Summary
Overview
Work History
Education
Skills
Accomplishments
Projects
Timeline
RegisteredNurse

Dhanuka Peeris

Clinical Documentation Improvement Specialist/ Coder Auditor
Torrance,CA

Summary

Clinical Documentation Improvement (CDI) Specialist/ Coder Auditor with a focus on value-based care and the quality of patient care. With a strong understanding of medical coding, clinical documentation improvement, and healthcare administration, I prioritize the accurate and complete documentation of patient conditions while keeping costs under control. My exceptional communication and interpersonal skills allow me to work closely with healthcare providers to educate and implement best documentation practices, while also managing my time effectively to meet deadlines and deliver high-quality results. I bring a unique combination of medical knowledge, critical thinking, and adaptability to the healthcare system, always striving to improve the quality of patient care while ensuring cost-effectiveness. Committed to advancing value-based care in the healthcare industry, I am eager to bring my expertise to a new opportunity.

Overview

2
2
years of professional experience
9
9
years of post-secondary education

Work History

Retrospective CDS/ Coder Auditor

Prime Healthcare
Ontario, CA
01.2022 - Current

· Reviews and analyzes inpatient physician documentation present in the medical record for inpatient visits to ensure accuracy of diagnosis and procedure codes assigned by the Coders or Clinical Documentation Specialists (CDS) or Computer Assisted Coding (CAC) software.

· Retroactive CDS/Coder Auditor finalizes the coding and abstracting of the medical record upon ensuring the assignment of International Classifications of Diseases, Tenth revision (ICD 10 PCS), and Health Care Procedure Coding System (HCPCS), are accurate and supported by the clinical documentation of the respective medial record.

· Responsibility for DRG validation accuracy, primary role in assisting CDS and medical staff members with improving quality of clinical documentation.

· Communicating with facility CDS to place Physician Query Retrospectively regarding DRG optimization or conflicting documentation.

· Participates in chart review projects as assigned and other duties as needed.

· Use of an encoder software product for code assignment in an acute care setting

Physician Assistant

Isuru Family Medicare Center
Kaduwela
01.2020
  • Streamlined clinical operations by performing various administrative duties, such as communicating with patients via phone, scheduling appointments, and maintaining proper medical records / documents
  • Updated and maintained patient's care related documents as well as leveraging exceptional management skills in prioritizing and managing multiple administrative duties assigned by medical professionals
  • Delivered quality support in inpatient assessment by collecting patient's blood pressure, pulse, and temperature
  • Provided effective guidance to patients on various types of diseases / disorders, general healthcare, and treatment options for ensuring fast recovery of the patients.

Medical Intern

Tbilisi State Medical University
Tbilisi, GA
01.2019 - 01.2020
  • Implemented best practices in providing episodic care to patients as well as identifying and responding to deteriorating patients
  • Liaised between patients and relatives to developed rapport and discuss management plans
  • Promoted and maintained a holistic care environment for the patients in close collaboration with multidisciplinary teams and allied health professionals.

Education

Master of Science - Healthcare Administration

California State University - Northridge
Northridge, CA
05.2020 - Current

M.D. - Medicine And Surgery

Tbilisi State Medical University
Tbilisi, Georgia
03.2014 - 05.2020

Skills

    Communication and Interpersonal Skills

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Accomplishments

    AHIMA | Certified Coding Specialist: October 2022

    Simplilearn | Lean Six Sigma Green Belt Certification course: October 2021

    IHI | IHI Open School Basic Certificate in Quality and Safety: November 2021

Projects

Optimization of Clinical Documentation Improvement Training  Program at Prime Healthcare: From October 2022 to Present

Project Summary:   

Utilization of CDI education training program to educate CDI and providers to establish the most accurate diagnoses to improve the quality and accuracy of medical claims and optimize reimbursement.

Timeline

Retrospective CDS/ Coder Auditor

Prime Healthcare
01.2022 - Current

Master of Science - Healthcare Administration

California State University - Northridge
05.2020 - Current

Physician Assistant

Isuru Family Medicare Center
01.2020

Medical Intern

Tbilisi State Medical University
01.2019 - 01.2020

M.D. - Medicine And Surgery

Tbilisi State Medical University
03.2014 - 05.2020
Dhanuka PeerisClinical Documentation Improvement Specialist/ Coder Auditor