MILES SALINAS, M.D., CDIP

Covina, CA *****

661-***-****

adythn@r.postjobfree.com

EDUCATION

Ross University School of Medicine

**/**** – 01/2006 Doctor of Medicine with High Honors

University of California, Davis

10/1997 – 06/2000 Bachelor of Science in Biochemistry

Ukiah Adult School—Licensed Voational Nursing Program

06/1994 – 01/1996 Licensed Vocational Nurse

CERTIFICATION/LICENSURE

Clinical Documentation Improvement Professional (CDIP): 0043639 (exp. 12/31/24)

Educational Commission for Foreign Medical Graduates (ECFMG) Certification: 0-659-792-6

SPEAKING ENGAGEMENTS/PRESENTATIONS

Q1 Productions San Diego Revenue Cycle Forum Speaker/Moderator 2019

Emanate Health Residency Program Introduction to CDI 2019-2020

UCLA Surgery Department Regular Presentations of CDI Best Practice Documentation 2017-2021

Conifer Health Sepsis Documentation Best Practice 2022

Conifer Health TAVR Documentation Improvement 2022

Conifer Health Use of “Unable to Determine” Response in Queries

Conifer 2022

Conifer Health Malnutrition 2022

CONSULTING

VEP Healthcare – E&M Coding Requirements/Curriculum/Presentation Development

Shasta Community Health Center – CDI Practice and Strategies

TRAINING

Conifer Health CDI Boot Camp 2021-22

3M Coding Boot Camp Stanford University Hospital 2016

University of California, Irvine School of Medicine ICD-9 CM and ICD-10- CM and PCS

University of California, Irvine School of Medicine CPT

CDS Training Desert Valley Hospital 2015

ACDIS “The Clinical Documentation Improvement Specialists Complete Training Guide.”

WORK EXPERIENCE

CDI Specialist II

05/2022– Present Torrance Memorial Medical Center – Torrance, CA

Responsible for CDI work, queries, mortality reviews, education, provider engagement, and special assignments.

CDI Supervisor

11/2021– 05/2022 Conifer Health – Tacoma, Washington and Roseburg, Oregon

Responsible for 25 CDI in 7 large Catholic hospitals in the Pacific Northwest (Seattle and Oregon). CDI Training, orientation, assessment, corrective action, productivity oversight, schedule, education, provider engagement, presentations, hospital/client presentations/relations. Mortality, quality, deep dives, query, second level reviews, and special assignments.

President/CEO Advanced Health Information Integrity Five Incorporated (AHII5 Inc.)

05/2018 – 05/2021 AHII5 Inc., Covina, CA

Founded and ran a CDI Training program with student placement with recruiters around the country.

Clinical Documentation Improvement Specialist

02/2019 – 05/2020 Emanate Health, Covina, CA

An integral part of a growing CDI program. Regular CDI duties as described in the UCLA and Stanford roles with the added responsibilities of starting a regular 30 minute Education session bi-weekly with the medical education department/residency and developing an education session with faculty. Also, reviewing the quality of the CDI program from query templates, types of queries, to the queries sent by the current CDI. Give feedback to the CDI as well as the HIM Director on the progress of the program and the provider outreach.

Clinical Documentation Improvement Specialist

01/2017 – 11/2021 UCLA Ronald Reagan Hospital, Los Angeles, CA

Working as a close-knit team in the Clinical coding and CDI Department as a high functioning team. Develop educational materials for the staff, residents, and other advanced care providers. Conduct education sessions for residents, attendings, and advanced care providers (APPs) for the purposes of helping them to understand the importance of complete and accurate documentation in the medical record. Give Power Point presentations for faculty, residents and APPs. Present pearls for documentation improvement during rounds. Conduct clinically based concurrent and retrospective reviews of medical records to evaluate that the clinical documentation is is as accurate and complete as possible and in compliance with CDI ethical responsibilities. The work is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. PSI and mortality reviews. Attend rounds and meetings. Work creatively and closely with the medical staff, administration, and ancillary staff to facilitate appropriate clinical documentation of patient care thereby improving physician documentation of conditions by querying physicians for documentation deficiencies MS-DRG coding, in Major Complications and Comorbidities (MCCs and CCs) and Hierarchical Condition Categories (HCCs). Conducting documentation reviews for initial and extended-stay concurrent reviews on all selected admissions and documenting findings. Train providers and ancillary staff in ICD-10 coding differences and updates. Internal Audits for quality control, education of physicians in patient care and documentation guidelines. Help in training of new CDISs.

Clinical Documentation Improvement Specialist II (CDIS II)

02/2016 – 01/2017 Stanford University Hospital, Palo Alto, CA

Work within the Stanford University Hospital System. Working together in the CDI Department as a high functioning team. Develop educational materials for the staff, residents, and other advanced care providers. Conduct education sessions for residents, attendings, and advanced care providers (APPs) for the purposes of helping them to understand the importance of complete and accurate documentation in the medical record. Give Power Point presentations for faculty, residents and APPs. Present pearls for documentation improvement during rounds. Conduct clinically based concurrent reviews of medical records to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. Work with coding partners. Attend rounds and meetings. Work creatively and closely with the medical staff, administration, and ancillary staff to facilitate appropriate clinical documentation of patient care thereby improving physician documentation of conditions by querying physicians for documentation deficiencies MS-DRG coding, in Major Complications and Comorbidities (MCCs and CCs) and Hierarchical Condition Categories (HCCs). Conducting documentation reviews for initial and extended-stay concurrent reviews on all selected admissions and documenting findings. Train providers and ancillary staff in ICD-10 coding differences and updates. Internal Audits for quality control, education of physicians in patient care and documentation guidelines. Help in training of new CDISs.

Clinical Documentation Specialist I (CDS I)

02/2015 – 02/2016 Desert Valley Hospital, Victorville, CA

Work within the Prime Healthcare System. Conduct clinically based concurrent and retrospective reviews of medical records to evaluate that the clinical documentation is reflective of quality of care outcomes and reimbursement compliance for acute care services provided. Work closely with the medical staff to facilitate appropriate clinical documentation of patient care thereby improving physician documentation of patient chronic conditions by querying physicians for documentation deficiencies MS-DRG coding, in Major Complications and Comorbidities (MCCs and CCs) and Hierarchical Condition Categories (HCCs) and training them in the documentation of Clinical Quality Measures (CQM), Physician Quality Reporting System (PQRS), and Healthcare Effectiveness Data and Information Set (HEDIS) measures. Conducting documentation for inpatient admission criteria, initial and extended-stay concurrent reviews on all selected admissions and documenting findings. Train providers and ancillary staff in the use of Electronic Health Records (EHR) and coding in both ICD-9 and ICD-10. Internal Audits for quality control, education of physicians in patient care and documentation guidelines. Precept new CDSs.

Chemist/Chemical Process Technician

06/2013 – 11/2014 PB Fasteners, Gardena, CA

Maintain all chemical compound ratios within tight specifications required by the aerospace industry. Keep comprehensive and accurate records. Change/adapt standard operating procedures to fit the competitive and changing manufacturing environment. Follow strict safety practices. Have thorough knowledge of the cleaning and plating processes for the manufacture of fasteners for high performance military aircraft and the largest domestic airliners in the world. I also worked in the quality department as the Process Control Specialist. I conducted root cause/corrective action investigations and Six Sigma. Comprehensive knowledge and training to participate in and review many departments’ processes: plating, grind, thread roll, shipping, procurement, inspection, laboratory, CNC, heat treat, etc.

Family Practice Resident

07/2008 – 11/2010 Mercy Redding Family Practice Residency Program, Redding, CA

Mercy Redding Family Practice is a University of California, Davis Network of Affiliated Family Practice Residency Programs. Engaged in full spectrum family practice including an emphasis on obstetrical and pediatric care in this unopposed residency program. Taught and supervised medical students and interns. Interviewed residency applicants. Cared for patients in many areas including ICU, surgery, ER/trauma, obstetrics and gynecology, family practice/continuity clinics, internal medicine, urology, pulmonology, gastroenterology, infectious disease, ENT, orthopedics, allergy, dermatology, interventional radiology, etc. Performed a large spectrum of procedures including endotracheal intubation, central line placement, intravenous line starts, liver biopsy, minor procedures (excisional biopsy, etc.), etc. Delivered over 113 babies including 35 first-assists with cesarean sections.

General Surgery Resident

07/2007 – 06/2008 Kern Medical Center General Surgery Residency Program, Bakersfield, CA

Kern Medical Center (KMC) General Surgery is a University of California, San Diego Affiliated 01as the only resident under the attending’s supervision. Provided trauma, urological, orthopedic, general, neurosurgical, critical care, plastics, ENT, etc. consultations/services under senior resident/attending supervision. Position emphasized ER/Trauma, neurosurgery, surgical critical care (SICU), and orthopedics as a large part of my first year of training. Performed both as primary and as first-assist on general surgeries, orthopedic surgeries, neurosurgeries, under the direct supervision of an attending and/or senior resident. Taught medical students.

Licensed Vocational Nurse Contractor

04/2005 – 11/2006 California Prison System—Soledad and Tehachapi

Medical Worked as a LVN giving medications and insulin to inmates. Vital signs, blood sugar .

measurements, and assessments in prison clinic. Responsible for inate trauma care after assaults

and riots.

Medical Corpsman Petty Officer

04/2002 – 07/2003 United States Navy, Roosevelt Roads Naval Station, Ceiba, Puerto Rico

With my LVN I was able to work in the US Naval Reserves as a Medical Corpsman Petty Officer with the rank and billet of E4 and HM3, respectively. Assessments, wound care, medication administration, assisted in procedures, etc. My Commanding Officer granted me an administrative discharge to allow me to continue medical school unhindered. The war in Iraq started in 2003.

Licensed Vocational Nurse

9/1996 Sutter Davis Hospital, Davis, CA

While studying for my Bachelors of Science Degree in Biochemistry I worked as a LVN. Work with medical staff, other nurses/RNs/LVNs, and ancillary staff., Perform inpatient admissions and discharges. Do inpatient assessments. Work in different hospital inpatient departments including ICU, CCU, and the Medical/Surgical Floor. Administer oral medications. Give injections by subcutaneous and intramuscular routes. Insert and change intravenous lines. Insert nasogastric tubes. Help with activities of daily living. Prepare patients for procedures/surgeries. Patient and family support throughout hospitalization.

Licensed Vocational Nurse

1/1996 Ukiah Valley Medical Center, Ukiah, CA

Naturally matriculated from nursing school into Ukiah Valley Medical Center where I did my clinical nursing training. Work with medical staff, other nurses/RNs/LVNs, and ancillary staff., Perform inpatient admissions and discharges. Do inpatient assessments. Work in different hospital inpatient departments including ICU, CCU, and the Medical/Surgical Floor. Administer oral medications. Give injections by subcutaneous and intramuscular routes. Insert and change intravenous lines. Insert nasogastric tubes. Help with activities of daily living. Prepare patients for procedures/surgeries. Patient and family support throughout hospitalization.

OTHER SKILLS

Speak, Read, and Write in Spanish

Electronic Health Records (EHR)—NextGen, Meditech, EPIC, etc.

3M 360 (CAC)/CDIS Encoder and Review Software

Citrix

Optum Insite

ICD-10 PCS AHIMA Website

ICD-10 CM Manual, CPT Coding Manual

Microsoft Office Suite: Powerpoint, Excel, Outlook, Access, Word, Publisher, Visio

National Committee for Quality Assurance (NCQA)

Physician Quality Reporting System (PQRS)

Healthcare Effectiveness Data and Information Set (HEDIS) Star Measures

Webinar/Skype/Remote work (VPN)

Health Stream

Microsoft Teams

Zoom

AWARDS, COMMITTEES, & MEMBERSHIPS

2015 - Present American Health Information Management Association (AHIMA)

2015 – Present Association for Clinical Documentation Specialists (ACDIS)

2013 – Present American Medical Association (AMA)

2010 Pharmacy and Therapeutics Committee—Mercy Medical Center, Redding, CA

2010 – 2011 Member North Valley Medical Association

2010 – 2011 Member California Medical Association

2009 – 2010 Member Noon Conference Committee –Mercy Redding Family Practice Residency

2008 – 2011 Member American Academy of Family Physicians

2008 – 2011 Member California Academy of Family Physicians

2007 – 2008 Member American College of Surgeons

2002 – 2006 Dean’s List Ross University School of Medicine

2003 Vice-President; Ross Univ. School of Med. Student Government

2003 Member; Ross Univ. School of Med. Banquet Committee

2002 Honor Role Ross University School of Medicine

1998 Summer Medical School Enrichment; University of Alabama School of Medicine

VOLUNTEER EXPERIENCE

2017-2019 Youth Baseball Coach /Team Manager

2019. Youth Soccer Coach/Team Manager

11/2014 Student Recruitment Information Seminar—Guest Speaker; Ross University School

of Medicine

2012 Fundamentals of Spanish Course—Instructor; Experience Unlimited Professional Club

2/2011 Student Recruitment Information Seminar—Guest Speaker; Ross University School of Medicine

1/2011 Student Recruitment Information Seminar—Guest Speaker; Ross University School of Medicine

2010—2011 Ski Patrol; Mt. Shasta Board and Ski Park

11/2010 Student Recruitment Information Seminar—Guest Speaker; Ross University School of Medicine

2010 Sports Physicals—Central Valley High

2010 Sports Physicals—West Valley High

2009 Free Prostate Screenings, Mercy Medical Center Redding

1998 – 1999 Research Assistant/Laboratory Technician

Under the direction of Dr. Wu, I grew cultures, performed PCR, Western Blot, etc. in order to isolate suspected genes for etiology and treatment of Lung Cancer. I also helped other graduate students with their research; Univ. of California, Davis

2003 Teaching Assistant, Dr. Martin; Ross Univ. School of Med. Department of Anatomy

2003 Teaching Assistant, Dr. Singh; Ross Univ. School of Med. Department of Anatomy

2003 Co-founder, Neuroanatomy Teaching Assistant Program, Ross Univ. School of Med., Department of Anatomy, Dr. Singh

2002-2003 Volunteer Tutor; Ross University School of Medicine

2002-2003 Volunteer Emergency Medical Technician; Ross University School of Medicine Emergency Medical System

CONTINUING EDUCATION UNITS (CEU)

2022. CA AHIMA 2022 Convention, Riverside, CA

2022 ACDIS Imagine Conference Orlando, FL

2022. MELS Monthly CEU Seminars Conifer Healthcare

2021. MELS Monthly CEU Seminars Conifer Healthcare

2021. ICD 10 Monitor CEU—Monthly Topics

2020. ICD 10 Monitor CEU—Monthly Topics

2019. ICD 10 Monitor CEU--Monthly Topics

10/2018 CA ACDIS Conference San Diego

8/2018 AHIMA CDI ACADEMY Conference Baltimore

8/2018 AHIMA CDI SUMMIT Conference Baltimore

6/2018 AHIMA Crack The Codes Conference Philadelphia

4/2017 ACDIS Conference Las Vegas

3/2016 NASW “The Growth of a New Social Justice Movement” (2 CEUs)

4/2016 3 M ICD-10 Boot Camp (32 CEUs)

CONTINUING MEDICAL EDUCATION (CME)

2021. ICD 10 Monitor—Monthly Topics

2020. ICD 10 Monitor—Monthly Topics

2019. ICD 10 Monitor—Monthly Topics

10/2019. Primary Care Cardiometabolic Risk Summit, Orlando, FL

8/2019. Nevada Summer CME Program, Las Vegas, NV

4/2019 Ross University School of Medicine Primary Care Conference, Barbados

2018. ICD 10 Monitor CEU--Monthly Topics

9/2015 Primary Care Cardiometabolic Risk Summit, Las Vegas, NV

9/2015 12-Lead EKGs Part II: Identifying Common Abnormalities

9/2015 12-Lead EKGs Part I: Recognizing Normal Findings

8/2015 Urinary Incontinence: Opening the Lines of Communication, Medscape

8/2015 Patient Encounters in Multiple Sclerosis: Monitoring and Assessment, Medscape

8/2015 Practical Use of Modern Agents in Type 2 Diabetes, Medscape

8/2015 Antibiotic Use May Lead to Juvenile Idiopathic Arthritis, Medscape

8/2015 Role of Medical Marijuana in Diabetic Neuropathy, Medscape

8/2015 How to Protect Your Patient from a Stroke: Achieving Positive Outcomes in AF

8/2015 Timely management of Acute Ischemic Stroke, Medscape

8/2015 What’s New on Interventions for the Lower Limb Spasticity, Medscape

8/2015 Managing COPD: A Case-Based Approach to Tailoring Therapy

8/2015 Individualizing Care in Type 2 Diabetes: Focus on Safety and Adherence

8/2015 Early and Intensive T2D Management: Combination Therapy Earlier in…

8/2015 Role of Diet and Exercise in Diabetes Prevention, Medscape

8/2015 Life-Threatening Chemotoxicity: From Prevention to Management, Medscape

8/2015 Individualizing Obesity Management in the Modern Era, Medscape

8/2015 Suicide Risk Factors Identified in US Soldiers, Medscape

6/2015 San Diego Academy of Family Practice 58th Annual Summer CME, San Diego

4/2015 Prime Healthcare Services, Inc. Basics of ICD-9-CM, Intro to ICD-10-CM…

4/2015 Prime Healthcare Services, Inc. Basics of Current Procedural Terminology Aux…

12/2014 The Difficult Patient: …, Medscape

12/2014 Author! Author An Ethics Case Study, Medscape

12/2014 COPD Management: What Do the Latest Guidelines Say, Medscape

12/2014 Putting the Evidence-Based Guidelines...High Blood Pressure…Into Practice

12/2014 Managing Blood Pressure in T2D, Medscape

12/2014 Diagnosis, Prognosis, and Management of HUS

12/2014 Perspectives on Treatment Selection for Atypical Hemolytic Uremic Syndrome

6/2014 San Diego Academy of Family Practice 57th Annual Summer CME, San Diego

6/2014 City of Hope CME, Rose Bowl, CA

1/2014 Aspirin Underutilization: Evaluating the Impact and Long-term Outcomes

1/2014 5 Good Minutes on Atrial Fibrillation-Related Stroke, Medscape

1/2014 Alcohol Screening and Brief Intervention for Youth: A Practitioner’s Guide

1/2014 Guidelines Emphasize Monitoring of HIV Patients in Primary Care, Medscape

1/2014 When an Aging Colleague Seems Impaired, Medscape

1/2014 Updated Treatment Guidelines for C Dificile Infection, Medscape

1/2014 Provider Approach to Parental Resistance to Childhood Vaccination…, Medscape

1/2014 Maintenance Treatment of Bipolar Depression, Medscape

1/2014 Recognition of Bipolar Disorder Type I Before the First Manic Episode:…

7/2013 2011 State of the ART Series: Improving HIV Treatment Approaches, Medscape

7/2013 Recognizing the Many Faces of Chronic Hepatitis B in the US, Medscape

6/2013 The Pathophysiology of Irritable Bowel Syndrome, Medscape

6/2013 Incorporating New Therapies for IBS-C, Medscape

6/2013 San Diego Academy of Family Practice 56th Annual Summer CME, San Diego

12/2012 Perspectives and Clinical Implications of Emerging Formulations:…Insulins…

12/2012 Treating de Novo Coronary Artery Lesions: The Role of Bioabsorbable…

12/2012 HDL-C and AIM-HIGH: Does Increasing HDL-C Reduce Cardiovascular Risk?

12/2012 HDL in Motion: Molecular Dynamics & Disease Pathophysiology, Medscape

12/2012 Will PCSK9 Inhibition Close the Gap in Optimal LDL-C Reduction?

11/2012 Essentials of Emergency Medicine Conference, Las Vegas, NV

8/2012 Nevada Academy of Family Physicians Summer CME Session

8/2012 Surgical Treatment of Ingrown Toenail, Medscape

7/2012 A 21-Year-Old Man With an Interesting Radiologic Finding, Medscape

10/2011 American College of Surgeons 97th Annual Clinical Congress, San Francisco, CA

9/2011 “A 55-Year-Old Man with Nausea and Vomiting”, Medscape

2011 Special Considerations in HCV Retreatment; Moving Mountains, Redding, CA

7/2011 Clinical Findings Can Predict Risk for Pneumonia in Pediatric ED, Medscape

7/2011 FDA Issues New Dosing Guidelines for Erythropoiesis-Stimulating Agents, Medscape

2011 Hepatitis C and New Drugs, Moving Mountains, Redding, CA

6/2011 Predictive Biomarkers and EGFR Inhibitors in the Treatment of Patients With NSCLC, Medscape

6/2011 Expert Perspectives on NSCLC, Highlights From the 35th Annual Congress of the European Society of Medical Oncology, Medscape

6/2011 2011 Annual Meeting of the American Society of Clinical Oncology: A First Response on the Advances in Non-Small Cell Lung Cancer; Fox Chase Cancer Center

6/2011 Effects of Incretin Therapy on Patient Adherence and Patient Adherence and Cardiovascular Risk Factors in Patients with Type 2 Diabetes, The Endocrine Society

2011 San Diego Academy of Family Physicians’ 54th Annual Postgraduate Symposium: Family Medicine Update 2011

2008-2010 Journal Club article review (evidence-based medicine articles) group review/discussion, Mercy Medical Center Family Practice Residency Program

2007-2008 Journal Club, Kern Medical Center General Surgery Residency Program

2004 Acute & Prophylactic Effects of Mood Stabilizer Drugs in Refractory Affective Disorders

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