Narendra Kumar Gundlathoti
Lewiston
Summary
Accomplished Duty Medical Officer with a proven track record at Elbit Medical Diagnostics Pvt Ltd, enhancing patient satisfaction and outcomes through direct patient care and active listening. Skilled in healthcare management and patient health education, I streamlined documentation for improved care continuity. Demonstrates leadership qualities and adeptness in medical recordkeeping, significantly contributing to patient and team success.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Clinical Documentation Specialist
Prime Healthcare
Lewiston
07.2025 - Current
- Comprehensive Medical Record Analysis: Conduct detailed concurrent and retrospective reviews of patient charts to identify documentation gaps, clinical inconsistencies, and opportunities for increased specificity.
- Clinical Provider Querying: Formulate and manage compliant physician queries to clarify diagnoses, treatment plans, and acuity levels, ensuring the medical record reflects the true severity of illness.
- Clinical Documentation Education: Educate medical staff and clinicians on documentation best practices and the clinical indicators required to support complex diagnoses.
- Coding & Reimbursement Accuracy: Collaborate with coding teams to ensure ICD-10-CM/PCS accuracy, directly impacting the facility’s Case Mix Index (CMI) and optimized reimbursement.
- Quality & Data Integrity: Maintain high standards of data integrity to ensure accurate reporting for Value-Based Purchasing (VBP), Hospital-Acquired Conditions (HAC), and Patient Safety Indicators (PSI).
- Interdisciplinary Collaboration: Serve as a clinical liaison between physicians, HIM coders, and quality management departments to bridge communication gaps and improve overall documentation workflows.
- Regulatory Compliance: Ensure all documentation adheres to CMS guidelines and organizational policies to mitigate audit risks and support medical necessity.
- (CMMC central Maine medical center, lewiston)
Clinical Documentation Specialist / CDS Trainee
Prime Health Care
Ontario
04.2025 - Current
- Review inpatient medical records using ICD-10-CM/PCS guidelines and AHIMA standards within Epic and Meditech systems to ensure accurate and compliant clinical documentation.
- Analyze and validate DRG and APR-DRG assignments to ensure accurate reflection of severity of illness (SOI), risk of mortality (ROM), and case mix index (CMI).
- Identify undocumented but clinically supported diagnoses by reviewing lab results, imaging, and other investigations.
- Write and submit physician queries for clarification of inconsistent, vague, or incomplete documentation to ensure accurate coding and quality measure reporting.
- Collaborate with coding, HIM, and case management teams to optimize clinical documentation, support accurate reimbursement, and uphold regulatory compliance.
- Maintain up-to-date knowledge of CMS and AHIMA documentation standards and contribute to ongoing quality improvement initiatives.
Duty Medical Officer
Elbit Medical Diagnostics Pvt Ltd
Hyd
12.2020 - 08.2022
- Monitored patient progress and adjusted treatments accordingly.
- Monitoring patient vitals, reviewing health records for accuracy, and coordinating with the laboratory team for diagnostic verification.
- Assisting in patient consultations, conducting emergency assessments, and providing patient education on test results and further medical procedures.
- Enhanced patient satisfaction with thorough assessments, diagnoses, and treatment plans.
- Ordered medical and laboratory supplies and equipment.
- Streamlined documentation processes, ensuring accurate, timely, and comprehensive medical records for improved continuity of care.
Duty Medical Officer
Save Health Care
Hyd
02.2020 - 10.2020
- Monitored patient progress and adjusted treatments accordingly.
- Enhanced patient satisfaction with thorough assessments, diagnoses, and treatment plans.
- Improved patient outcomes by implementing evidence-based medical practices and protocols.
- Worked at COVID-19 isolation centers and processed them for vaccination.
Student Intern
3rd Hospital of Hebei Medical University
Shijizhuang
07.2018 - 06.2019
- Internal Medicine: Assisted in diagnosing and managing chronic and acute illnesses, interpreting lab results, and optimizing patient care plans.
- General Surgery: Supported preoperative and postoperative patient management, including wound care and surgical procedures.
- Pediatrics: Assisted in neonatal and child healthcare, monitored growth parameters, and supported vaccination and developmental assessments.
- Orthopedics: Helped in fracture management, musculoskeletal assessments, and post-surgical rehabilitation planning.
- Obstetrics & Gynecology (OBG): Assisted in antenatal care, labor room management, and gynecological procedures to ensure maternal and fetal well-being.
Education
Master of Science - Public Health
University of New Haven
West Haven, CT05.2025
Bachelor of Science - Medicine and Surgery
Hebei Medical University
Shijiazhuang, China07.2019
Skills
- Direct patient care
- Patient health education
- Clinical education
- Administrative support
- Healthcare management
- Leadership qualities
- Medical record keeping
- Patient records administration
- Clinical documentation
- Documentation improvement
- Clinical documentation management
- HIPAA regulations
- Medical terminology proficiency
Certification
- BLS & CPR & AED
- Mental Health First Aid USA
- Health Informatics
- Social and Behavioral Research (CITI Program)
- Conflicts of Interest (CITI Program)
- The Role of Cardiovascular Health in Maternal Health
- Narcan Training and Certification
- Excel 2016 Essential Training
- SPSS & Statistics Essential Training
Projects
Health care leadership: Transformational Leadership style and policy Advocacy to promote population Health. Epidemiology: Policy development, Outbreak Investigation, Identified appropriate study designs. Health Analytics: Conducted Statistical study on Supraclavicular Anesthesia using R, Data cleaning, univariate, bivariate. Global Health: Situation of Tuberculosis in Delhi slums in INDIA.
Languages
- Telugu
- Hindi
- Chinese (Mandarin)
- English, Full Professional
- Telugu, Native or Bilingual
- Hindi, Professional Working
- Chinese (Mandarin), Elementary
Timeline
Clinical Documentation Specialist
Prime Healthcare
07.2025 - Current
Clinical Documentation Specialist / CDS Trainee
Prime Health Care
04.2025 - Current
Duty Medical Officer
Elbit Medical Diagnostics Pvt Ltd
12.2020 - 08.2022
Duty Medical Officer
Save Health Care
02.2020 - 10.2020
Student Intern
3rd Hospital of Hebei Medical University
07.2018 - 06.2019
Master of Science - Public Health
University of New Haven
Bachelor of Science - Medicine and Surgery
Hebei Medical University