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Skills

  • Healthcare Workflow Optimization
  • Healthcare Documentation Auditing
  • Interdepartmental collaboration for error correction
  • Collaboration with insurance providers
  • Organization
  • MS Office
  • Records review
  • Medical terminology proficiency
  • ICD-10, CPT, and HCPCS proficiency
  • Team management

Work Experiences

  • Oversaw the system conversion and ensured that there was minimal downtime during the updates.
  • Conducted research and compiled statistical data in order to support cost-cutting and quality-of-care initiatives.
  • Collaborated with IT to implement a new documentation review system, reducing manual workload by 52% and improving overall accuracy.
  • Conducted documentation audit.
  • Achieved 5% compliance with procedure in 2017, improving overall audit results.
  • Easily interacted and communicated with department personnel and the general public.
  • Answered 13 calls per one year to help customers with their questions and concerns.
  • Achieved a clean audit record in 2018.
  • Audited patient records for adherence to procedure requirements.
  • Achieved a 84% reduction in audit findings.

Summaries

  • Within Miscellaneous, senior Medical Documentation Reviewer and outstanding performer in vendor management and workflow optimization.
  • Adept at implementing automated documentation review systems.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Dedicated Medical Documentation Reviewer with over 16 years of experience auditing patient records, consistently improving documentation accuracy by 69% across multiple healthcare facilities.
  • Achieved results within 6 months.
  • Confident in leading improvements in documentation accuracy, achieving a compliance rate of 13% with standard during corporate audits.
  • Medical Documentation Reviewer is a multi-talented Medical Documentation Reviewer who is consistently rewarded for planning and operational improvements.
  • Conducted coding audits at a 11-bed hospital.
  • Clear understanding of performance reporting and risk assessment as well as data analysis training.

Accomplishments

  • Documented and resolved process which led to initiative.
  • Reviewed and prepped patient documentation for standard, leading to a 27% reduction in audit hours and minimizing financial penalties.
  • Led Clinical Documentation Improvement (CDI) efforts within marketing, successfully improving coding accuracy by 80% and passing audits with zero discrepancies.
  • Led EHR optimizations for larger patient volume, finishing 12% of documentation reviews ahead of the service group's standard timeline.
  • Resolved documentation inaccuracies in critical care patient records, leading to an additional 74% in accurate charting for CMS compliance.
  • Collaborated with team of 4 in the development of metric.
  • Developed and presented training materials on proper documentation practices to medical staff and coders, resulting in a 29% decrease in documentation rejections.
  • Identified and corrected documentation errors in over 11 patient records, leading to additional reimbursements of $14 in 2020.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Audited clinical documentation to ensure compliance with CMS guidelines, contributing to a 56% improvement in financial reconciliation outcomes.

Affiliations

  • Registered Health Information Administrator (RHIA) Credential
  • Participation in American Hospital Association (AHA) Seminars
  • Clinical Documentation Improvement (CDI) Certified Professional from ACDIS
  • Project Management Institute
  • Society of Human Resource Management
  • Toastmasters
  • Registered Health Information Technician (RHIT) Certification Holder
  • Certified Documentation Improvement Practitioner (CDIP) from AHIMA
  • Active Member of the American Society for Quality (ASQ) – Healthcare Division
  • Membership in the American Medical Billing Association (AMBA)

Certifications

  • Registered Health Information Administrator (RHIA)
  • Certified Clinical Research Professional (CCRP)
  • CompTIA A+ Technician
  • Cisco Certified Network Associate (CCNA)
  • Certified Documentation Improvement Practitioner (CDIP)
  • EPIC EMR Certification - system
  • Lean Six Sigma Green Belt for Healthcare
  • Certified Medical Administrative Assistant (CMAA)
  • Salesforce
  • Microsoft Certified Systems Engineer (MCSE)

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