Sharvari Patel
@sharvaripatel
Dedicated Clinical Documentation Improvement Specialist with extensive healthcare experience.
What I'm looking for
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
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.
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.
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
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
Certification, Medical Coding Instruction
Achieved Certified Professional Coding Instructor (CPC-I) designation from the American Academy of Professional Coders.
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
Certification, Risk Adjustment Coding
Obtained Certified Risk Adjustment Coder (CRC) certification from the American Academy of Professional Coders.
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
Certification, Medical Auditing
Completed Certified Professional Medical Auditor (CPMA) certification through the American Academy of Professional Coders.
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
Certification, Medical Coding
Earned Certified Coding Specialist (CCS) certification from the American Academy of Professional Coders.
Availability
Location
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