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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

Well-trained Clinical Documentation Specialist skilled in medical terms, coding and working with talented teams. Focused professional with expertise assessing medical records for review of physician accuracy and quality of care. Ready for a new position in the medical field.

Licenses
Certified Coding Specialist CCS.Certified Documentation Improvement Practitioner CDIP.DOCTOR-OF-MEDICINE M.D.
Skill Highlights
  • ICD-10 coding with the last guidelines and coding clinics updates
  • Excellent Medical Knowledge.
  • Very Good Experience in coding  Diseases, Procedures and Surgeries.
  • High Communication Skills With Physicians. Submitting focused clarification queries to improve the clinical documentation..
  • Very Familiar with: EPIC, MEDITECH, EHR, 3M 360 Encoder, Cisco, MS-DRG, APR-DRG, HCCs, E&M, Medicare Part A & Part B, Medicaid reimbursement. CPT/HCPCS, APC systems CAC, Microsoft Word, Excel, Power Point.PCS,  
Professional Experience
10/2017 to Current
Clinical Documentation Improvement Specialist Unitedhealth Group Inc. Norristown, , CA
  • Reviewed provider clinical documentation, analyzing accuracy and completeness to coordinate addressing of findings at time of service.
  • Utilized effective research, extensive study and active questioning skills to maintain working knowledge of medical terminology, diseases and medical procedures.
  • Improve the accuracy of coding by actively involving the physician in the documentation clarification process. Submitted focused clarification queries to the physician with excellent communication skills.
05/2015 to 09/2017
CDI/ Medical Coder Dominion Senior Living Northfield, , CA
  • DRG Coder/Auditor: Perform data integrity/quality reviews on inpatient records to validate ICD-10-CM codes, DRG group appropriateness, omitted secondary diagnoses and/or procedures and ensure compliance with all DRG/APC federal compliance mandates and reporting requirements.    
  • Improve the accuracy of coding by actively involving the physician in the documentation clarification process. Submitted focused clarification queries to the physician with excellent communication skills.  
  • Physician  Querying: Concurrent and Retrospective querying of physicians when documentation is incomplete or code assignments are conflicting, vague or unclear for coding purposes.    
  • Strictly follow all federal and state guidelines for release of information. Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.  
  • Perform compliance audits in a timely manner. Review clinical documentation for completeness.    
  • Reconcile discrepancies between working DRG assignments. Maintain confidentiality of Medical records and other information relevant to my practice.    
  • ICD-10-CM, PCS and CPT coding of inpatient, ambulatory surgery, assigning the appropriate DRG and ASC group for reimbursement and reporting purposes. Completed initial review of patient records within 48 hours of admission, assigned and sequenced codes accurately based on medical record documentation, assigned principal diagnosis, secondary diagnosis, procedures, POA status indicators, discharge disposition and queried physicians for potential diagnosis, missing or conflicting documentation.  
  • Also, conducted follow up reviews of patients after 2-3 days to support and assigned final principal diagnosis with working DRG assignment upon patient discharge.   
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01/2013 to 07/2014
Volunteer Universal Health Services Worcester, , CA
06/2010 to 11/2012
Physician Family Meidcine City, , Syria
Education and Training
Expected in 2015
:
Prime Healthcare - Ontario, CA
GPA:
Completed: July 2015 ▪ CCS TRAINING PROGRAM FOR CDI SPECIALIST Training included: ·  Advanced ICD-9-CM Diagnostic & Procedural Coding ·  Advanced Coding Training : ICD-10 PCS ·  CPT Coding For Hospital Ambulatory Care ·  Reimbursement Methodologies
Expected in 2010
M.D.: Medicine
University of Aleppo Faculty of Medicine - Aleppo,
GPA:
Expected in 2007
: Medical Rotation in Cardiology
UCI - Orange, CA
GPA:
One Month Elective Rotation in Cardiology with Prof Morton Kern.  
Expected in 2007
: Gastroenterology
UCI - Orange, CA
GPA:
One month elective rotation in gastroenterology with Prof Gregory Albers. 
Expected in 2005
: Internal Medicine and Pediatrics Rotation
St Helier Hospital - London,
GPA:
Additional Information
Previous member of Jesuits Boys Scout Aleppo Syria.Previous member of Syrian Red Crescent Aleppo Syria.
Languages
EnglishFrenchArabic
References

1. Dr Ignacio Zarate. (Physician Adviser PIH Health Whittier.)  

2. Joseph Safar (Manager Prime Healthcare)

2143 E. Convention Center Way | Ontario, CA  91761 T 909.638.0079 | JSafar@primehealthcare.com

 

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  • Formatting
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  • Measurable Results
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  • Target Job

Resume Overview

School Attended
  • Prime Healthcare
  • University of Aleppo Faculty of Medicine
  • UCI
  • UCI
  • St Helier Hospital
Job Titles Held:
  • Clinical Documentation Improvement Specialist
  • CDI/ Medical Coder
  • Volunteer
  • Physician
Degrees
  • M.D.

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