Dr. M.Glore Suneetha
Hyderabad
Summary
A Healthcare professional with strong domain knowledge & a certified medical coder & certified Associate in Health informatics management-CAHIMS, with a working experience as utilization reviewer, I gained sound knowledge in EHR like, EPIC, Meditech Interoperability Resource-HL7-FHIR, & coding Am Ambitious, career-focused job seeker.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Utilization Reviewer
EPIC
06.2021 - 09.2022
- Assessment of the the information provided by the clinician in patient's EHR and recording the primary, secondary diagnosis based on HCC , DRG.
- Documenting information about patient inpatient stay using of EPIC modules such as Clindoc, ADT, CPOE, CDSS , conducting utilization review.
- Auditing the ICD diagnosis codes given for subsequent day stay for the patient and recording & reporting any discrepancies noticed.
- Ensuring the documentation is according to the given payor & Facility specifications.
- Completing task within given TAT.
- Consistently accomplished performance above 90%.
Consultant Endodontist
Clove Dental
07.2017 - 08.2019
- Patient Management-Scheduling patient appointments, assigning cases to colleagues of other specialties based on patient needs.
- Case Management- Diagnoses of various oral conditions.
- Treating of various conditions Using evidence-based methods
- Creating awareness in patients.
- Conducting various dental education camps.
Education
MDS - Dentistry
Government Dental College And Hospital
Hyderabad07.2017
Skills
- CCS
- EHR
- HL7-FHIR
- MySQL
- UML
- Celonis-Review and interpret Analyses
- XML,PYTHON,SAS
- Team player
- Self-motivated professional
- Quick learner
Certification
CCS-Certified coding specialist-AHIMA- 2019
Coding various diseases, procedures into standardized ICD 10CM, PCS , CPT codes.
CAHIMS- Certified Associate in Health Information Management-HIMSS-2022
- Healthcare & hospital workflows.
- Process analysis, gap analysis, workflow mapping, requirement analysis.
- Implementation of new EHR-Go live (Phased, Big bang approach).
- SDLC- methodologies- Agile, Spiral, Waterfall.
- Data standardization- SNOMED-CT, HL7-FHIR, DICOM.
HL7-FHIR -Fundamentals course-2022
- Certification course on fundamentals of FHIR
- Identification and reading the HL7 schemas
- Resource, CRUD operations, Restful-API
- Interaction with HL7 server
- Conformance to specifications if any .
Languages
English
Advanced (C1)
Telugu
Bilingual or Proficient (C2)
Hindi
Upper intermediate (B2)
Timeline
Utilization Reviewer
EPIC
06.2021 - 09.2022
Consultant Endodontist
Clove Dental
07.2017 - 08.2019
MDS - Dentistry
Government Dental College And Hospital
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