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
05.2021 - Current
- Providing education to more than 20 healthcare providers to improve their clinical documentation quality based on documentation guidelines, and CMS standards.
- Review medical records concurrently to identify gaps, inconsistencies, or ambiguities in clinical documentation.
- Collaborate with providers to clarity diagnoses and procedures through compliant queries.
- Ensure documentation supports accurate coding, DRG assignment, and quality metrics.
- Analyze trends in documentation and provide education to clinical staff to support continuous improvement.
- Work with coding and compliance teams to ensure adherence to regulatory and payer requirements.
- Participate in ongoing CDI program development and performance monitoring.
- Supported quality initiatives by conducting regular audits, identifying areas of improvement, and providing targeted training.
- Demonstrated flexibility and adaptability in response to changes in coding guidelines, software systems, or departmental priorities.
- Streamlined workflow efficiency by collaborating with interdisciplinary teams, addressing documentation gaps and inaccuracies.
- Facilitated clear communication between healthcare providers and coders, bridging gaps in understanding and promoting accurate documentation practices.
- Improved revenue cycle management by accurately assigning HCC codes to maximize reimbursement potential.
- Analyzed data from audits to identify areas for improvement in clinical documentation processes, implementing targeted interventions for positive change.
- Expedited accurate clinical documentation completion by promptly responding to queries from healthcare providers and support staff, offering timely guidance and support.
- Reduced risk exposure by promptly addressing any identified discrepancies or inconsistencies within patient records.
- Effectively managed multiple priorities while maintaining strict adherence to established deadlines, ensuring the consistent delivery of exceptional clinical documentation services.
- Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
- Provided detailed documentation on audit findings, facilitating swift corrective action when necessary.
- Ensured data integrity by meticulously auditing coded data, verifying its accuracy, and making necessary adjustments as needed.
- Educated clinical staff on proper documentation techniques and terminology to ensure accurate representation of patient conditions and treatments for optimal coding outcomes.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Generated reports to identify coding trends and discrepancies.
Certified Medical Coder
Conviva Care Solutions
03.2019 - 04.2021
- Review approximately 30 medical record information per day 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 30 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 Lab
South Miami Hospital
07.2010 - 12.2018
- Inspected, maintained and adjusted cardiology equipment to maintain optimal functionality and diagnostic usefulness.
- Conducted electrocardiogram, echocardiogram, and stress tests by using electronic test equipment and recording devices.
- Tracked findings of procedures such as EKGs using manual and automated recording devices.
- Daily monitored 10 patients' 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.
- Employed specialized procedural knowledge and equipment to test and document patient cardiac activity.
Cardiovascular Technician/EKG Monitor Technician
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.
- Supported healthcare team by maintaining responsibility for electrocardiogram monitoring, defibrillation and cardio rehabilitation training.
- Contributed to the advancement of cardiovascular research by participating in clinical studies and assisting with data collection.
Education
Billing And Coding
CCM Coding Academy
Miami, FL07.2021
Anatomy And Physiology
National School of Technology
Miami, FL07.1999
Skills
- Proficient in EcW, Navina, Word, Windows, MS office, Excel, Outlook, PowerPoint, OneNote, Access, HEDIS
- Management and Team collaboration
- 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
- Expert problem solving
- Analytical thinking
- Documentation management
Certification
- CDEO - Certified Documentation Expert Outpatient
- CPC - Certified Professional Coder
- CPMA- Certified Professional Medical Auditor
- CRC- Certified Risk Adjustment Coder
- CCT- Certified Cardiographic Technician
Additional Information
References are available upon request
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
CDI Specialist
Cano Health
05.2021 - Current
Certified Medical Coder
Conviva Care Solutions
03.2019 - 04.2021
Cardiovascular Technician/Stress Test Lab
South Miami Hospital
07.2010 - 12.2018
Cardiovascular Technician/EKG Monitor Technician
Mercy Hospital
11.1999 - 05.2010
Billing And Coding
CCM Coding Academy
Anatomy And Physiology
National School of Technology
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