Danay Garcia
Miami,FL
Summary
Highly knowledgeable and experienced Clinical Documentation Improvement Specialist with a strong analytical and critical thinking abilities and the understanding of documentation standards in the medical field. Has superior writing skills and oral communication for effective education of patient care team members in documentation standards and coding guidelines. Exceptional healthcare team member offering more than 15 years' working with physicians. Dedicate professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
26
26
years of professional experience
1
1
Certification
Work History
CDI Specialist
Cano Health
05.2022 - Current
- Demonstrate understanding of the business of healthcare: audit risks, documentation opportunities, quality metrics, hierarchical condition categories.
- Review medical records as assigned for complete and accurate documentation of all relevant diagnoses and procedures.
- Adhere to guidelines as set forth by ACDIS, AAPC, and AHIMA.
- Effectively utilize computer software based on the specific client requirements.
- Maintain strict confidentiality of all patient information in accordance with HIPAA.
- Initiate and complete queries as necessary to reflect accurate data regarding the patient’s inpatient or outpatient visit.
- Followed all company policies and procedures to deliver quality work.
- Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records.
- Contributed to revenue optimization by identifying opportunities for appropriate clinical documentation improvement.
- Improved clinical documentation quality by conducting thorough reviews and providing feedback to healthcare providers.
- Reduced coding errors through rigorous attention to detail, thorough knowledge of ICD-10-CM guidelines, and continuous professional development.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Ensured compliance with CMS regulations and guidelines by staying up-to-date on industry standards and best practices.
- Enhanced the accuracy of medical billing by thoroughly auditing patient records and identifying discrepancies.
- Improved overall compliance by conducting regular audits of coding practices and providing recommendations for improvement.
- Reduced financial risk by detecting and addressing errors in medical billing and coding practices.
Certified Medical Coder
Conviva Care Solutions
03.2019 - 04.2022
- Review medical record information to identify all appropriate coding based on CMS HCC categories
- Complete appropriate paperwork/documentation/system entry regarding claim/encounter information
- Provide real time support and coordination with Primary Care Providers and Care Coordinators for MRA coding.
- Monitor coding changes to ensure that most current information is available
- Work HCC suspect reports
- Accurately code and submit encounters on a timely basis
- Researching and addressing code questions for multiple providers as directed
- Notifies Patient Experience Manager if annual wellness visits for patients have not been scheduled.
- Maintained updated knowledge of coding requirements, through continuing education and certification renewal.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided.
Cardiovascular Technician/Stress Test/Cath Lab
South Miami Hospital
07.2010 - 12.2018
- Conducted electrocardiogram, echocardiogram, and stress tests by using electronic test equipment and recording devices.
- Inspected, maintained and adjusted cardiology equipment to maintain optimal functionality and diagnostic usefulness.
- Tracked findings of procedures such as EKGs using manual and automated recording devices.
- Monitored patient activity during stress test to record data.
- Edited final test results to provide to physician for analysis.
- Transcribed physician interpretations to maintain electronic records for cosign by attending doctor.
- Documented vascular data such as edema, oxygen saturation and blood pressure to contribute to accurate diagnoses.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Helped physicians complete cardiac issues and peripheral vascular concerns by assisting with procedures such as pacemaker insertions and balloon angioplasties.
- Measured heart chamber sizes and wall thickness against expected sizes to detect abnormalities.
- Assisted on more than 5 cardiac cauterizations daily by operating multi-channel physiologic monitor.
Cardiovascular Technician/Cath Lab
Mercy Hospital
11.1999 - 05.2010
- Tracked findings of procedures such as EKGs using manual and automated recording devices.
- Provided instruction on Holter monitor and connected patient to analyzer.
- Edited more than 20 final test results daily to provide to physician for analysis.
- Transcribed physician interpretations to maintain electronic records for cosign by attending doctor.
- Adhered to cleaning protocol for EKG machine, Holter cables and accessories to provide safe environment.
- Administered testing with electrocardiogram for patients experiencing events and as screening tool.
- Communicated with healthcare workers and physicians concerning test results.
- Contributed to diagnosis of pulmonary disorders by evaluating patient pulmonary systems using spirometers and other respiratory testing equipment.
- Operated diagnostic imaging equipment to complete contrast-enhanced heart and cardiovascular system radiographs.
- Helped physicians complete cardiac issues and peripheral vascular concerns by assisting with procedures such as pacemaker insertions and balloon angioplasties.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Documented vascular data such as edema, oxygen saturation and blood pressure to contribute to accurate diagnoses.
Education
CPMA- Certified Professional Medical Auditor -
CCM Coding Academy
Miami, FL05.2021
CPC - Certified Professional Coder -
CCM Coding Academy
Miami, FL06.2021
CRC- Certified Risk Adjustment Coder -
CCM Coding Academy
07.2021
Cardiovascular Technologist- CCT - Anatomy, Physiology , Medical Terminology
National School of Technology
Miami, FL07.1999
Skills
- Data organization
- Proficient in EcW, Navina, Word, Windows , MS office, Excel, Outlook, Powerpoint, OneNote, Access, HEDIS
- Excellent customer service
- Self-motivated professional
- Multitasking abilities
- Analytical skills
- Verbal and written communication, fluent English and Spanish
- Dependable and reliable
- Exceptional leadership abilities
- Account Reconciliation
Certification
- CDEO- Certified Documentation Expert/Outpatient
- CPMA- Certified Professional Medical Auditor
- CRC- Certified Risk Adjustment Coder
- CPC - Certified Professional Coder
- CCT- Certified Cardiovascular Technician
Additional Information
References are available upon request
Timeline
CDI Specialist
Cano Health
05.2022 - Current
Certified Medical Coder
Conviva Care Solutions
03.2019 - 04.2022
Cardiovascular Technician/Stress Test/Cath Lab
South Miami Hospital
07.2010 - 12.2018
Cardiovascular Technician/Cath Lab
Mercy Hospital
11.1999 - 05.2010
CPMA- Certified Professional Medical Auditor -
CCM Coding Academy
CPC - Certified Professional Coder -
CCM Coding Academy
CRC- Certified Risk Adjustment Coder -
CCM Coding Academy
Cardiovascular Technologist- CCT - Anatomy, Physiology , Medical Terminology
National School of Technology
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