SURESH KUMAR SANKENAPURA MAYANNA, MBBS, ECFMG, CCDS,CCS, CPC, CCA.
Clinical Documentation Improvement Specialist
Oklahoma city,Oklahoma
Email: acoemy@r.postjobfree.com, Phone :734-***-****.
PROFESSIONAL SUMMARY
Medical doctor from India with 10 years of acute care experience, broad based knowledge of Anatomy, pharmacology, pathophysiology of diseases
Worked as Anesthesiologist, critical care consultant and Clinical Documentation Specialist with Extensive knowledge of Severity of illness, risk of mortality, MSDRG, APDRG and coding.
Strategic planning, multi-disciplinary team participation, vendor relationships, team building and issue resolution are the strengths learned over the many years of experience
CORE COMPETENCIES
Very Comfortable interacting with Physicians and educating them on clinical documentation issues.
Deep understanding of Hospitals revenue system, implementation, management and evaluation of Clinical Documentation/HIM projects.
Thorough knowledge of ICD-9, ICD-10, MSDRG, APDRG and CPT codes
Extensive knowledge of pathophysiology of diseases and medical terminology
High degree of Organizational, time and Project management skills.
TECHNICAL COMPETENCIES
ICD-10 Trained (Precyse University)
Good knowledge of Microsoft word, Excel, PowerPoint, Outlook, Access
Software: E-Z CAP, Flashcode, Virtual Auth Tech, MEDITECH, Horizon® Patient Folder™, Interqual
and 3M Encoder, 3M HDM, 3M 360, Huron CDI tool, Mycare, Cerner, Epic.
PROFESSIONAL HISTORY
United Audit System Inc, Cincinnati, Ohio. 5/2014 to 01/2015.
Doing Concurrent review of the patients health records(both electronic and paper charts).
Querying the physicians when required by writing a compliant query.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Validating Principal Diagnosis selection and DRG assignment.
Participating in Meeting and Inter-Departmental Team conferences and resolving
documentation issues.
Addison Group/University of Texas Medical Branch – Galveston, Texas. 2/2014 to 5/2014
Clinical Documentation Specialist (Remote).
Remotely doing Concurrent and retrospective review of the patient’s electronic health records for the appropriate documentation of clinical information.
Querying the physicians when required by writing a compliant query.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Validating Principal Diagnosis selection and DRG assignment.
Participating in teleconference and resolving documentation issues.
Precyse Solutions/University of New Mexico Hospital Albuquerque, NM 7/2013 to 10/2013
Clinical Documentation Specialist
Doing Concurrent and retrospective review of the patient’s health records for the appropriate documentation of clinical information.
Querying the physicians when required by writing a compliant query.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Validating Principal Diagnosis selection and DRG assignment.
Participating in Meeting and Inter-Disciplinary Team conferences and resolving documentation issues.
Mercy Memorial Hospital System Monroe, MI 4/2013 to 7/2013
Clinical Documentation Specialist
Concurrent and retrospective review of the patient's health records for the appropriate documentation of clinical information
Querying the physicians when required by writing a compliant query.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Validating Principal Diagnosis selection and DRG assignment.
Managing the CDI project, generating reports of Case mix index, query percentage and impact
made on DRG using Huron CDI software.
Participating in Meeting and Inter-Disciplinary Team conferences and resolving documentation issues.
Accountable Health Care, IPA Signal Hill, CA 11/2011 to 5/2012
Clinical Specialist
Doing Concurrent and retrospective review of the patient's health records for the appropriate documentation of clinical information.
Querying the physicians when required by writing a compliant query.
Validating Principal Diagnosis selection and DRG.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Participating in Meetings, and Inter-Disciplinary Team conferences and resolving documentation issues.
Desert Valley Medical Group Victorvile, CA. 8/ 2011 to 10/2011
Clinical Documentation Specialist
Doing Concurrent and retrospective review of the patient's health records for the appropriate documentation of clinical information .
Querying the physicians when required by writing a compliant query.
Validating Principal Diagnosis selection and DRG.
Educating physicians and healthcare staff about the significance of Clinical Documentation.
Participating in Meetings and Inter-Disciplinary Team conferences .
Physician Office Oklahoma city, OK. 8/ 2009 to 7/2011
Clinical Documentation Specialist
Retrospective review of the patient's health records for the appropriate documentation of clinical information.
Checking for the appropriate documentation of ICD and CPT codes
Querying the physicians when required by writing a compliant query.
Educating physicians and healthcare staff about the significance of Clinical Documentation program.
Participating in Meeting and conferences and resolving documentation issues.
Pristine Hospital Bangalore, India 7/2006 to 7/2009
Anesthesiologist
Examining the patients, providing appropriate anesthesia.
Managing patients in critical care units.
Supervising group of 10-15 nurses in intensive care units. Giving training to nursing and other staff regarding Advanced cardiac life support, trauma life support and pediatric life support.
Vallavanad Hospital Ottapalam, India. 12/ 2005 to 6/2006
Anesthesiologist
Examining the patients, providing appropriate anesthesia.
Managing patients in critical care units.
Supervising group of 10-15 nurses in Intensive care units. Giving training to nursing and other staff regarding Advanced cardiac life support, trauma life support and pediatric life support.
Adichunchanagiri Institute of MedicalmSciences-- India 10/2003 to 11/2005
Resident
Examining the patients, providing appropriate anesthesia
Managing patients in critical care units.
Giving training to medical students regarding Advanced cardiac life support, trauma life support and pediatric life support.
EDUCATION & PROFESSIONAL DEVELOPMENT
M.B.B.S (MD), 2001
Adichunchanagiri Institute of Medical Sciences, B.G. Nagar, Karnataka, 571448, Affiliated to UNIVERSITY OF MYSORE (INDIA)
DIPLOMA IN ANESTHESIOLOGY, 2006
Adichunchanagiri Institute of Medical Sciences (INDIA), Affiliated to Rajiv Gandhi University of Health Sciences (INDIA)
Passed USMLE Step1, Step2 Clinical Knowledge, and Step2 Clinical Skills (U.S.A).
Certified by Educational Commission for Foreign Medical Graduates (ECFMG) (U.S.A.)
Completed Human Research Curriculum offered by Collaborative Institutional Training Initiative
(U.S.A).
Passed Certified Clinical Documentation Specialist(CCDS).
Passed Certified Coding Specialist (CCS)
Passed Certified Professional Coder (CPC)
Passed Certified Coding Associate (CCA)
ICD-10 trained by Precyse University.
Memberships
Active Member of American Health Information Management Association (AHIMA)
Member of American Association of Professional Coders (AAPC)
Member of Association of Clinical Documentation Improvement Specialists (ACDIS)