Amir Mikhail
- Role
- Medical Consultant at Kaiser Permanente
- Location
- Los Angeles, CA, US
- LinkedIn followers
- 500 followers
About Amir Mikhail
Physician with over 25 years of experience in the areas of Internal Medicine…
Experience
Medical Consultant
Jun 2018 — Present
Conduct medical record and relevant evidence reviews to ensure patients’ condition is clearly documented to accurately reflect the severity of illness throughout the patient’s stay. Apply coding and billing regulations and guidance, including but not limited to, CMS. Conduct Inter-Qual. Reviews to ensure appropriate utilization of resources (e.g. Inter-Qual, Milliman & Robertson guidelines). Ensure cost-effective care delivery while maintaining quality of care. Participate in departmental educational programs to the clinical documentation improvement process. Knowledge and experience in Medicare, Medi-Cal, Workers Compensation, CCS, and Managed Care. Ensure appropriate allocation of resources and appropriate level of care throughout the patients stay Gather, review, interpret, and report data obtained via chart reviews that impact the utilization of resources.
Skills
- Microsoft Office
- Microsoft Excel
- Working with Physicians
- Healthcare Information Technology
- Family Medicine
- Clinical Research
- Legal Research
- Ophthalmology
- Medicare
- Healthcare Information Technology (Hit)
- Quality Improvement
- Hospitals
- Customer Service
- Healthcare Management
- Healthcare
- Public Speaking
- Medical Research
- Research
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