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Documentation Specialist Medical Coding

Location:
Manhattan, NY, 10007
Salary:
120K
Posted:
March 27, 2023

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Resume:

Olga Bocharova, MD, PhD, CPC, CDIs

*** ** ******, ***** ******** NY

e-mail: adv5vq@r.postjobfree.com

phone: +1-502-***-****

former highly qualified international physician, with strong clinical background, graduated American college Associated program Medical Coding and Reimbursement, member AAPC and ACDIS Work Experience:

01/24/2022 – present

HIM, CDI specialist Maimonides Hospital, Brooklyn NY 12/2019 -01/2022

CDIs Sr, Conifer Health Solutions

St. Joseph Hospital, Lexington KY

Clinical Documentation Specialist

04/2018 – 12/2019

University of Louisville, Louisville KY

Certified Professional Coder

- CPC Physical Medicine and Rehabilitation, Neurosurgery outpatient team UofL 1992 -2013

City Children Hospital, Russia

MD Pediatric Surgeon

- worked as Pediatric Surgeon in City Children Hospital, performed operation children with congenital and acute pathology.

Education

in USA

08/2013 – 06/2017 – Jefferson Community Technical College, Louisville, KY Medical Coding and Reimbursement program

in Russia

08/1986 – 06/1992 – Perm Medical Academy, Russia, MD Pediatrician 08/1992 – 05/1998 – Residency Pediatric Surgery, MD Pediatric Surgeon 04/2009 – RAPGA, Moscow (Russian Academy Postgraduate Education) PhD, Doctor of Medicine

Certificate

CPC Certificate from AAPC (02/2018)

Professional skill:

as CDI specialist

- review inpatient chart within 24-48 hours of admission whenever possible.

- review Principal (PDx) and secondary diagnosis and procedures, assigned an initial DRG

- carefully examine charts to make sure that physician documentation matches the severity of illness (SOI) as demonstrated an all documentation in the chart. If there is a discrepancy, a Query is left on the record for the physician

- review and analyzes inpatient records for appropriateness and compliance with all federal, state, and other regulatory requirements

- Conducts medical record reviews on specific cases involving mortality, multiple complications, and other situations requiring secondary reviews

- works on highly-complex cases to identify documentation gaps, clarify questions, and ensure appropriateness of DRG (diagnosis-related groups) assignment

- establishes productive working relationships in with clinicians, patient-care professionals, health information management (HIM) and coding staff, as well as managers in clinical, quality, and information technology departments

- Monitors, evaluates, and reports changes and updates in regulations and guidelines affecting clinical documentation.

-Conducts timely reviews of clinical documents in highly-complex cases, evaluating quality measures, consistency, completeness of documents, and accuracy for severity of illness (SOI) and risk of mortality (ROM)

- Works closely with coding staff and other personnel to ensure that all clinical documentation at discharge is fully compliant and accurately reflects the patient's condition, treatments, and any co-morbidity. Special skill

- strong clinical background. comprehensive, excellent knowledge of medical terminology, anatomy and physiology, pathology and etc

- excellent observation analytical thinking, and problem solving skill

- good knowledge coding rules and guidelines, ICD-10, ICD-10 PC, CPC

- honest medical professional, always respect, dignity, kindness and empathy in each encounter with all patients, families, visitors, and other employees

- good computer skills, available work with different EMR, had experience in Citrix, EPIC, Allscripts, Cener, PK, and etc…

- worked with CDI program as Optum, Huron, Jetta

- worked with 3MHD, orienteering Coding Clinic and all special program

- attend continuing education workshops, webinars, lectures, etc…

- bilingual, English and Russian

- Love my job

- obsessed with becoming a professional in this field



Contact this candidate