Summary
Overview
Work History
Education
Skills
Certification
Languages
Timeline
Generic

SHUMAILA ANSARI

Elmhurst,NY

Summary

Experienced Clinical Documentation Specialist with background in healthcare settings. Demonstrated mastery of medical terminology, coding fundamentals, and compliance requirements. Strengths include critical thinking, process improvement strategies and strong interpersonal communication skills. Previous roles involved enhancing clinical documentation processes for accuracy, leading to improved quality of patient care and streamlined operations. Results-driven Clinical Documentation Specialist known for high productivity and efficient task completion. Possess specialized skills in medical coding, clinical information management, and regulatory compliance. Excel in critical thinking, teamwork, and effective communication to ensure accuracy and integrity of clinical documentation. Well-trained Clinical Documentation Specialist skilled in medical terms, coding and working with talented teams. Focused professional with expertise assessing medical records for review of physician accuracy and quality of care. Ready for a new position in the medical field. Experienced in health information management with focus on maintaining accurate and secure patient records. Demonstrated strengths include exceptional organizational skills, knowledge of medical terminologies and ensuring HIPAA compliance. Successfully contributed to improving efficiency of record retrieval systems in previous roles while consistently prioritizing data accuracy and integrity. Efficient Health Information Clerk known for high productivity and ability to complete tasks swiftly. Skilled in electronic health records management, data entry accuracy, and maintaining confidentiality of patient information. Excel in communication, teamwork, and problem-solving to ensure smooth operation within healthcare settings. Efficient professional in healthcare documentation, known for high productivity and ability to complete tasks swiftly. Specialized in medical terminology, fast typing speed, and accuracy in transcription. Excel through strong listening skills, adaptability to new technologies, and exceptional organizational capabilities.

Overview

2
2
years of professional experience
1
1
Certification

Work History

Clinical Documentation Specialist

Prime Healthcare Services
NJ, NJ
06.2024 - Current
  • Performed periodic audits of medical records to verify accuracy of coded diagnoses and procedures.
  • Identified discrepancies in documentation with providers and resolved inconsistencies in a timely manner.
  • Reviewed all discharge summaries to ensure they meet quality standards as defined by the Joint Commission.

Chart Reviewer

NYC MEDICAL CARE PC
Elmhurst, NY
01.2023 - 04.2024
  • Evaluated discharge summaries, physician orders, lab results, radiology reports, ensuring they accurately reflected the care delivered to patients.
  • Reviewed medical records for accuracy and completeness, ensuring all documents were up to date and in compliance with regulations.
  • Compiled findings into reports for review by supervisors or other healthcare personnel.
  • Provided feedback to providers regarding deficiencies identified during chart reviews.
  • Investigated complaints about the accuracy of medical record documentation received from internal or external sources.

Education

M.D. - MEDICAL

COLLEGE OF PHYSICIAN & SURGEON
INDIA
02-2021

Skills

  • Medical Terminology
  • Clinical documentation oversight
  • Exemplary communication skills
  • Documentation improvement
  • Training and mentoring
  • Skilled in EPIC, MEDILAND , 3M, CITRIX , MICROSOFT POWERPOINT,WORD etc

Certification

MBBS MD DCH , CPC(AAPC)

Languages

English
Full Professional
Hindi
Full Professional
Urdu
Full Professional

Timeline

Clinical Documentation Specialist

Prime Healthcare Services
06.2024 - Current

Chart Reviewer

NYC MEDICAL CARE PC
01.2023 - 04.2024

M.D. - MEDICAL

COLLEGE OF PHYSICIAN & SURGEON

MBBS MD DCH , CPC(AAPC)

SHUMAILA ANSARI