Epic System
Hi, I’m
Precious Ana Marie A.Martinez, RN, CDIP, CCS, CPC
Clinical Documentation Integrity Specialist (CDIS)
1208 H.H Atma Building, Electra Street,Abu Dhabi
Summary
Highly knowledgeable, experienced, detail-oriented and goal-driven Clinical Documentation Improvement Specialist with a demonstrated history of working for more than 11 years in the Hospital and Health Care Industry. Has a strong analytical, critical thinking abilities and understanding in the accurate facilitation of documentation standards for patient medical conditions, procedures, risk of mortality and complexity of care.
Overview
10
years of professional experience
13
years of post-secondary education
4
Certifications
Work History
Sheikh Shakhbout Medical CityAl Mafraq, Abu Dhabi, UAE
Clinical Documentation Integrity Specialist
08.2021 - Current
Job overview
- Promoted and obtained appropriate documentation for inpatient clinical conditions or procedures to support appropriate severity of illness (SOI), expected risk of mortality (ROM) and complexity of care of patient through extensive interaction with multi-disciplinary team.
- Interpreted and analyzed data relative for opportunities in improving clinical documentation practices.
- Helped in establishing Clinical Documentation Integrity (CDI) program as guided by Mayo Clinic Model of Care in achieving to become destination medical center in region.
Cleveland Clinic Abu DhabiAl Maryah Island, Abu Dhabi, UAE
Clinical Documentation Improvement Specialist
01.2018 - 07.2021
Job overview
- Performed extensive concurrent and retrospective inpatient medical records review in identifying documentation opportunities to facilitate accurate representation of patient's clinical status that are translated into coded data.
- Communicated with physicians either through discussion (verbal queries) or formal writing (electronic queries) regarding missing, unclear, or conflicting health record documentation, and clarify information as warranted.
- Provided educational sessions with physicians and other allied team health members to promote accurate and complete documentation of diagnoses and/or procedures in medical health record to reflect complexity of care that was given to patient during inpatient admission.
Cleveland Clinic Abu DhabiAl Maryah Island, Abu Dhabi, UAE
Coding Technician II (Inpatient Medical Coder)
02.2016 - 12.2017
Job overview
- Performed review of Inpatient medical records thru electronic medical records (EMR) to abstract information required to support accurate assignment for ICD 10-CM, CPT, and IR-DRG for diagnosis and procedures performed in Inpatient thru Epic and 3M Code finder software.
- Collaborated with Clinical Documentation Improvement (CDI) Team in identifying potential queries related to physician documentation.
- Supported coding denial reviews as requested.
Omega Healthcare Management Services, Inc.Pasig City, Philippines
Quality Control Analyst (HCC & Inpatient Coding)
01.2015 - 01.2016
Job overview
- Performed audit reviews on medical records for compliance with coding regulations and guidelines.
- Participated in client calls and understand quality requirements for both process perspective and for targets.
- Provided daily feedback to coders regarding on coding opportunities in order to help them improve their knowledge and skills.
- Collaborated with training team on developing and enhancing training curriculum.
United Health Group (UHG)Taguig City, Philippines
Medical Coding Specialist
06.2012 - 02.2014
Job overview
- Reviewed medical records and interpreted documentation for abstracting information required on risk adjustment coding (HCC Coding) to support accurate and complete patient risk adjustment score.
Outcomes Health Information Solutions (OHIS)Taguig City, Philippines
Clinical Abstractor / Medical Coder
07.2011 - 06.2012
Job overview
- Performed review of medical records for abstracting information required on risk adjustment coding (HCC Coding) and HCPCS coding to ensure accurate and complete patient risk adjustment score.
- Performed HEDIS medical records review by assigning correct NCQA-approved CPT and ICD-9 codes to indicate that well-care was provided so that HEDIS quality of care goals can be indicated through claims data.
Education
Far Eastern University (FEU)Morayta, Manila, Philippines
Bachelor of Science from Nursing
06.2006 - 04.2010
La Immaculada Concepcion School (LICS)Pasig City, Philippines
Secondary School
06.2002 - 03.2006
Mona Lisa SchoolPasig City, Philippines
Primary School
06.1996 - 03.2002
Skills
ICD-10 CM DRG Coding
CPT Coding
ICD-10 PCS Coding
EMR, EHR
Clinical Documentation Integrity
Physician Queries
Inpatient Medical Coding
HCC Coding
HEDIS Coding
Software
3M 360 Encompass System
Huron CDI Tool
3M
Cerner, Powerchart
Meditech
Optum Computer-Assisted Coding
Certification
Certified Documentation Improvement Practitioner (CDIP)- AHIMA
Accomplishments
Team Excellence Award (Q2- 2020)
Clinical Documentation Improvement
Cleveland Clinic Abu Dhabi
Individual Top Performer Award (Q2 & Q4– 2020)
Clinical Documentation Improvement
Cleveland Clinic Abu Dhabi
Individual RCM Excellence Award (Q1,Q2 & Q4- 2019)
Clinical Documentation Improvement
Cleveland Clinic Abu Dhabi
RCM Team Excellence Award (Q- 2018)
Clinical Documentation Improvement
Cleveland Clinic Abu Dhabi
Character Reference
Maria Lejazen C. Rivera, RN, CDIP, CCS
Senior Clinical Documentation Integrity Specialist
Sheikh Shakhbout Medical City
mlrivr@yahoo.com.ph
Artemio Jr. Cuadra, RN, CDIP, CCS, CIC, CDEO
Senior Clinical Documentation Integrity Specialist
Sheikh Shakhbout Medical City
artemio.cuadrajr@gmail.com
Availability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Clinical Documentation Integrity Specialist
Sheikh Shakhbout Medical City
08.2021 - Current
Certified Documentation Improvement Practitioner (CDIP)- AHIMA
11-2019
Clinical Documentation Improvement Specialist
Cleveland Clinic Abu Dhabi
01.2018 - 07.2021
Coding Technician II (Inpatient Medical Coder)
Cleveland Clinic Abu Dhabi
02.2016 - 12.2017
Quality Control Analyst (HCC & Inpatient Coding)
Omega Healthcare Management Services, Inc.
01.2015 - 01.2016
Certified Coding Specialist (CCS)- AHIMA
12-2013
Certified Professional Coder (CPC)- AAPC
07-2012
Medical Coding Specialist
United Health Group (UHG)
06.2012 - 02.2014
Clinical Abstractor / Medical Coder
Outcomes Health Information Solutions (OHIS)
07.2011 - 06.2012
Registered Nurse (R.N)- Philippine Nurse Licensure Examination
07-2010
Far Eastern University (FEU)
Bachelor of Science from Nursing
06.2006 - 04.2010
La Immaculada Concepcion School (LICS)
Secondary School
06.2002 - 03.2006
Mona Lisa School
Primary School
06.1996 - 03.2002