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Yoandris Rosales

Yoandris Rosales

Register Nurse/Clinical Documentation Specialist/ MRA Specialist/RN Utilization Review

Palm Medical Center

Miami/Fort Lauderdale Area, us

Persistent professional with 10 years of experience in Healthcare System. Seeking a position in a professionally stable and solid environment. With strong knowledge of medical documentation and management, eager to use these skills for the corporation benefits.

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Palm Medical Center

Register Nurse/Clinical Documentation Specialist/ MRA Specialist/RN Utilization Review

• Reviews outpatient medical records throughout hospitalization. Analyzes clinical status of patient, current treatment plan and past medical history and identifies potential gaps in physician documentation.
• Communicates with attending physician to validate observations and appropriately prompts for documentation if necessary.
• Demonstrates basic knowledge of AHA Coding guidelines and applies to ongoing evaluation of the Identifies trends and/or opportunities to improve clinical documentation. Presents opportunities and potential solutions to the clinical documentation initiative team.
• Uses expert knowledge of software tools to appropriately query physicians for documentation
• Extensive knowledge of medical terminology, anatomy, physiology, pharmacology and disease processes.
• Identifies strategies for sustained work process changes that facilitate complete and accurate clinical documentation