Zar Hlaing
Fremont,CA
Summary
Dynamic and detail-oriented Clinical Documentation Improvement Specialist with more than 10 years of experience in the healthcare industry. Possessing a strong background in medical coding, documentation review, and compliance, with a proven track record of optimizing clinical documentation processes to ensure accuracy and compliance with regulatory standards.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Clinical Documentation Improvement Specialist
Z Healthcare solutions
Yorba Linda, CA
01.2022 - Current
- Reviewed and meticulously coded the daily census of approximately 40 to 50 patients using 3M software.
- Conducted thorough reviews of medical records, ensuring precision, comprehensiveness, and adherence to coding and documentation standards.
- Identified inconsistent and unclear documentations and promptly sent queries to physicians to ensure optimal compliance and reimbursement for the level of service rendered.
- Collaborated closely with healthcare providers, coding personnel, and other stakeholders to streamline documentation processes and enhance accuracy.
- Delivered engaging education and training sessions to clinical staff, focusing on best documentation practices, coding guidelines, and regulatory obligations.
- Maintained up-to-date knowledge of coding and documentation guidelines, healthcare regulations, and industry trends to ensure compliance and efficiency.
- Actively participated in daily GLOS meetings alongside case managers, physicians, and social workers, facilitating interdisciplinary communication and collaboration.
Medical Coding Specialist
Dr. Htay Win Internal Medicine
Fremont, CA
07.2019 - 01.2020
- Maintained strict confidentiality with adherence to HIPAA guidelines and regulations.
- Investigated rejected and denied claims, correcting applicable coding.
- Submitted clean claims to insurance companies electronically to secure payments.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Carefully coded disease and injury diagnoses, acuity of care and procedures in outpatient setting.
Education
M.D. - Medicine
Washington University Health Science
Belize07.2018
Bachelor of Science - Supply Chain Management
Arizona State University
Tempe, AZ01.2003
Associate of Science - Business Administration
City College of San Francisco
San Francisco, CA05.2001
Skills
- Proficient in medical coding systems (ICD-10, CPT, HCPCS)
- Strong knowledge of clinical documentation guidelines and regulatory requirements
- Excellent communication and interpersonal skills
- Detail-oriented with strong analytical and problem-solving abilities
- Ability to work independently and collaboratively in a fast-paced environment
- Proficient in Microsoft Office Suite and electronic health record (EHR) systems
Certification
- Certified Coding Specialist (CCS) - 2023
- ECFMG certified - 2019
- ACLS certification - Valid until September 2024
- Phlebotomy Certification from National Healthcareer Association (NHA) - Valid until January 2025
- Licensed Phlebotomy Technician - Valid until January 2025
Timeline
Clinical Documentation Improvement Specialist
Z Healthcare solutions
01.2022 - Current
Medical Coding Specialist
Dr. Htay Win Internal Medicine
07.2019 - 01.2020
M.D. - Medicine
Washington University Health Science
Bachelor of Science - Supply Chain Management
Arizona State University
Associate of Science - Business Administration
City College of San Francisco
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