Ideobi Onyebuchi
Apopka,FL
Summary
A compassionate, dedicated, and hardworking physician with over ten years of experience in clinical practice in both acute and outpatient settings. Proven ability to enhance clinical documentation quality and compliance, ensuring accurate representation of patient severity of illness and risk of mortality. An eager team player, determined to carry all the healthcare team members along in devising effective patient treatment plans. ECFMG-certified and currently seeking to transition into a Clinical Documentation Specialist role.
Overview
4
4
years of professional experience
2
2
Certifications
2
2
Languages
Work History
Primary Care Physician
Fairview Rehab & Nursing Home
New York, New York
01.2025 - Current
- Facilitated the smooth transition of patients from hospital to subacute care, ensuring comprehensive documentation of medical history and treatment plans
- Performed detailed patient assessments and accurately documented treatment plans and clinical progress in EMR/EHR systems
- Reviewed and reconciled patient medications, ensuring accurate documentation and compliance with clinical guidelines
- Conducted daily rounds, meticulously documenting patient progress and clinical updates
- Effectively communicated patient progress to caregivers and family members, ensuring transparency and accurate documentation
- Coordinated care plan changes with nursing and laboratory staff, maintaining precise and up-to-date documentation
- Worked closely with social workers and case managers to document and address social determinants of health impacting patient care
- Provided training to healthcare staff on proper documentation practices and compliance with clinical documentation standards
- Partnered with physical and occupational therapists to document patient rehabilitation plans and progress accurately
- Collaborated with multidisciplinary teams to ensure high-quality patient care and accurate clinical documentation
- Ensured accurate and compliant ICD-10 coding for diagnoses and procedures, supporting effective billing and reimbursement processes
Pathology Lab Assistant
Advent Health Center for Diagnostic Pathology
Orlando, FL
09.2023 - 03.2024
- Ensured accurate identification and documentation of over 150 tissue specimens daily, maintaining high standards of quality and compliance
- Coordinated the transfer of accessioned tissue specimens to pathology assistants, ensuring meticulous documentation and tracking
- Expertly entered and managed patient data in the laboratory information system (Epic Beaker), ensuring strict compliance with HIPAA regulations
- Created and corrected test orders within the Laboratory Information System (LIS), ensuring accuracy and adherence to clinical documentation standards
- Collaborated with clinical staff to resolve issues related to tissue specimen labeling and preservation, ensuring accurate documentation and compliance
- Supported pathology assistants in the grossing of biopsies and complex organs, documenting procedures and findings accurately
- Provided assistance during autopsies, ensuring precise documentation of procedures and findings
- Managed the delivery of prepared slides from the histology unit to the pathologist, ensuring accurate documentation and efficient workflow
Medical Assistant
Night Lite Pediatrics
Orlando, Florida
02.2021 - 09.2023
- Collaborated with medical and administrative personnel to maintain a patient-focused, engaging, and compassionate environment
- Executed clinical procedures for an average of 35 patients daily, meticulously gathering and documenting patient data for the physician’s interpretation
- Collected and documented comprehensive patient medical histories, medication information, symptoms, and allergies
- Accurately collected and documented patient medical information, including vital signs, lab specimens, and health history
- Performed clerical duties, including answering telephone calls and directing inquiries, ensuring efficient communication and accurate documentation
- Assisted in diagnostic and treatment procedures, ensuring accurate documentation of the use and setup of each medical equipment
- Maintained the cleanliness of instruments and workspaces, adhering to established standards for hygiene and safety
- Adhered to safety policies, including the proper use of PPE and handwashing, in compliance with safety protocols
- Ensured appropriate handling of hazardous chemical and biological items/specimens in compliance with facility’s protocols
Clinical Observer
AdventHealth Hospital
Celebration, Florida
08.2022 - 09.2022
- I participated in daily patient rounds on ICU and hospital floors by engaging in clinical discussions of patients' presentations and management with the preceptor, interpretation of laboratory results, and description of radiological pictures
- I observed procedures including three bronchoscopies (diagnostic and therapeutic), paracentesis, and hemodialysis and assisted with inserting four central vein catheters
- This experience depicted the significance and benefits of a multidisciplinary approach to patient care
- I learned the importance of communication in informing the patient and caregiver of clinical progress
Clinical Extern
Synapse Neurology
Clermont, FL
06.2022 - 07.2022
- As an extern, I reviewed patient's clinical notes
- Conducted over 15 patient interviews daily and discussed them with the preceptor
- Sent out referrals and lab investigation requests to other specialists
- Engaged in the documentation of patients’ SOAP notes using the EMR
- At the end of this experience, I presented to the clinical staff a case report titled 'Depression in the Neurology Clinic.'
Education
High School Diploma -
Federal Government College, Nise
Nigeria 09.2025 - 06.2024
M.D. - Medicine
University of Nigeria Nsukka
Enugu, NigeriaSkills
- ICD-10 coding
Interprofessional collaboration
Evidence-based practice
Treatment plan development
Excellent communication
Regulatory compliance
Electronic medical record software
Documentation compliance
Strong attention to detail
HIPAA regulations
Medical documentation
Medical terminology expert
Microsoft Office Suite
Certification
ECFMG certified
Timeline
High School Diploma -
Federal Government College, Nise
09.2025 - 06.2024
Primary Care Physician
Fairview Rehab & Nursing Home
01.2025 - Current
Pathology Lab Assistant
Advent Health Center for Diagnostic Pathology
09.2023 - 03.2024
Clinical Observer
AdventHealth Hospital
08.2022 - 09.2022
Clinical Extern
Synapse Neurology
06.2022 - 07.2022
Medical Assistant
Night Lite Pediatrics
02.2021 - 09.2023
M.D. - Medicine
University of Nigeria Nsukka
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