BARBARA BUSARELLO
Marlton,New Jersey
Summary
Knowledgeable Clinical Documentation Integrity Specialist with solid history of managing teams and driving operational success. Skilled in implementing strategic initiatives that enhance productivity and efficiency. Demonstrated ability in problem-solving and decision-making. I have a career gap from 2023-2026 due to a family matter that has now been resolved. During that time, I stayed active by building my skills, taking relevant courses, and staying connected to the profession. I'm now excited to bring that renewed focus into my next role.
Overview
34
34
years of professional experience
1
1
Certification
Work History
Manager Clinical Documentation Program/Revenue Integrity
Einstein/Jefferson Health System
01.2022 - 01.2023
- Program without manager two years, hired to rebuild program to merge with Jefferson Enterprise CDI Program
- CDI Leadership of Level 1 Trauma program
- Created: SOP’s & Policies/Procedures; New Physician Query Escalation Process; New CDI Orientation & Training; Onboarding new CDI to Program; Physician Education (auditing records, Power Point)
- Mentoring/Auditing 8 CDI’s, Over site outside CDI consults; Scheduling, general manager duties
- Resignation due to spouse job relocation
Manager Clinical Documentation Program/Revenue Integrity
Thomas Jefferson University Hospital
01.2020 - 01.2021
- CDI Leadership of Level 1 Trauma program
- Steering committee
- Physician CDI education
- Collaboration of HIM/Coding
- Responsible for mentoring/auditing of 10 CDI staff; On boarding and training of new CDI staff, Over site of 6 CDI consultants
- Other management responsibilities (scheduling, payroll, Metrics, Audits etc.)
- Resignation due to spouse job relocation On hold D/T economy
Clinical Documentation Specialist
RWJ/Barnabas Health
01.2016 - 01.2020
- Start up of Nuance CDI Program
Clinical Documentation Specialist
Hahnemann University Hospital (Drexel Medicine)
01.2007 - 01.2016
- Initial review of patient medical records to evaluate documentation to assign the principal diagnosis, pertinent secondary diagnoses, and procedures for accurate DRG assignment, risk of mortality, and severity of illness.
- Submitting concurrent clarifications to physicians regarding missing, unclear, or conflicting health record documentation and obtaining additional documentation within the health record. Working with Coding department for appropriate billing of codes.
- Physician education regarding correct documentation of diagnosis being treated. Cerner, Encoder, 3M 360 CDI program ICD-10, ICD-9
- Level 1 Trauma, Transplants
- Start Up of CDI Program
Corporate Financial Investigations Department/RN Provider Auditor II
Independence Blue Cross
01.2004 - 01.2007
- Audit hospital records in NJ/PA/DE. Review medical claims and making recommendations regarding reasonableness of charges, accurate coding of medical record. Investigates charge audits, LOC audits and extra payment (eg. AICD, Factor VIII)
Medical Policy Coordinator/RN
Independence Blue Cross
01.2002 - 01.2004
- Policy development involving extensive research regarding the latest in medicine and technology. Working with outside physician consultants. Knowledge in FDA Labeling, Medicare regulations and ICD-9, CPT and HCPS coding
RN Diabetes Case Manager
Independence Blue Cross
01.2001 - 01.2002
- Telephonic education on disease management, goal setting, diabetes management. Pre-certification for home care services and DME
Training Supervisor for TheraSense Program
ICT Group
01.2000 - 01.2001
- Training customer service representatives in use and troubleshooting a new glucometer being brought to market (FreeStyle Blood Glucose Management and Data system)
Registered Nurse
Virtua Health System
01.1989 - 01.2000
- 40 bed Medical surgical unit. Management of patients with Diabetes on Acute Medical Surgical unit. Knowledgeable in blood glucose monitors, insulin drips/pumps and carbohydrate counting
Education
Bachelor of Science - Nursing
Widener University
ChesterSkills
- ICD-10, ICD-9, CPT, HCPS, 3M Encoder
- EMR: EPIC, Cerner, Allscripts, SCM, InterQual
- Systems: Iodine, JATA/NUANCE Guide & Integrity programs, 3M 360 Encompass program
- Microsoft Office proficiency
Certification
- ACDIS Certified CDI Trainer
- Certified Clinical Documentation Specialist (CCDS)
- 2023-2024 ACDIS Leadership Member
- Compact State Nursing/RN License in New Jersey & PA
- JATA/NUANCE certification; 3M certification
Timeline
Manager Clinical Documentation Program/Revenue Integrity
Einstein/Jefferson Health System
01.2022 - 01.2023
Manager Clinical Documentation Program/Revenue Integrity
Thomas Jefferson University Hospital
01.2020 - 01.2021
Clinical Documentation Specialist
RWJ/Barnabas Health
01.2016 - 01.2020
Clinical Documentation Specialist
Hahnemann University Hospital (Drexel Medicine)
01.2007 - 01.2016
Corporate Financial Investigations Department/RN Provider Auditor II
Independence Blue Cross
01.2004 - 01.2007
Medical Policy Coordinator/RN
Independence Blue Cross
01.2002 - 01.2004
RN Diabetes Case Manager
Independence Blue Cross
01.2001 - 01.2002
Training Supervisor for TheraSense Program
ICT Group
01.2000 - 01.2001
Registered Nurse
Virtua Health System
01.1989 - 01.2000
Bachelor of Science - Nursing
Widener University