Creative and innovative thinker committed to best compliant healthcare documentation review/query practices. Experienced RN with strong clinical, technical, people and problem solving skills who embraces change and self-education.
Overview
21
21
years of professional experience
Work History
Inpatient CDI Chart Review Specialist
Claro/Kaufmann Hall/Vizient
08.2024 - 04.2025
Successfully managed multiple competing priorities, balancing workload and ensuring consistent delivery of high-quality reviews.
Managed a high volume of 2nd level reviews within tight deadlines, ensuring timely completion and client satisfaction.
Identified opportunities for improved documentation in the medical record to more accurately reflect the acuity and complexity of the patient and the care provided.
Clinical Documentation Integrity Specialist
R1RCM
02.2021 - 08.2024
Queried physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
Carefully reviewed patient documentation for morbidity/mortality reviews, clarity on diseases, diagnoses and procedures to determine quality of care.
Verified accuracy and overall completeness of medical records by auditing and reviewing patient information and documentation.
Reviewed medical records at Level 2 Trauma Center with a near 60% monthly query rate.
Contract CDI Specialist
AMN Healthcare
08.2019 - 02.2021
Contract CDI:
Quorum Facility MetroSouth Med Center Blue Island, IL.
Contributed to significant DRG and SOI/ROM movement
Utilized Cerner EHR and Artifact Query System.
Worked remotely every other week then onsite every other week.
Contract CDI Specialist
MedPartners Staffing/AMN Staffing
07.2017 - 02.2021
Utilized Hybrid Query System
Hospitalists' meeting CDI Liaison
Primary Resource to New CDI staff
Developed Staff Query Education
Clinical Documentation Specialist
Parkview Health Systems
02.2016 - 07.2017
Concurrent reviews of hospital inpatient physician documentation.
Queried, and Educated physicians to ensure the most complete and accurate story of care.
Reviewed chart for accuracy of DRG documentation requirements.
Identified query opportunities for baseline DRG movement.
Perioperative Clinical Educator
Parkview Health Systems
10.2014 - 02.2016
Worked directly with multiple specialty area managers to plan and implement unit specific education.
Worked directly with multiple product representatives to successfully in-service staff on new product introduction as well as on-going staff education needs.
Staff- R.N. - O.R. Parkview Regional Medical Center
Parkview Health Systems
12.2011 - 10.2014
Responsible for primary care, electronic legal documentation and safety of all surgical patients with neurosurgical focus.
Determined necessary and critical needs of surgical team.
Staff R.N. Emergency Room
Parkview Health Systems
04.2011 - 12.2011
Provided quality emergency room nursing care in a Community Hospital setting.
Staff R.N. Emergency Room
Dupont Hospital
12.2007 - 01.2010
Charge nurse - monitored department needs, prioritized treatment, and maintained patient flow.
Accurately documented all elements of nursing assessments, treatments, medications, discharge instructions, and follow-up care.
Staff R.N. Emergency Room
Lutheran Hospital
09.2004 - 12.2007
Monitored acute and chronic patient conditions in a Level 2 trauma Center 34 bed emergency room.
Liaison between patients and physicians to ensure patient and family comprehension of treatment plans.
Lead R.N. Urgent Care Clinic
Redi-Med Clinics
09.2004 - 09.2007
Education
Bachelor of Science - Nursing
Western Governors University
Salt Lake City, UT
2013
Diploma - Nursing
Parkview Methodist School of Nursing
Fort Wayne, IN
High School Diploma -
Plymouth High School
Plymouth, IN
Skills
Over 9 years of clinical documentation improvement proficiency with strong baseline movement
Skilled in navigating 3M-360, EPIC, and Cerner EHR platforms
Extensive background in operating room and emergency care nursing
CCDS- March 2019
Experience in remote reviews and communication
Skilled at prioritizing concurrent responsibilities
MS Office proficient
Staff query training and development
ACDIS member
Willing to obtain other certifications as needed
Timeline
Inpatient CDI Chart Review Specialist
Claro/Kaufmann Hall/Vizient
08.2024 - 04.2025
Clinical Documentation Integrity Specialist
R1RCM
02.2021 - 08.2024
Contract CDI Specialist
AMN Healthcare
08.2019 - 02.2021
Contract CDI Specialist
MedPartners Staffing/AMN Staffing
07.2017 - 02.2021
Clinical Documentation Specialist
Parkview Health Systems
02.2016 - 07.2017
Perioperative Clinical Educator
Parkview Health Systems
10.2014 - 02.2016
Staff- R.N. - O.R. Parkview Regional Medical Center