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Medical Clinical

Location:
Oklahoma City, OK
Salary:
Negotiable
Posted:
February 20, 2015

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Resume:

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)



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