Staci Gross
Clinical Documentation Specialist
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About
Experienced nursing professional with a strong clinical background, exceptional interpersonal skills, and technical expertise. Proficient in EMR charting, medication administration, and interdisciplinary collaboration to enhance patient care and support. Committed to delivering high-quality care and driving efficiency in healthcare settings.
A seasoned leader dedicated to optimizing patient outcomes through a focus on quality and efficiency. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on additional responsibilities to meet team goals.
Experience
Clinical Documentation Specialist - Ascension - Wisconsin
(2025-01)
- Perform comprehensive admission/concurrent reviews to ensure appropriate DRG principal diagnosis, secondary diagnosis, and SOI/ROM per APR-DRG
- Recognize appropriate clinical indicators to identify query opportunities following ACDIS/AHIMA guidelines for compliant queries
- Facilitated interdisciplinary collaboration between physicians, nurses, case managers, coders, and other relevant stakeholders regarding the appropriate representation of patient severity levels within EHRs
- Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change
- Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support
- Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records
Resource Team Nurse - Fransican St. Elizabeth Health - Lafayette, IN
(2023-06)
Float Nurse for units CCU, ICU, Med Surg, Orth, ER on occasion
• Monitoring for critical changes in patient presentation and advocating for their care
• Interpretation of vitals signs, lab values and patient clinical presentation and managing appropriately
• Multidisciplinary RN responsible for the care of patients of multiple acuities
• Nursing and Patient Advocate, Nursing Preceptor, Clinical Advisor, and Educational Resource for new nurses
• Administration and close monitoring of complex medications based on clinical assignment and patient presentation
• Communicated crucial and sensitive information to patient family members
• Critical thinking skills, decisive judgment, and ability to work in a team based environment.
- Self-motivated, with a strong sense of personal responsibility
- Worked effectively in fast-paced environments
Registered Nurse & Case Management - Ascension St. Vincent - Critical Access - Williamsport, IN
(2015-01)
- Chart audits for proper documentation to ensure appropriate account charges
- Ensure pre-certification needs for SNF/Rehab/Swing placement are met
- Finalized insurance approvals, coordinate care based on physician orders, patients discharge needs, and insurance limitations
- Educational Resource for new nurses, Nursing Preceptor, and Nursing and Patient Advocate
- Collaborate with management as a Charge Nurse to motivate team members, resolve in the moment patient and staff concerns
- Monitoring for critical changes in patient presentation and advocating for their care
Assistant Director of Nursing - Registered Nurse PRN - Williamsport Nursing and Rehabilitation - Williamsport, IN
(2014-01 - 2019-12)
- Rounding with physician to develop and implement individualized care plans
- Created nurse schedules and assignments
- Assisted DON with staffing conflicts
- Addressed patient and staff concerns
- Compiled and presented education for all team members on new medical supplies and techniques, along with new organizational processes and regulations
Registered Nurse - Observation Unit - Franciscan St. Elizabeth Health - Lafayette, IN
(2013-01 - 2017-01)
- Multidisciplinary RN responsible for the care of patients of multiple acuities
- Nursing and Patient Advocate, Nursing Preceptor, Clinical Advisor, and Educational Resource for new nurses
- Administration and close monitoring of complex medications based on clinical assignment and patient presentation
- Communicated crucial and sensitive information to patient family members
- Critical thinking skills, decisive judgment, and ability to work in a team based environment
Education
Bachelor of Science - Nursing - St. Joseph's College (2012-05) Rensselaer, IN
Diploma - Nursing - St. Elizabeth School of Nursing (2012-05) Lafayette, IN
Associate of Applied Science - Accounting - Ivy Tech Community College (2002-12) Lafayette, IN
