Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Meghan Benedetti

San Antonio

Summary

Organized and detail-oriented Clinical Documentation Specialist with experience in ICD-10 and clinical documentation review. Dedicated professional with a proactive approach to learning and problem-solving. Strong work ethic, integrity, and effective communication skills. Excited to contribute to, and support, organizational goals and needs.

Overview

11
11
years of professional experience
1
1
Certification

Work History

CDI Audit Coordinator

Trinity Health
Remote
10.2023 - Current
  • Reviews and audits clinical documentation to ensure the completeness of the documentation, support medical necessity, SOI/ROM, clinical evidence, resources consumed, and accurate coding assignment.
  • Conducts audits of CDSs to assess query compliance, and identify missed documentation opportunities.
  • Participates in training new hires on standards, processes, and workflow.
  • Reviews DRG mismatches to facilitate the reconciliation processes.
  • Collaborates with the coding team to ensure the accurate capture of complete documentation
  • Provide CDI coverage to multiple hospitals across Trinity Health.
  • Conducts comprehensive chart reviews to verify the accuracy and completeness of documentation and coding.
  • Executes queries to providers to ensure the completeness and accuracy of the patients' medical records.

Customer Service Insurance Representative

USAA
San Antonio
04.2023 - 09.2023
  • Optimize Property & Casualty member support by responding to inbound and outbound communications through phone calls, emails, or various member contacts.
  • Assisted customers in completing necessary forms and documents related to new or updated policies.
  • Reviewed and updated existing client records to maintain accuracy and compliance.

CDI Float team

Trinity Health
Remote
06.2021 - 09.2022
  • Conducted comprehensive chart reviews to verify the accuracy and completeness of documentation and coding.
  • Executed queries to providers to ensure the completeness and accuracy of patient medical records, conditions, and treatments provided.
  • Performed query compliance audits to maintain query compliance standards across multiple sites.
  • Collaborated with the Float team and local ministries to deliver effective coverage across all hospital sites.
  • Utilized various EMR systems.
  • Contributed insights during team meetings to improve performance outcomes.
  • Prioritized and organized tasks to efficiently accomplish service goals.

Clinical Documentation Specialist II

Baptist Health System, San Antonio, TX
San Antonio
09.2015 - 05.2021
  • Conducted daily reviews of medical records and documentation for quality and accuracy.
  • Achieved weekly, monthly, quarterly, and annual metrics consistently.
  • Facilitated team collaboration by assisting co-workers and managing special projects.
  • Engaged in monthly education and training sessions to improve professional skills.
  • Pursued continuous education on pathophysiology and documentation guidelines.
  • Employed various software systems including Cerner, Allscripts, and Microsoft Office to optimize workflows.

Auditor, Clinical Validation

Cotiviti
Remote
08.2018 - 04.2019
  • Reviewed clinical charts and documentation to validate conditions and procedures per established guidelines.
  • Monitored production goals and quality standards set by leadership and organizational policies.
  • Authored clear, accurate rationales supporting findings for compliance with documentation requirements.

Registered Nurse, BSN

Methodist Hospital
San Antonio
02.2014 - 11.2015
  • Maintained close communication with physicians, nurses, and pharmacists to enhance patient care.
  • Trained and mentored new RNs on best practices, hospital policies and standards of care.
  • Advocated for patient needs and coordinated services across departments effectively.
  • Utilized critical thinking skills to assess clinical situations quickly and accurately.
  • Delivered exceptional patient service through active participation in care teams.
  • Engaged in continuous education on nursing practices and pathophysiology for professional development.
  • Provided pre- and post-operative care by ensuring sterile environments and conducting assessments
  • Assessed, planned, implemented and evaluated nursing care for assigned patients.

Education

Bachelor of Science - Nursing

University of Texas Health Science Center
San Antonio
08.2013

Bachelors of Science - Nutrition

University of Incarnate Word
San Antonio
01.2010

Skills

  • Time management and prioritization
  • Multitasking and problem-solving
  • Proficient 3M 360 Encompass/Solventum
  • Proficient in Epic, Cerner Power Chart, Meditech, Iodine, and Allscripts
  • Query compliance
  • Documentation review

Certification

RN, BSN

Timeline

CDI Audit Coordinator

Trinity Health
10.2023 - Current

Customer Service Insurance Representative

USAA
04.2023 - 09.2023

CDI Float team

Trinity Health
06.2021 - 09.2022

Auditor, Clinical Validation

Cotiviti
08.2018 - 04.2019

Clinical Documentation Specialist II

Baptist Health System, San Antonio, TX
09.2015 - 05.2021

Registered Nurse, BSN

Methodist Hospital
02.2014 - 11.2015

Bachelor of Science - Nursing

University of Texas Health Science Center

Bachelors of Science - Nutrition

University of Incarnate Word
Meghan Benedetti
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