I have extensive experience in managing Health Information Management (HIM) systems, ensuring accurate and timely data entry, and maintaining compliance with regulatory standards. In my previous role, I led a team of CDI specialists to improve clinical documentation accuracy, which resulted in a significant increase in the quality of patient records and better reimbursement outcomes. I am well-versed in using EHR systems and have a deep understanding of ICD-10 coding and documentation requirements.

I believe in open communication and fostering a collaborative environment. When conflicts arise, I address them promptly by listening to all perspectives, identifying the root cause, and finding a mutually agreeable solution. I also provide support and training to team members to prevent future issues and ensure everyone is aligned with the organization's goals.

I focus on regular training and education for CDI specialists and healthcare providers to ensure they understand the importance of accurate documentation. I also implement auditing processes to identify gaps and provide feedback. Additionally, I collaborate with physicians to clarify documentation and ensure it aligns with patient care. These strategies have consistently improved documentation accuracy and compliance.

I stay updated on regulatory changes and provide training to my team to ensure compliance. I conduct regular audits and quality checks to identify any non-compliance issues and address them promptly. I also work closely with legal and compliance departments to implement policies and procedures that align with current regulations, ensuring our practices meet all necessary standards.

In a previous role, I implemented a CDI program that focused on improving the accuracy of diagnoses in patient records. By working closely with physicians and CDI specialists, we were able to ensure that all diagnoses were fully supported by clinical evidence. This not only improved the quality of patient care but also led to better reimbursement outcomes for the organization.