I prioritize ongoing education and training for my team on coding standards, regulatory requirements, and best practices. Regular audits and feedback sessions help identify gaps and improve documentation quality. Collaboration with physicians and coders ensures clarity and completeness. I also leverage technology, such as EHR tools, to streamline processes and reduce errors. By fostering a culture of accountability and continuous improvement, I ensure documentation meets compliance standards and supports optimal patient care.

I approach conflicts with open communication and a focus on shared goals, such as patient care and compliance. I listen to concerns from both sides, clarify misunderstandings, and provide evidence-based explanations for documentation requirements. By building trust and emphasizing collaboration, I create a respectful environment where conflicts are resolved constructively. I also involve leadership when necessary to ensure alignment and maintain a positive working relationship between teams.

I have extensive experience with EHR systems, including Epic and Cerner, which are critical for accurate and efficient documentation. I use these systems to track documentation trends, identify gaps, and provide real-time feedback to clinicians. I also customize templates and workflows to align with regulatory requirements and improve usability. By leveraging EHR analytics, I ensure documentation supports coding accuracy, reimbursement, and quality reporting while minimizing clinician burden.

Success is measured through key performance indicators such as case mix index (CMI), query response rates, and coding accuracy. I also track metrics like denial rates and compliance audit results to assess program effectiveness. Regular feedback from clinicians and coders helps identify areas for improvement. By analyzing these metrics, I ensure the program enhances documentation quality, supports accurate reimbursement, and aligns with organizational goals.

I stay informed by attending industry conferences, participating in webinars, and subscribing to regulatory updates from organizations like AHIMA and ACDIS. I also collaborate with coding and compliance teams to interpret new guidelines and implement changes effectively. Regular training sessions for my team ensure everyone is aligned with current standards. This proactive approach ensures our documentation practices remain compliant and up-to-date.