Clinical Documentation Specialist
Resume:
ZAIN AWAN
CLINICAL DOCUMENTATION SPECIALIST
Brooklyn, NY : 312-***-**** : **.*.****@*****.***
PROFESSIONAL SUMMARY
Highly trained clinical documentation specialist trained by Huron with a passion for health care. Review of 30 to 35 charts inclusinv 2 years of experience impacting positive organizational outcome through application of medical knowledge, detailed clinical documentation review and effective communication. Confident in ability to collaborate with cross functional teams to solve complex problems. Committed to continuous improvement and contributing to team success SKILLS
• Data entry
• ICD- 10 Code
• Medical terminology
• Documentation and Charge capture
Translating patient care into GLOS (Medicaid)
• 3M encoder proficient
• EMR proficient EPIC, Office Ally,
• Data Analysis
• Managing Clinical Documentation
CERTIFICATIONS
2022
CLINICAL DOCUMENTATION SPECIALIST DIDACTIC TRAIINING, HURON EXPERIENCE
2022 – CURRENT
CLINICAL DOCUMENTATION SPECIALIST, THOMAS JEFFERSON HOSPITAL, US
- Perform methodical Chart review
- Comprehensively reviews all physician and clinical documentation, concurrent and retrospective to identify potential opportunities for documentation improvement
- Compose clinical documentation queries that are compliant with CMS and ACDIS /AHIMA guidelines
- Updating DRG worksheet to reflect any changes in patient status, procedures/treatments, and conferring with physician to finalize diagnoses 2
- Conferring with physician to establish appropriate severity of illness and ensure documentation of principal diagnosis, comorbid conditions, complications, and procedures 2020 – 2022
CLINICAL DOCUMENTATION SPECIALIST AND PHYSICIAN ASSITANT, FAMILY MEDICAL HEALTHCARE, US
- Perform methodical Chart review that meets performance standards by setting goals and objectives and effective use of resources
- Comprehensively reviews all physician and clinical documentation to identify potential opportunities for documentation improvement
- Compose clinical documentation queries that are compliant with CMS and ACDIS /AHIMA guidelines
- Examine, diagnose, and treat patients with the guidance of Attending Physician
- Work with medical staff to continuously improve clinical documentation to facilitate accurate coding using physician query and discussion.
- Facilitate communication of various professional to support and achieve accurate clinical documentation for reimbursement
2019 – 2020
MEDICAL ASSISTANT, MOUNT SINAI HOSPITAL
- Perform methodical Chart review that meets performance standards by setting goals and objectives and effective use of resources
- Comprehensively reviews all physician and clinical documentation to identify potential opportunities for documentation improvement
- To assist in day-to-day clinical activities with Attending provider 2017 – 2019
PHYSICIAN, GHURKI TRUST 300 BED TEACHING HOSPITAL WITH RESIDENCY SERVICES
- To diagnose, treat and perform relevant medical procedures in order to improve patients health outcomes
- Perform methodical Chart review that meets performance standards by setting goals and objectives and effective use of resources
- Comprehensively reviews all physician and clinical documentation to identify potential opportunities for documentation improvement
- To assist in day-to-day clinical activities with Attending provider EDUCATION
DOCTOR OF MEDICINE MD, LAHORE MEDICAL AND DENTAL COLLEGE BACHELOR OF LIFE SCIENCES, UNIVERSITY OF PUNJAB
3
ACTIVITIES
Publications
Daud S, ZAKIR R, AWAN Z.H (2014) “STRESS IN MEDICAL STUDENTS “. Pakistan journal of medical & health sciences 8(1996-7195), 503-507 CONFERENCES
International Medical Conference organized in collaboration by Royal College of Physicians, London and Azra Naheed Medical College, Lahore. 26th – 28th February 2016. VOLUNTEER WORK
Volunteer Physician HUF Medical Center Free Medical Camp in Al- Noor Town, Model Colony near Walton Road.
VOLUNTEER AT SOS Home for Orphan Children in Lahore Pakistan Volunteer at the Fatima Memorial Hospital, Lahore, Pakistan.
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