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Sharvari Patel

@sharvaripatel

Dedicated Clinical Documentation Improvement Specialist with extensive healthcare experience.

United States
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What I'm looking for

I am looking for a role that allows me to leverage my expertise in clinical documentation and coding while fostering a collaborative environment focused on quality patient care and continuous improvement.

I am a dedicated and detail-oriented Clinical Documentation Improvement Specialist with extensive experience in healthcare documentation, coding, and compliance. My career has been focused on conducting thorough medical record reviews and providing education to healthcare professionals to optimize documentation processes, ensuring accurate reimbursement and quality patient care.

Throughout my tenure at Alignment Health, I have collaborated with physicians, nurses, and other healthcare professionals to clarify documentation discrepancies and capture appropriate reimbursement. I have a proven track record of analyzing clinical documentation trends and identifying opportunities for process improvement, which has significantly enhanced documentation quality and accuracy. My role also involves auditing providers and coders, ensuring compliance with regulations, and providing education to both internal and external providers.

In my previous positions, I have managed health information records, performed quality reviews, and participated in the implementation of electronic health record systems. My certifications, including Certified Documentation Expert Outpatient and Certified Professional Coder, further validate my expertise in this field. I am passionate about improving healthcare documentation standards and am committed to fostering a collaborative environment that promotes quality patient care.

Experience

Work history, roles, and key accomplishments

AC

CDI Specialist

Alignment Health California

Feb 2018 - Jun 2024 (6 years 4 months)

Conducted comprehensive reviews of outpatient medical records to ensure accuracy, completeness, and compliance with regulatory requirements. Collaborated with physicians and healthcare professionals to clarify documentation discrepancies and optimize reimbursement.

DA

Health Information Management Specialist

DaVita

Mar 2016 - Feb 2018 (1 year 11 months)

Reviewed and validated medical record audit results for Medicare Advantage program beneficiaries, ensuring compliance with coding guidelines and policies. Performed CPT/HCPCS coding quality reviews and educated providers on appropriate documentation practices. Managed health information records, ensuring accuracy, confidentiality, and HIPAA compliance.

MH

Coding Specialist

Molina Healthcare

Aug 2015 - Feb 2016 (6 months)

Abstracted diagnosis codes under the HCC Model and performed detailed chart reviews to ensure accuracy. Audited coding team charts and served as a liaison to address coding issues with upper management. Provided valuable feedback and training to management and office staff on coding and clinical documentation best practices.

Education

Degrees, certifications, and relevant coursework

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Clinical Documentation Improvement

Obtained certification as a Certified Documentation Expert Outpatient (CDEO) from the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Medical Coding Instruction

Achieved Certified Professional Coding Instructor (CPC-I) designation from the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Evaluation and Management Coding

Earned Certified Evaluation And Management Coder (CEMC) certification from the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Risk Adjustment Coding

Obtained Certified Risk Adjustment Coder (CRC) certification from the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Professional Medical Coding

Completed Certified Professional Coder (CPC) certification through the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Medical Auditing

Completed Certified Professional Medical Auditor (CPMA) certification through the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Outpatient Coding

Achieved Certified Outpatient Coder (COC) designation from the American Academy of Professional Coders.

American Academy of Professional Coders logoAC

American Academy of Professional Coders

Certification, Medical Coding

Earned Certified Coding Specialist (CCS) certification from the American Academy of Professional Coders.

Tech stack

Software and tools used professionally

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Sharvari Patel - CDI Specialist - Alignment Health California | Himalayas