
Experienced Clinical Healthcare Professional with 7 years in inpatient care, clinical documentation improvement, case management, and clinical coding. Certified CPC and CCS, with a strong background in multidisciplinary collaboration, DRG optimisation, utilisation management, and regulatory compliance.
▪ Collaborate with physicians and review ongoing admissions and optimize DRG by ensuring comprehensive documentation with supporting services.
▪ Maintain Annual Recurring Revenue (ARR) and achieve targeted Case Mix Index (CMI).
▪ Ensure proper resource utilisation and timely discharges for DRG cases and educate physicians to avoid unnecessary service orders.
▪ Oversaw declaration of consumables for elective cases to support accurate financial reporting. for elective cases to support positive DRG cost margin and ensure timely discharges.
▪ Optimized revenue generation by identifying and adding additional CPT codes for day-case surgeries and additional ICD codes in inpatient cases. ▪ Conducted a comparative analysis of DRG vs Day Case surgeries in Orthopedic and General Surgery departments and identified profitable procedures for both day-case and inpatient settings.
▪ Surgical assistant in Renal Transplant (Living Donor and Cadaver transplantation), Vascular and General surgeries, with a primary responsibility for performing skin closure.
▪ History collection, Physical & Systemic Examination.
▪ Managed patient care activities in ward setting includes preparing discharge summaries and performing suture removals.
▪ Conducting daily rounds with physicians and ensuring the comprehensive documentation of medical assessments, diagnoses, procedures, and outcomes in both patient case records and electronic medical record (EMR) software.