• Improve the overall quality and completeness of patient’s medical records by abstracting pertinent data from the Electronic Medical Records (EMR) utilizing 3M 360 and Epic technology. • Interact with physicians, nursing staff, and other healthcare providers to facilitate modifications to clinical documentation to ensure an accurate depiction of the level of clinical services, the reason for admission, patient severity, risk of mortality, the severity of illness, and conditions present on admission to ensure documents are in compliance with industry regulations. • Review the quality of medical record documentation for accuracy and convey deficiencies to healthcare providers and attending physicians as needed. • Communicate with coders, compliance specialists, and other clinical documentation analysts regarding documentation clarification and accurate coding. • Utilize an expertise in utilizing ICD-10 coding with accuracy and efficiency.

• Support and promote a model that encourages staff participation in the development of clinical standards that is collaborative, collegial and utilizes current trends and data in a professional practice. • Support and consistently communicate the mission of the labor and delivery unit and organization by managing 72 full time employees. • Ensure active use of the nursing process for patients from pre-admission/admission to discharge.• Assure coordination of the unit by managing the staffing, scheduling, clinical oversight, documentation audits, budget management, and serving as a key liaison between staff and physicians. • Track PC-01 of TJC requirement for early elective deliveries to ensure compliance with clinical patient care standards and established policies and procedures.

• Assessed, developed, implemented, and evaluated plans of patient care of antepartum, intrapartum, postpartum, and patients requiring operating room intervention. • Collaborate dwith nursing and technician staff to create and maintain a financially stable unit to promote self and staff development while ensuring patient safety.

• Provided direct, professional nursing care to antepartum, intrapartum, and postpartum patients that are considered high risk. • Prepared equipment and assisted physicians during examinations, treatments, and operative interventions. • Performed evaluation of new and existing patients to determine priority and suitability of treatment and need for modifications in the triage area of labor and delivery.