reasoning to analyze complex inpatient records, validate diagnoses, and construct evidence-based, physician-to-physician rebuttals that consistently overturn high-value insurance denials. Manages a high-volume caseload of multi-thousand-dollar cases daily, overseeing millions of dollars in hospital charges annually with a demonstrated track record of successful recovery. Thrives in high-stakes, deadline-driven environments where clinical precision and persuasive communication directly impact the bottom line. Combines extensive medical knowledge and training, deep ICD-10/MS-DRG proficiency, and a rare ability to bridge the gap between clinical medicine and revenue integrity, delivering exceptional ROI while maintaining uncompromising quality and compliance standards.

Clinical Documentation Improvement professional with over 10 years of experience seeking to continue career growth and development within the industry and FMOLHS

SUSAN ROUSE

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CDI nurse

Emergency Room RN

Critical care nurse

Case Manager

Medication Administration

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LVN - RN transition

Licensed Vocational Nurse - undefined

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Emergency Room RN

Critical care nurse

CDI nurse

Case Manager

Medication Administration

Interim ADON

LVN - RN transition

Licensed Vocational Nurse - undefined

RN-BSN -

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