Hrishikesh Vummenthala

About Hrishikesh Vummenthala

Results-driven Clinical Documentation Specialist with 2+ years of experience in Clinical Documentation Improvement (CDI), DRG validation, CC/MCC capture optimization, and ICD-10-CM/CPT coding compliance across acute care settings.Experienced in concurrent and retrospective inpatient chart reviews using Epic, Cerner, and 3M 360 Encompass CDI platforms. Proven ability to achieve 96% documentation accuracy, reduce query turnaround time by 50%, and improve Case Mix Index (CMI) through effective physician engagement and compliant query practices.Strong knowledge of CMS guidelines, SOI/ROM documentation, and healthcare compliance. Adept at collaborating with physicians, HIM, coding, and revenue cycle teams to close documentation gaps and enhance reimbursement accuracy.• Key Achievements:• 200+ physician queries resolved with 85% agree rate• 96% documentation accuracy across 10+ clinical sites• 50% reduction in query turnaround time• 20% reduction in documentation deficiencies• 10% reduction in claim denialsCurrently pursuing CCDS certification (ACDIS, target Q2 2027) with a focus on advancing documentation quality, audit readiness, and healthcare data integrity.Open to Clinical Documentation Specialist (CDI), Healthcare Informatics, and Revenue Cycle roles.

Experience

1. Clinical Documentation Specialist

   AndHealth

   Aug 2025 — Present · Columbus, OH, US

   Perform concurrent and retrospective inpatient chart reviews (10–12 charts/day) across 8 clinical sites• Ensure DRG accuracy, CC/MCC capture, SOI/ROM documentation with 96% accuracy• Generate and resolve 30+ compliant physician queries per quarter with 85% agree rate• Use Epic, Cerner, and 3M 360 Encompass CDI for documentation quality and data integrity reviews• Collaborate with physicians, HIM, coding, and revenue cycle teams to close gaps within 48–72 hours• Mentored 2 associates, improving team accuracy from 92% to 96%• Reduced query turnaround time by 50%(4 days → 2 days)• Contributed to SOP improvements reducing documentation deficiencies by 20%• Supported Joint Commission readiness initiatives

Education

• Indian Institute of Alternative Therapies

  Diploma, Certificate in Ayurveda and Panchakarma therapies

• The University of Findlay

  Master of Science - MS, Health Informatics

• Osmania University, Hyderabad

  Bachelor of Pharmacy - BPharm, Pharmaceutical Sciences