Registered Nurse Entry-Level

Jinu San Jose RN, CDIP

ACDIS-Approved CDI Apprentice

*** ******** *****, **** ***** 75409 Email: ***********@*****.*** Cell# 301-***-****

OBJECTIVE

Dedicated and self-motivated Registered Nurse with 10+ years of clinical experience and a strong passion for Clinical Documentation Integrity (CDI). Seeking an entry-level CDI role to apply clinical expertise and analytical skills to ensure accurate, complete documentation and support quality care and compliance. Technologically proficient, adaptable, and a continuous learner with proven ability to quickly master new systems and workflows.

ESSENTIAL CDI SKILLS

Strong Written and Verbal Communication skills

Experience in Communicating and Collaborating with Physicians and other health team members

Strong knowledge of Disease Processes, Anatomy Physiology, and Pharmacology

Strong Analytical Skills and Attention to Detail to ensure documentation accuracy and completion.

Knowledge of Healthcare Reimbursement Methodologies, Coding Standards

Knowledge of using ICD-10 CM, PCS and CPT coding

Efficient in using Electronic Health Record System (EPIC and CERNER),

Proficient in Microsoft Office (Excel, PowerPoint, Word, Outlook)

CDI TRAINING

ACDIS CDI Apprenticeship

PROFESSIONAL EXPERIENCE

Medical City, McKinney, TX Current

Baylor Scott & White Medical Center, McKinney, TX March 2022- February 2023

Provided Pre- and Post-Operative care for Neuro and Musculoskeletal conditions

Post Surgical Pain Management using oral, IV, and PCA methods

Post-Op Surgical Wound Care Management and Comorbidities

Post-Op Education and Discharge

Adventist Health Care Shady Grove Medical Center, MD January 2021- January 2022

Assessed, monitored, and stabilized patients with acute medical conditions requiring short-term observation, including cardiac, neuro, respiratory, and GI concerns.

Interpreted labs, diagnostics, and telemetry to guide clinical decisions and initiate timely interventions such as IV therapy, IV, IM, SQ, PO medication administration.

Collaborated with interdisciplinary teams to coordinate efficient care transitions, including admissions, discharges, and transfers.

Collingswood Rehabilitation and Health Care Center, MD April 2013- December 2021

Coordinating care management for patients with multiple chronic conditions including heart failure, diabetes, CKD, post-surgical recovery, dialysis and stroke patients ensuring individualized care plans and timely interventions. Assist in recuperation post debilitating medical conditions.

Delivered skilled nursing care such as tracheostomy and G-tube management, complex wound care with wound vacs, and infection prevention strategies for high-risk patients.

Supervise LPN, CNA, CMA for continuity of care, new employee orientation, interdisciplinary collaboration, discharge instructions

Collingswood Nursing and Rehabilitation Center, Maryland

Geriatric Nursing Assistant September 2007- April 2013

Education

Bachelor of Science in Nursing Expected Graduation Summer 2026

Western Governors University

Associate Degree in Nursing Graduated December 2012

Montgomery Community College, MD

License/Certifications

Registered Nurse Texas Compact License. #1061633 Active

ACDIS CDI Apprenticeship Completed April 27, 2025

AHIMA CDIP Certificate # 277840

AHIMA CCS In Progress, Expected May 20, 2025

Membership

ACDIS and AHIMA

References

Available on request

License/Certifications

Contact this candidate