Experienced Clinical Documentation Specialist with over five years of specialized experience in EPIC and e-Clinical Works EMR systems, medical record review, and regulatory compliance. Proven ability to analyze and interpret complex clinical information to ensure documentation accuracy and support revenue integrity efforts. Seeking to leverage strong foundational knowledge of medical terminology, operational support (inventory/equipment), and coding standards (CPT/HCPCS/ICD-10 familiarity) to support the clinical validation of AI diagnostic models and drive documentation improvement at SmarterDx.
Overview
14
14
years of professional experience
Work History
Senior Medical Secretary
Weill Cornell Medical Center
08.2017 - Current
Maintain integrity of the Electronic Medical Record (EPIC) by accurately reviewing, indexing, and uploading over 100+ diagnostic reports, images, and clinical documents weekly.
Provide secondary resource support to clinical access representatives, offering guidance on workflows and addressing access center and digital health inquiries.
Apply knowledge of CPT/ICD-10 coding and medical terminology to facilitate seamless authorization processes for radiology and complex procedures, supporting revenue cycle integrity.
Monitor and maintain inventory of critical supplies and equipment, ensuring optimal working condition and coordinating preventative maintenance and repairs as needed.
Contributes to continuous improvement efforts by monitoring quality of service levels and recommending strategies to enhance overall clinical protocols.
Maintain high levels of patient satisfaction through exceptional customer service skills during phone interactions or face-to-face encounters.
Reduce administrative errors by creating comprehensive training materials for new medical secretary staff members.
Act as an advocate for patients seeking assistance with navigating complex health insurance requirements or obtaining medication prior authorizations.
Medical Secretary, Cardiac Catheterization Laboratory
NYU Langone Medical Center
04.2015 - 07.2016
Obtained and documented all critical pre-authorization for complex OR/Surgical cases, requiring in-depth chart review and clinical validation of physician orders.
Scanned and uploaded clinical reports and images into the EPIC patient record, maintaining strict adherence to departmental data integrity and HIPAA guidelines.
Contributed to the reduction of no-shows by sending appointment reminders via phone or email as per patient preferences.
Enhanced office productivity by handling high volume of callers per day.
Expedited prescription refills for patients using electronic prescriptions systems while adhering to applicable regulations.
Medical Secretary
Mount Sinai Beth Israel Medical Center
03.2013 - 10.2014
Scanned and uploaded all medical records into electronic charts via E-Clinical Works, demonstrating proficiency with a second major EMR system.
Edited and routed complex consultation notes to referring physicians, ensuring a clear and compliant documentation flow across practices.
Verified insurance eligibility and reviewed corresponding clinical documentation to support appointments, including CT, MRI, PET, and Sestamibi scans.
Reduced wait times for patients by effectively coordinating lab tests, imaging studies, and consultations with other healthcare providers.
Medical Secretary, Department of Radiology
Metropolitan Hospital Center
03.2012 - 11.2012
Communicated directly with physicians to finalize clinical protocols for neurological MRIs and abdominal scans, demonstrating technical knowledge to ensure accurate billing and documentation.
Verified, documented, and maintained patient insurance information and financial obligations for scans, linking clinical documentation to revenue cycle needs.
Assisted in the development of new office procedures to enhance workflow efficiency and overall productivity.
Education
Associates Degree in Occupational Studies - Medical Assisting
ASA College
12.2011
Skills
Clinical Documentation & Coding
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Timeline
Senior Medical Secretary
Weill Cornell Medical Center
08.2017 - Current
Medical Secretary, Cardiac Catheterization Laboratory
NYU Langone Medical Center
04.2015 - 07.2016
Medical Secretary
Mount Sinai Beth Israel Medical Center
03.2013 - 10.2014
Medical Secretary, Department of Radiology
Metropolitan Hospital Center
03.2012 - 11.2012
Associates Degree in Occupational Studies - Medical Assisting