Dinesh Sharma

Experience

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  Government Sper Speciality Hospital

  Dec 2009 - Dec 2010

  Medical Intern

  -Worked in the departments of Medicine, Surgery, Psychiatry, Causality, and Pediatrics as a Medical intern.-Worked under the direct supervision of the medical director and director for Effectiveness and Governance.- Learned about The National Health Service Trust system and its functionality.- Analyzed the various safety concerns associated with mental health patients.- Recommended methods to reduce accidents at the facility. - Have 1 years of experience as a Supervisor Medical Staff. Show less

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  Indus Super Speciality Hospital

  Jan 2010 - Jan 2011

  Medical Officer

  -Worked under the Medicine and Psychiatry Department. Treatment and clinical documentation for patients.-Participated in health care campaigns in many cities of India and provided public service- Managed administration and clinics.-Maintained a professional attitude while working with other departments and outside agencies-Have supervised 25 employees including nurses and administrative staff

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  UnitedHealth Group

  Mar 2013 - Mar 2015

  Prior Authorization
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  Prime Healthcare Services

  Feb 2015 - Jun 2017

  • Direct and supervising daily operations for overall Health Information Management (HIM) Operations of 43 Hospitals across the country.• Design and implement workflows and procedures to ensure compliance requirements are met. • Consultant and supervisor to the facility's' HIM Directors/Managers in day-to-day responsibilities and to ensure complete, accurate and timely submission of all the reports to corporate.• Proficient working with Epic, Meditech, 3M (Encoder, CDIS and 360), Optum, and HPF.• Working closely with Corporate VP’s for different HIM projects for all 43 Hospitals across the country• Use clinical and coding knowledge for conducting clinically based concurrent and retrospective reviews of both inpatient and outpatient medical records reviews to evaluate the clinical documentation of clinical services by identifying opportunities for improving the quality of medical record documentation. Show less • Educate physicians and healthcare providers on the importance of complete and accurate clinical documentation as it relates to patient acuity, severity of illness, risk of mortality, physician profiling/scorecards/core measures, and regulatory reimbursement guidelines• Proficient working with Epic, Meditech, 3M (Encoder, CDIS and 360), Optum, and HPF• Guided and supervised other CDS to assure complete, accurate and timely concurrent documentation of medical data for Medicare and Medicaid patients in conjunction with Case Managers, Medical Record Coders, Physician Advisors, Consultants and Attending Physicians.• Management experience, including implementing new CDI program, training new CDI Specialists, and reporting and presenting the program to the administration Show less

  • Corporate HIM Operations Supervisor

    May 2016 - Jun 2017

  • Clinical Documentation Specialist

    Feb 2015 - Apr 2016
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  Conifer Health Solutions

  Jun 2017 - May 2018

  CDI/Regional Manager

  •Consistently ensures practice is within scope of licensure and compliant with hospital wide standards of CDI. •Ensures institutional compliance with professional, accrediting and regulatory standards of care. Ensures HIPAA compliance.•Responsible for scheduling/staffing, coaching, training, hiring, firing, counseling, performance evaluations and competencies, and payroll process. •Effectively manages staff in compliance with applicable regulatory bodies, and all established policies, procedures and legal guidelines.•Acts as a source of information and articulately responds to questions, providing resources, guidance, and education about CDI.•Manages the concurrent medical record review for CDI throughout the hospital.•Ensures department performance, quality, and process improvement Show less

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  San Antonio Regional Hospital

  Dec 2017 - Dec 2022

  CDI/Case Manager

  •Partners with Nurse Case Director or Physician Advisor to identify opportunities for documentation improvement to support patient severity of illness and risk of mortality.•Query physician(s) for clarification and additional documentation prior to code assignment when there is conflicting, incomplete, or ambiguous information in the health record regarding a significant reportable condition or procedure or other reportable data element dependent on health record documentation (e.g. present on admission indicator).•Participates as an active member of the multi-disciplinary patient care team. In doing so, shares utilization metrics and acquires additional information about patient co-morbidities and complications. Works collaboratively with Case Director/Physician Advisor during the patient’s episode of inpatient care to assist physicians and other practitioners to document diagnoses and procedures in a clear, concise, and comprehensive manner.•Utilizes electronic and hard copy resources available to ensure accuracy in assigning classification codes.•Assists with data collection and analysis to support quality management and continuous quality improvement efforts.• Informs and educates physicians, Maintains documentation of physician queries / responses per established policies.•Educates and communicates to care team colleagues about clinical data integrity and utilization management including role responsibilities, tools, and resources.•Acquires and shares information about trends and issues in third party payer rules, regulations, and guidelines.Participates in Managed Care contracting activities as requested Show less

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  HOSPITAL AND HEALTHCARE

  Jan 2023 - now

  Medical Director