Healthcare leader with extensive clinical expertise as a foreign-trained Medical Doctor and Certified Risk Adjustment Coder. Proven track record in enhancing provider education and clinical documentation while spearheading healthcare quality initiatives. Adept at managing impactful training programs and developing efficient workflows to ensure compliance with CMS standards. Expertise in cross-functional collaboration and translating complex regulations into actionable training for healthcare teams.
Interpreted medical reports to apply appropriate ICD- 10 and HCPCS codes.
Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
Explained to entire healthcare team importance of providing in-depth, accurate medical records and documentation
Uncovered discrepancies in health records and contacted physicians to provide further documentation to clarify concerns.
Collaborated with others to discuss new HCC diagnosis opportunities.
Increased team efficiency by implementing clinical documentation process improvements.
Maximized office efficiency by reviewing more than 60 charts per day to optimize the HCC diagnosis Capture.
Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Acquired strong background in medical terms, illnesses and conditions and medical procedures.
Determined and implemented techniques to improve medical records retrieval process.
Streamlined day-to-day office processes to meet long-term goals.
Improve policies and procedures through development, implementation, revision and evaluation of new protocols.
Facilitated clinical support to physicians to optimize the clinical documentation and diagnosis support
Examined around 20 patients per day with various medical instruments and equipment.
Carefully analyzed test results and information gathered during examinations to properly diagnose illnesses and diseases.
Closely examined patients’ medical history, medication allergies, physical condition and test results to verify necessity of operations and to determine proper procedures.
Strictly maintained the confidentiality of patients, families, colleagues and any sensitive situations.
Rapidly assessed and responded to medical emergencies.
Certified Risk Adjustment Coder (CRC), 2021 – Present
Registered Medical Assistant.
RN: 20160133239.
Medical Doctor in Cuba