clinical documentation specialist resume example with 20+ years of experience
I am a seasoned, knowledgeable, caring and compassionate Registered Nurse with over 27 years of experience in delivering comprehensive patient care, 15 of those years serving as a case manager. I possess advanced skills working with diverse patient populations. I pride myself on the ability to foster relationships and coordinate with healthcare professionals to advance patient care.
As a Certified Case Manager, I offer years of planning, assessing and reporting experience with Orthopedic, Surgical and Medical patients.
Proficient in documentation and compliance management. Skilled at correctly assessing when to escalate patient care needs. Accomplished at handling high caseloads without sacrificing quality of care.
I operate exceptionally well in high-pressure environments. Pride myself on the ability to identify the best resources and courses of action to benefit patient needs and assist with their return to optimal quality of life.
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- Use 3M and EPIC to upload all changes and updates to electronic medical records.
- Acquired strong background in medical terms, illnesses and conditions and medical procedures.
- Uncovered discrepancies in health records and work hand in hand with physicians to provide further documentation to clarify concerns and reflect correct diagnosis, monitoring, evaluating and treatment of patient population.
- Determined quality of care provided to patients through careful assessment of medical documentation.
- Provided documentation education to providers including new residents, ARNP's and PA-C's.
- Supervisor Deanna Brennan 319-353-7033
University of Iowa Hospitals and Clinics
200 Hawkins Drive
Iowa City Iowa
52242
Salary $81,680.00
Contributed to the success of the Department of Orthopedics & Rehabilitation providing services for ÂÂÂÂÂÂÂÂthe Work Injury Recovery Center, as well as managing the day to day operations of an 8 room outpatient clinic, that services a multitude of Orthopedic specialties. Responsibilities include coordinating the Work Injury Recovery Center and beginning July 2019 the hospital wide needs of completing Worker’s Compensation forms, analyzing Worker’s Compensation data, managing insurance related issues, serving as primary point of contact for outside nurse case managers, employers, adjustors and legal entities. Coordinating and reviewing all new patient referrals as well as coordinating with HCIS EPIC team for optimization of workflow.
Supervisor Michelle Koller
319-331-9289
University of Iowa Hospitals and Clinics
200 Hawkins Drive
Iowa City Iowa
52242
Salary $82,000
Coordinated care in field and telephonic case management in worker's compensation and disability. Worked closely with injured workers requiring Orthopedic surgical intervention. Coordinated their care from date of injury to end of healing. Assertive and goal oriented focus on patient outcomes resulted in large direct referral base from Adjustors, Employers and legal entities. Negotiated discounts and cost savings for procedures and DME needs.
Supervisor Joleen Fla􀄴 610-964-5100
Genex Services LLC
440 East Swedesford Road Suite 1000
Wayne, PA 19087
$73,000 yearly salary
- Charge nurse-36 bed Medical-Surgical, Urology unit.
- Charge nurse 12 bed Medical Surgical Intensive Care Unit.
- Provided pre- and post-operative nursing care.
- Directed implementation of improved patient care and documentation methods and procedures to achieve quality objectives.
- Trained and mentored new RNs on best practices, hospital policies and standards of care.
- Organized and delegated tasks during rapid response and high-pressure code situations.
- Collaborated with multidisciplinary healthcare specialists to devise, implement, and modify plans of care defining patient outcome goals
- Presented information regarding diagnoses, conditions, illnesses, treatments and outcomes to patients and families in clear, easy-to-understand terminology.
- Genesis Medical Center
West Central Park
Davenport, Iowa
52807
XXX-421-1000 Kaaren Nelsen supervisor - Salary $56,000
Completed prerequisite course needed to pursue my bachelor's degree.
PROFESSIONAL CERTIFICATION
2011 CCMC Certified Case Manager
#143145 (Exp: 5/31/2021)
PROFESSIONAL LICENSES
1994 Iowa RN License (Multi-State) #: 090913 (Exp: 11/15/2020)
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Resume Overview
School Attended
- Capella University
- Kirkwood Community College
- Scott Community College
Job Titles Held:
- Clinical Documentation Specialist
- Full Time RN/CCM Clinical Coordinator Orthopedics
- Full Time RN/CCM Disability Case Manager
- Full Time Registered Nurse/Charge Nurse
Degrees
- Bachelor of Science
- Pre-BSN Course Work
- Associate Degree in Nursing
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