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Certified medical coder with 5+ years of experience. Expertise in coding, validation, CDI-IP, and IPDRG denials. Skilled in DRG validation, records management, and clinical documentation improvement. Strong analytical skills and deep knowledge of documentation standards. Experienced in training, auditing, and quality assurance. Resourceful Specialist known for high productivity and efficient task completion. Skilled in data analysis, project management, and strategic planning. Excel at communication, problem-solving, and adaptability, ensuring success in fast-paced environments.

Physician-trained CDI and Denial Management Specialist with 3 years of ACGME-accredited residency training and 1.5+ years of focused experience in DRG and CDI appeals and revenue recovery. Leverages expert clinical reasoning to analyze complex inpatient records, validate diagnoses, and construct evidence-based, physician-to-physician rebuttals that consistently overturn high-value insurance denials. Manages a high-volume caseload of multi-thousand-dollar cases daily, overseeing millions of dollars in hospital charges annually with a demonstrated track record of successful recovery. Thrives in high-stakes, deadline-driven environments where clinical precision and persuasive communication directly impact the bottom line. Combines extensive medical knowledge and training, deep ICD-10/MS-DRG proficiency, and a rare ability to bridge the gap between clinical medicine and revenue integrity, delivering exceptional ROI while maintaining uncompromising quality and compliance standards.

Dynamic Clinical Documentation Specialist and experienced, foreign-trained physician with ECFMG certification. Proven expertise in clinical documentation, auditing, and provider education to optimize revenue cycle outcomes. Extensive background in acute care and ICU settings, providing a deep clinical foundation for complex chart reviews, inpatient documentation, and severity of illness (SOI) accuracy. Certified in CDIP, CCS, CPC, and CRC, with a track record of enhancing coding accuracy and compliance. Proficient in EPIC and NLP tools, effectively streamlining workflows while leveraging years of clinical experience to drive improvements in documentation and healthcare outcomes.

Passionate, driven and dedicated Clinical Documentation Integrity specialist with strong team building and education skills. Hands on experience in program implementation and development as well as oversight of the health system’s CDI program. Well versed in identifying opportunities for improvement, finding solutions, tracking data, and providing feedback with professionalism and integrity in a variety of settings throughout the health system. Expertise with denial prevention, denial appeals and tracking that include DRG denials, clinical validation denials, level of care and medical necessity denials with a 65-70% overturn rate.
Professional with strong focus on clinical documentation improvement and healthcare compliance. Adept at driving quality and accuracy in medical records through collaboration, analytical skills, and attention to detail. Valued for adaptability, teamwork, and delivering impactful results in dynamic healthcare environments. Skilled in ICD-10 coding, medical terminology, regulatory standards, and data analysis.

T RAJESH

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CDI Specialist

CDI Specialist, Senior Client Partner

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Medical Coder

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B.pharm -

Intermediate -

S.S.C -

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CDI Specialist

CDI Specialist, Senior Client Partner

Medical Coder

Analyst

B.pharm -

Intermediate -

S.S.C -

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