Whinney Philip

Experience

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  Prime Healthcare

  Feb 2008 - Nov 2013

  Abstract all necessary information and assign codes (ICD-9) using 3M, which most accurately describe each documented diagnosis, surgical procedure and special therapy or procedure according to established guidelines. Assure the final diagnoses and operative procedures as stated by the physician are valid and complete. Abstract all necessary information from health records to identify secondary complications and co-morbid conditions.CORE Measures/ Qualitative analysis – Evaluate the record for documentation consistency and adequacy. Assist the CORE measure abstraction team in addressing core measure related documentation issues. Provide education to physicians emphasizing the importance of documentation in relation to core measures. Ensure that the final diagnosis accurately reflects the care and treatment rendered. Perform other duties assigned by the medical record administrator. Case Management meetings- Take active part in weekly case management rounds. Discuss pertinent documentation with medical staff relating to length of stay, insurance denials, Recovery audit contractor (RAC) in DRG perspective. Discuss admission criteria (Interqual/ Milliman Care Guideline) at admission and during the hospital stay as needed to avoid insurance denials and to improve documentation. Show less Assign and sequence ICD-9-CM codes to diagnoses and procedures for documented information. Ensure complete and accurate coded data necessary for communication of patienttreatment plan, evaluation of quality of care provided, reimbursement, financial and strategic planning, outcome and statistical analyses, epidemiology and research. Assign and sequence ICD-9-CM codes to diagnoses and procedures for documented information. Meet challenges for an accurate and meaningful data base that defines patient mix and use of resources. Assuring that the accuracy of coded data is a shared responsibility between Health Information Management, coders and clinicians.Take active part in case management meetings and with the core measure abstraction team. Educating physicians in regards to documentation issues, core measures, admission criteria, documentation improvement, DRG, and lengths of stay. Discuss documentation and coding improvement with medical director on a continuing basis. And possible queries with physicians to reflect the severity of illness (SOI) and risk of mortality (ROM). Show less

  • Clinical Documentation Specialist

    Nov 2012 - Nov 2013

  • Clinical Documentation Specialist

    Feb 2008 - Nov 2012
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  MEDICALMO

  Jan 2009 - Jan 2014

  Propreitor
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  Jefferson Health

  Nov 2013 - Dec 2014

  Clinical Documentation Quality Coordinator

  Review medical records post discharge and post coding to ensure the Patient Safety Indicators (PSIs) reflect accurate safety rating scores and quality of care statistics. Coordinate the documentation review process between Coders, Clinical Documentation Specialist (CDS), Performance Improvement Nurses and/or clinical team to ensure accurate PSI reporting. Functions •Ensuring inpatient clinical documentation accurately reflects severity of illness, intensity of service. •Ensuring present on admission (POA) clinical conditions are charted appropriately within defined regulatory timeframes. •Communicating with Physician and resident physicians requesting appropriate documentation. •Performing retrospective reviews of expired patients using University Health System Consortium (UHC) risk-adjustment methodology to facilitate accurate reporting of mortality statistics. •Performing retrospective reviews of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators to reflect accurate safety rating scores and quality of care statistics •Providing educational presentations to various physician groups on specific documentation improvement topics, reviewing medical record documentation, making appropriate recommendations to physicians for documentation improvement. •Participating in team meetings and physician education. •Interacting with co-workers, visitors, and other staff consistent with the core values of the Hospital. Show less

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  Delray Center for Healing

  Sept 2020 - Aug 2021

  Psychiatric Nurse Practitioner
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  Cerebral

  Dec 2021 - now

  Psychiatric Nurse Practitioner

  Making mental health accessible. Providing help for anxiety, depression, insomnia, and ADHD. Online prescriber visits, care counseling, and prescriptions delivered to the door.

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  Mind & Soul Therapy

  Dec 2021 - now

  Psychiatric Nurse Practitioner
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  Success TMS

  Jan 2022 - now

  Psychiatric Nurse Practitioner

  Neurostar certified provider. Providing treatment for resistant depression, Anxiety, and Obsessive Compulsive Disorders using Transcranial Magnetic Stimulation.