I am a Registered Nurse with over 7 years of experience in clinical documentation review and utilization-focused chart analysis. I excel in payer-aligned documentation and remote case review across various healthcare settings, including infusion, home health, outpatient surgery, and hospital-based environments. My strong clinical judgment, pattern recognition, and documentation accuracy support medical necessity review, reimbursement readiness, and quality oversight. I have leadership experience within a small outpatient infusion team and advanced EMR fluency. Currently, I am pursuing an MSN in Health Informatics, with a keen interest in clinical data quality, annotation workflows, and cross-functional work at the intersection of nursing, operations, and healthcare technology.
Advanced into a Lead RN role within a small infusion team, supporting daily clinical flow, staff coordination, and operational consistency while reporting to the onsite Nurse Practitioner. Created practical workflow supports and process improvements that helped team members navigate clinical tasks, documentation expectations, and day-to-day operations without creating unnecessary cost or resource burden for the organization. Performed detailed chart review for biologic infusions using CPR+ and Welnfuse to evaluate documentation accuracy, medical necessity, and payer readiness. Identified documentation and treatment discrepancies early, coordinating with providers and pharmacy partners to resolve issues affecting care or reimbursement. Managed a high volume of charts and cases independently while maintaining strict accuracy and compliance standards, supporting patients ranging in age from pediatric (12+) to senior (90+). Communicated with patients and providers by phone and through the EMR to support consistent, guideline-based care delivery. Applied age and diagnoses-specific assessment skills, medication reconciliation practices across adolescent, adult, and geriatric patients, including awareness of age-adjusted vital signs and lab value ranges. Ensured clinical documentation and system-based assessments consistently supported the diagnoses payors approved to treat, applying working knowledge of ICD-10-CM coding over 3+ years to maintain charge accuracy, medical necessity alignment, and reimbursement integrity.
Conducted telephonic and in-person triage with focused documentation of patient trends, responses to therapy, and care coordination needs. Managed post-infusion follow-up and documented outcomes to support continuity of care, workflow improvement, and service quality. Coordinated across team members to ensure complete documentation and effective care transitions.
Delivered pre- and post-operative nursing care in high-volume outpatient settings while maintaining audit-ready paper and electronic documentation. Supported accurate surgical charge capture by documenting supplies, implants, medications, and timed events in real time. Performed structured follow-up calls, documented complications and patient outcomes, and escalated concerns appropriately to support quality outcomes and reduce avoidable delays. Created workflow tools for equipment and temperature log compliance to strengthen regulatory readiness and operational consistency. Collaborated with providers to clarify incomplete documentation and ensure accurate clinical records for care continuity and reimbursement support.
Provided comprehensive nursing care for routine and high-risk patients, including NICU float coverage, with accurate, timely EMR documentation. Performed newborn and pediatric assessments, including gestational age-specific vital sign monitoring, feeding and weight trend evaluation, and recognition of normal versus abnormal neonatal lab values. Supported charge capture across labor and delivery (L&D), inpatient mother-baby/GYN, and NICU float coverage, applying working knowledge of ICD-10-CM and ICD-10-PCS coding to support accurate documentation of services and reimbursement. Supported discharge planning and escalation of clinical concerns through strong assessment and documentation practices, building comfort with critical/complex case review.
Performed remote chart audits to verify completeness, compliance, plan-of-care alignment, and timely documentation submission. Managed documentation across multiple pediatric home health cases to support payer alignment and continuity of care. Conducted home safety evaluations and documented findings to support risk reduction and care planning.
Completed a structured RN residency across labor and delivery, OB emergency, mother-baby, NICU, and OR service lines, building strong clinical judgment across acute and critical care settings. Conducted newborn and neonatal assessments, medication reconciliation, and monitoring of age-specific vital sign and lab value ranges for high-risk and critically ill infants. Supported charge capture across OB emergency (ED), inpatient mother-baby/NICU, and OR service lines, applying working knowledge of ICD-10-CM and ICD-10-PCS coding to ensure accurate documentation of services, procedures, and reimbursement. Maintained audit-ready Epic documentation for high-risk obstetric and neonatal patients, supporting compliance, quality metrics, and safe handoffs.