Worked at Jefferson Abington Hospital as a clinical documentation specialist. Proficient in all clinical documentation maintenance and coding. Acids approved CDI Apprentice. Facilitates and obtains appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness, expected risks of mortality, and complexity of care of the patient. Strong background in an understanding of facility, state, federal, and organizational requirements in documentation and instruction of that documentation needs to physicians, nurses, and case managers. Also, obtain case information for ICD-19, and CPT coding. Member of ACIDS. Proficient in 3MDRG, Epic, Ability to apply critical thinking to situations involving several concrete variables in standardized and non-standardized situations Excellent organizational skills and ability to successfully prioritize multiple tasks Strong written and verbal communication skills Working Knowledge of Risk Adjustment Knowledge of claims processing and membership processing for all BCBSRI lines of business. Knowledge of ICD-10 coding and covered benefits. Ability to deal effectively with conflict. Proficient in using various Internet Applications, Power point, MS word and Excel A highly skilled health care provider with 15 years of experience working in both small clinics and large hospitals, home health, public health and primary care environment. Proficient in all documentation/ record maintenance/ paperwork to ensure ac,t5curacy and patient confidentiality Documentation Review Customer Relationship Management Medical Records Document Management Employee Orientation Anatomy Knowledge Hospital Experience Insurance Verification Case Management HIPAA Medical Terminology Relationship Management (10+ years) Languages English, Spanish, Urdu, Punjabi – Expert in utilizing all computer applications, i.e., Epic EHR, 3M DRG, MS Office. Ability to apply critical thinking to situations involving several concrete variables in standardized and non-standardized situations Excellent organizational skills and ability to successfully prioritize multiple tasks Strong written and verbal communication skills Working Knowledge of Risk Adjustment Knowledge of claims processing and membership processing for all BCBSRI lines of business. Knowledge of ICD-10 coding and covered benefits. Ability to deal effectively with conflict. Proficient in using various Internet Applications, PowerPoint, MS Word ,and Excel A highly skilled health care provider with 15 years of experience working in both small clinics and large hospitals, home health, public health, and primary care environment. Proficient in all documentation/ record maintenance/ paperwork to ensure accuracy and patient confidentiality Documentation Review Customer Relationship Management Medical Records Document Management Employee Orientation Anatomy Knowledge Hospital Experience Insurance Verification Case Management HIPAA Medical Terminology Relationship Management (10+ years) Certifications and Licenses
Collaborate Manager of clinical Documentation Improvement to develop/upkeep efficiencies/synergies within the clinical documentation department
Reviews medical records with precision concurrently for completeness in the documentation of diagnostic and procedural information for compliance to CMS, DOH regulatory, and financial requirements