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Syed
syedrzaidi786@gmail.com
772-571-3373
7506 Scarlet Ibis Lane
Jacksonville, FL 32256
Clinical Documentation Improvement Specialist
24 years experience W2
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Average rating
21
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Summary

Dedicated, healthcare professional with approximately 20 years of experience. Gained tremendous knowledge working for the past nine years as a Clinical Documentation Specialist. Experience which has covered work in an Outpatient setting and an Inpatient Hospital setting. Involvement with Epic, Cerner 3M 360 and Allscripts. Highly capable professional with strong leadership, clinical, writing and presentation skills.

Experience
Clinical Documentation Improvement Specialist
Medical Devices
Jul 2018 - present
West Palm Beach, FL
  • Worked with Meditech, Iodine, 3M 360 system and computer assisted coding (CAC) system.
  • Completed/reviewed notes in the electronic medical record based on written documentation of the clinical visit.
  • Worked with ICD-10 coding system.
  • Monitoring clinical documentation to make sure there is appropriate documentation for the diagnosis to meet the requirement of Medicare and other insurance companies.
  • Educated the physicians through one on one and through power point presentation and hand outs.
  • Followed up one queries to make sure they were answered, to assist the physician if they had any question regarding the query
  • Review cases from CV ICU. Make sure the documentation reflects the SOI/ROM in their notes
Medical Records Medicare ICD-10
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Clinical Documentation Improvement Specialist
Medical Devices
Dec 2017 - Feb 2018
Little Rock, AR
  • Reviewed Medical Charts to look for missing, vague information.
  • Queried the physicians for further clarification.
  • Experience with Cerner 360 Chi St Vincent's Infirmary, Jata, Epic and Power Chart.
Cerner
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Clinical Documentation Improvement Specialist
Jul 2015 - Nov 2017
Jacksonville, FL
  • Monitoring clinical documentation to make sure there is appropriate documentation for the diagnosis.
  • Experience with Cerner 360, 3M, Jata, Epic and Power Chart.
  • Made sure the progress notes avoided any abbreviations and symbols.
  • Completed SOAP (subjective, objective, assessment, and plan) notes.
  • Documented a thorough history and physical.
  • Documented the outcomes of "rule out, " "consider, " and "possible" diagnoses.
  • Identified the principal diagnosis or reason for admission.
  • Included all secondary diagnoses and conditions that affect patient care or the clinical decision making process.
  • Documented the reason for and objective of all operating room (OR) and non-OR procedures performed including ICD-10-PCS code assignment.
  • Made sure all queries were answered for clarification promptly and fully. Made sure the progress notes were updated with clarification or additional information.
Cerner Operating Room ICD-10
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Clinical Documentation Improvement Specialist
Medical Devices
Jan 2014 - Jun 2015
  • Worked with Epic, 3M 360 system and computer assisted coding (CAC) system.
  • Completed/reviewed notes in the electronic medical record based on written documentation of the clinical visit.
  • Worked with ICD-9 coding system.
  • Trained to transition to ICD-10.
  • Monitoring clinical documentation to make sure there is appropriate documentation for the diagnosis to meet the requirement of Medicare and other insurance companies.
  • Implemented a tracking system to be sure all queries were answered in the allotted 14 days
ICD-10 Medical Records Medicare ICD-9
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Clinical Documentation Improvement Specialist
Medical Devices
Jan 2010 - Dec 2013
Sebastian, FL
Outpatient private practice in Sebastian, FL
  • Completing notes in the electronic medical record based on written and verbal information of the clinical visit.
  • Monitoring clinical documentation to make sure there is appropriate documentation for the diagnosis to meet the requirement of Medicare and other insurance companies.
Medical Records Medicare
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Jan 2010 - Jan 2010
Chicago, IL
No skills were added
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Medical Assistant
Healthcare
Jan 1997 - Jan 2005

? Worked as a phlebotomist and medical assistant. ? Took patients vital signs, urinalysis. Performed EKG ? Administered intramuscular injections.

Medical Assistant Administrative Support
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Edit Skills
Non-cloudteam Skill
Education
Keiser College 2009
Medical Assistant
Indian River State College 1997
Biology
Indian River State College 1995
Health Sciences
University School of Medicine
Skills
Administrative Support
2005
8
Medical Assistant
2005
8
Medical Records
2021
7
Medicare
2021
7
ICD-10
2021
6
Cerner
2018
2
Operating Room
2017
2
ICD-9
2015
1