I have extensive experience with various EHR systems, including Epic and Cerner. I have utilized these platforms to review and enhance clinical documentation, ensuring accuracy and completeness. My proficiency includes navigating complex interfaces, extracting data, and using reporting tools to identify documentation gaps and opportunities for improvement.

I believe in a collaborative approach to education. I tailor my training sessions to the audience, using real-life examples and interactive discussions to engage clinicians. I also provide concise, easy-to-understand materials and follow-up support to reinforce learning and encourage consistent application of best practices in their daily work.

I employ a multifaceted strategy that includes regular audits, feedback loops, and targeted training. By analyzing documentation trends, I identify areas for improvement and develop specific interventions. I also work closely with clinicians to understand their challenges and provide personalized support to enhance their documentation skills.

I stay abreast of current regulatory requirements and incorporate them into our documentation improvement initiatives. I conduct regular audits to ensure compliance and provide feedback to clinicians. Additionally, I collaborate with compliance officers to develop and implement policies that align with regulatory standards, ensuring that our documentation practices meet all necessary criteria.

In my previous role, I led a project to improve surgical documentation. By conducting detailed audits and engaging with surgical teams, I identified key areas for enhancement. Through targeted training and the implementation of new templates, we significantly improved the completeness and accuracy of surgical notes, leading to better patient care and compliance with regulatory standards.