Anirudh Puli
Clinical Documentation Specialist @Prime Healthcare
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WORK HISTORY
Clinical Documentation Specialist @Prime Healthcare
Ontario, CA, US
Utilized 3M and EPIC EMR software. Responsible for concurrent coding and queries submitted to and discussed with Residents, attending physicians (ICU, General Medical floors, CCU, and surgical floors including Oncology, OBGYN, Psychiatry) Leading CDI team with twice daily updates of changes in GMLOS and DRG changes. Lead daily meetings with case management notifying any changes in documentation and queries answered affecting GMLOS and transfer DRG’s. Generated, composed and educated surgical and medical departments with regards to queries, ICD-10 guidelines, and indications of disease conditions.Generated Corporate management reports detailing CDI department personnel, CEO, CMO, Case Management, CDI Supervisor, Manager, Regional Manager, and Directors with regards to management and day to day operations. Managed, trained and supervised all IP-DRG inpatient and ER coders regarding physician queries and current coding guidelines and regulations set forth by CMS. Instructed physicians with current coding documentation guidelines, current core measures (sepsis, severe sepsis and septic shock documentation), importance of CDI Department, and query rationale. While at healthcare facilities, attended utilization review meetings to review patient cases regarding documentation, length of stay, physician queries, and case management issues such as disposition, LOS, and insurance updates and coverages. Proficient with EMR, Citrix applications and coding software including EPIC, Meditech, Cerner, Allscripts, Soarian, 3M Encoder, 3M 360 Dashboard, and HPF Workstation.
EDUCATION
Northeastern University
Master's degree, Health Informatics
NTR University of Health Sciences
Bachelor's degree, Medicine and Surgery
ABOUT ANIRUDH PULI
Detail oriented, diligent researcher and enthusiastic team player with excellent organizational and interpersonal skills.Consistently demonstrated ability to leverage knowledge of current standards of healthcare, combined with extensive experience and knowledge of ICD-10 coding guidelines, healthcare management, revenue cycle, and case management. Keen ability to communicate and educate physicians, hospital staff and healthcare administration while managing HIM, Data Quality department staff.Skilled in database management (MS SQL Server, Oracle) and data visualization (Tableau, Power BI). Proficient in SAS, R, and SQL. Adept at working in Agile environments and translating complex data into actionable insights for stakeholders. Strong background in healthcare data standards (HIPAA, EDI, ICD-10) and a proven ability to collaborate with cross-functional teams.Proficient in extracting, transforming, and loading data from various heterogeneous data sources and destinations like Access, Excel, Oracle, and flat files using connectors, tasks, and transformations provided by Informatica/SSIS.Experience in creating reports using Tableau and advanced Excel functions- VLOOKUPs, Pivot tables.Comprehensive understanding of OMOP Data Model, including working with data models and data extracts.Proficiency in SQL queries and optimization across Oracle, SQL Server, MS Access, and Teradata, enabling effective data analysis, QA reporting, and testing.Experience in Data Visualization including producing tables, graphs, and listings using Power BI and Tableau.
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