Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
Generic

Aqsa Johnson

Philadelphia,PA

Summary

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

Overview

22
22
years of professional experience

Work History

Specialist

CDI, Abington Hospital - Jefferson Health
Abington, PA
03.2021 - 04.2022
  • Review medical records to facilitate accurate and complete medical record documentation to reflect clinical treatment, decisions, and diagnoses used for measuring and reporting hospital and physician outcomes
  • Accurately identifies additional documentation opportunities and places appropriate queries and/or communicates with physicians, coders, and other health team members (i.e., PI, Case managers, Nurse navigators, etc.) for documentation improvement
  • Works independently and works primarily in an approved remote homework environment.

Licensed Insurance Agent, Contact Tracer, CDI

Optum/ United Health Care Insurance Producer
Horsham, PA
09.2016 - 03.2022
  • Health Insurance agent Role:
  • Assisting people to get Medicare Supplement Plan and Medicare prescription drug plan, provide the best health care benefits to meet their needs. Sell Medicare supplement Plan, prescription drug plan Medicare Part D, AARP membership. Trained in Renewactive fitness program. Worked as Covid 19 contact tracer.
    Take inbound calls of members and providers, and assist them by addressing inquiries, which may include benefits and eligibility information and payment issues, customer material request, physician assignments authorization for treatment, and explanation of benefits.
    Ask appropriate questions and listen actively to identify specific questions or issues while documenting required information in computer systems.
    Using knowledge of Medicare products to accurately assess the distinct needs of different prospects. Providers claim inquiries to Providers, nurses, and allied health practitioners according to CPT coding and document electronically.
  • Additional responsibilities include working remotely for Optum New York health hospital contract tracer, Investigator, customer services representative, and clinical documentation specialist
  • Contact tracer Tole:
  • Coordinating contact tracing efforts with supervisors and case investigators from the Local Health Department
  • Providing contacts with regulated information on isolation and quarantine procedures
  • Collaborating with designated local authorities in supporting the isolation and quarantine of individuals
  • Facilitating health checks and tests, as well as referring contacts to available community resources
  • CDI Specialist Role:
  • Assures documentation of diagnoses, procedures, co-morbid, and complication conditions are reflected on medical records to support proper severity of illness, the intensity of service, and risk of mortality classifications and designated quality reviews (i.e., Patient Safety Indicator reviews)
    Prepare well-written and compliant queries to communicate with physicians and other providers regarding missing, incomplete, or clarifying information needed inn the medical record
    Interacts with physician’s nurse practitioners and physician assistants
    Provides real-time intervention/education when needed to promote correct coding, regulatory compliance, and correction of documentation deficiencies

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

Medical Assistant/Clinical Documentation

IC Laser Eye Care
Bensalem, PA
09.2015 - 09.2016
  • Manage heavy Patient volume including telephone triage, appointment scheduling, and patient referral
  • Patient data entry is accurately in their records so doctors and insurance companies can refer to them
  • Clinical documentation Use CPT codes to identify medical, surgical, radiological, laboratory and diagnostic services
  • Answer incoming phone calls

Internal Medicine Physician

Hospital
Lahore
01.2002 - 04.2013
  • Serve as Primary care physician
  • Examine patients and ensure proper care and disease prevention and diagnosis, treatment, and recovery
  • Requests necessary tests, and follow-up visits and refer patients to specialists as necessary
  • Analyze records, reports, test results, or examination information to diagnose the medical condition of the patient
  • Analyze test data or images to inform diagnosis or treatment
  • Provide and manage long-term, comprehensive medical care, including diagnosis and nonsurgical treatment of diseases, for adult patients in an office or hospital
  • Diagnose medical conditions
  • Treat chronic diseases or disorders.

Medical Officer Internal Medicine Physician

Hospital
01.2001 - 12.2001
  • Services
  • Responsible for inpatient care under the supervision and direction of senior medical staff
  • Documented patient history, examination, and diagnosis
  • Developed and established patients’ short term and long-term treatment plans
  • Ensured treatment orders were appropriately documented (including medications and general management plans)
  • Created discharge summaries for patients as well as consent forms etc
  • Needed by the use patient and hospital in a timely manner
  • Reviewed patient’s progress as necessary and consult with senior team members
  • Organized patient consultation with medical and multidisciplinary teams as well as making and participating in follow ups
  • House Physician Internal Medicine

Hospital
Lahore
01.2000 - 12.2000
  • Job as a whole time and residential, requiring working with inpatient, outpatient, attends OPD twice a week in the medical section of Emergency and casualty department 36 hours a week and also on every fourth Sunday
  • Exposed to a wide variety of medical problems, presenting cases and papers in case discussions and journal club routinely held in the ward
  • Allowed to carry out some medical procedures under supervision e.g Lumber Puncture, Peritoneal Dialysis, Peritoneal and Plural Fluid aspiration
  • Gynecology and Obstetrics

Jinnah Hospital Lahore
09.1999 - 12.1999
  • Provide prenatal care to pregnant women, delivered babies, and provided postnatal care to mothers and infants
  • Rapidly assessed and responded to medical, obstetrical, and gynecologic emergencies.

Hospital
Lahore
08.1999 - 12.1999
  • Perform duties to help their patients recover from mental illnesses or manage their symptoms
  • Referring a patient for psychological testing to determine a diagnosis and its severity
  • Recommending and designing a treatment plan
  • Talking to the patients about their problems to try to resolve them (psychotherapy or talk therapy)

Services Hospital
Lahore
07.1999 - 12.1999
  • Provided inpatient, outpatient, and emergency care and assisted with various surgeries
  • Internship in Internal Medicine

Pediatrics

Hospital
Lahore
01.1999 - 06.1999

Services Hospital
Lahore
10.1998 - 12.1998

Education

CDI Apprenticeship in CDI -

Accidental Health Insurance Certification in Health Insurance, Medicare People Share - undefined

Doctor - Medicine

Universidad Tecnologica de Santiago Santo Domingo Dominican Republic

Skills

  • Proficient in using various Internet Applications
  • MS Office, Word, word Excel, PowerPoint
  • Software use Sieble, Saleforce, EPIC, 3M

Additional Information

  • Willing to relocate to:, Philadelphia County, P - Bucks County, PA - New Jersey Authorized to work in the US for any employer

Timeline

Specialist

CDI, Abington Hospital - Jefferson Health
03.2021 - 04.2022

Licensed Insurance Agent, Contact Tracer, CDI

Optum/ United Health Care Insurance Producer
09.2016 - 03.2022

Medical Assistant/Clinical Documentation

IC Laser Eye Care
09.2015 - 09.2016

Internal Medicine Physician

Hospital
01.2002 - 04.2013

Medical Officer Internal Medicine Physician

Hospital
01.2001 - 12.2001

Hospital
01.2000 - 12.2000

Jinnah Hospital Lahore
09.1999 - 12.1999

Hospital
08.1999 - 12.1999

Services Hospital
07.1999 - 12.1999

Pediatrics

Hospital
01.1999 - 06.1999

Services Hospital
10.1998 - 12.1998

CDI Apprenticeship in CDI -

Accidental Health Insurance Certification in Health Insurance, Medicare People Share - undefined

Doctor - Medicine

Universidad Tecnologica de Santiago Santo Domingo Dominican Republic
Aqsa Johnson