Jorge Hidrobo
Summary
Confident Senior Clinical Documentation Specialist facilitating positive changes to documentation through close collaboration with healthcare providers. Analysis-oriented professional with exemplary knowledge in multiple EMR processes. Consistently finding ways to improve workflows that save time and generate revenue.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Clinical Documentation Specialist
Optum 360
07.2020 - Current
- Maintained strong knowledge of medical terminology, diseases and conditions, and procedures.
- Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
- Managed electronic clinical documentation and uploaded changes or updates using CAC.
- Communicated with physicians, nurses, and other caregivers to explain the importance of accurate and clear documentation.
- Maintained accuracy, completeness, and security for medical records and health information.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed exact procedures for handling transfers and other releases of medical records.
- Reviewed charts and flag incomplete or inaccurate information.
- Manage concurrent medical record reviews for CDI throughout the hospital.
- Maintains up-to-date working DRG and has clear strategies to effectuate improved quality of clinical documentation.
- Maintains DRG assignment mismatch report of differences in DRG assignment and provides feedback to CDI Leadership
- Managed over 45 cases per day
- Maximized performance by monitoring daily activities and mentoring team members.
- Onboarded new employees with training and new hire documentation.
- Developed and maintained relationships with customers and suppliers through account development.
- Monitored and analyzed business performance to identify areas of improvement and make necessary adjustments.
- Established team priorities, maintained schedules and monitored performance.
- Improved staffing during busy periods by creating employee schedules and monitoring call-outs.
- Worked closely with organizational leadership to guide operational strategy.
Clinical Documentation Specialist
Sutter Health
06.2017 - 06.2020
- Adhered to code of conduct and all regulations and compliance policies as explained in employee handbook.
- Reviewed and assessed clinical and technical accuracy of provider documentation.
- Worked closely with physicians and other members of healthcare staff to make corrective changes to clinical documentation.
- Communicated effectively with staff, patients and insurance companies by email and telephone.
- Practiced high level of professionalism in regards to patient information to maintain confidentiality.
- Accurately pulled patient records in timely manner, typically within 8-hour period.
- Interacted and communicated easily with department personnel and public.
- Developed and achieved financial and growth goals.
Clinical Manager
Horison Unlimited
03.2015 - 05.2017
- Facilitate hiring of qualified medical personnel by interviewing applicants and making recommendations for employment.
- Delegated tasks to staff members, monitored completion of all duties and provided support to enhance performance.
- Regularly evaluated employee performance and provided feedback.
- Managed 58 employees with various personalities and from different cultures for large 7-physician practice.
- Oversaw overall operation of nursing services and patient care, including financial management, quality assurance, patient care, safety protocols and risk management, quality index scores and facility maintenance.
Education
M.D. - undefined
American University of The Caribbeans School of Medicine
St Martin, Cupecoy2012
Skills
- Exemplary communication skills
- Physician interaction
- Skilled in Epic, CAC, Clintegrity and Cerner
- Medical terminology
- Patient record assessment
- Medical coding
- Disease processes
- Reporting and documentation
- Managing deadlines
- Analytical thinking
- Project management authority
- Comply with industry standards and regulations
- Reporting and Following with DRG assignment mismatch
- Reimbursement practice for inpatient services with regard to CDI
- Multifarious tasks and complete them without any difficulty
- Resource management expertise
- Knowledge Case Mix Index pertaining to CDI's
- Validation Procedures
- Professional Relationships
Certification
- ECFMG, CCS, CCDS
Timeline
Senior Clinical Documentation Specialist
Optum 360
07.2020 - Current
Clinical Documentation Specialist
Sutter Health
06.2017 - 06.2020
Clinical Manager
Horison Unlimited
03.2015 - 05.2017
M.D. - undefined
American University of The Caribbeans School of Medicine
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