Shaylin Johnson
Petersburg
Summary
Detail-oriented registered nurse with over five years of acute care Med-Surg experience. Expertise in clinical documentation, Epic EHR workflows, and medical record review, with a proven ability to identify documentation gaps and enhance quality compliance. Skilled in collaborating with providers to optimize documentation accuracy and improve reimbursement outcomes.
Overview
6
6
years of professional experience
2
2
Certifications
Work History
Registered Nurse
Atrium Health Pineville
Charlotte
11.2023 - Current
- Ensured accurate clinical documentation by performing detailed Epic EHR chart reviews.
- Identified and communicated documentation gaps to enhance provider awareness and compliance.
- Supported regulatory compliance through collaboration with interdisciplinary healthcare teams.
- Managed multiple patient records while maintaining attention to detail in fast-paced settings.
- Utilized clinical judgment to align physician documentation with clinical indicators and treatments.
Telephone Triage Registered Nurse
Emory Hospital
Atlanta
08.2023 - 10.2023
- Enhanced clinical assessment quality through thorough chart reviews and patient discussions.
- Evaluated documentation accuracy using Epic EHR to ensure clinical appropriateness.
- Recommended care adjustments based on evidence-based guidelines, and escalation protocols.
- Clarified clinical findings with providers to improve documentation standards and needs.
- Maintained accurate documentation for effective care continuity and regulatory compliance.
Travel Registered Nurse
UNC Rex, Prisma Health, Midland Memorial Hospital
10.2021 - 08.2023
- Reviewed and documented complex patient conditions across multiple health systems.
- Adapted quickly to varied documentation standards and Epic workflows.
- Ensured accuracy and completeness of clinical documentation to support quality care.
- Collaborated with physicians and care teams to clarify diagnoses and treatment plans.
Registered Nurse
New Hanover Regional Medical Center
Wilmington
07.2019 - 10.2021
- Ensured accuracy of clinical documentation for varied Med-Surg patient populations.
- Highlighted discrepancies between clinical indicators and provider documentation for clarity.
- Leveraged Epic EHR to support medical necessity and regulatory compliance efforts.
Education
Associate of Science - Nursing
Southeastern Community College
Whiteville, NC05-2019
Skills
- Epic EHR (inpatient documentation & chart review)
- Clinical indicators & supporting diagnoses
- Regulatory compliance
- Time management
- Interdisciplinary provider communication
- Critical thinking
Certification
Registered Nurse (RN), active compact state licensure
Timeline
Registered Nurse
Atrium Health Pineville
11.2023 - Current
Telephone Triage Registered Nurse
Emory Hospital
08.2023 - 10.2023
Travel Registered Nurse
UNC Rex, Prisma Health, Midland Memorial Hospital
10.2021 - 08.2023
Registered Nurse
New Hanover Regional Medical Center
07.2019 - 10.2021
Associate of Science - Nursing
Southeastern Community College