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Meet April Ramos

RN, BSN, CCDS CDI Specialist

Having a diverse clinical background gives me a well-rounded approach to evaluating charts for quality documentation and medical necessity. This has been the basis for my CDI and UM (Utilization Management) expertise. I also have leadership experience that has been invaluable in facing new challenges.

I have worked at top notch hospitals: Queen’s Medical Center (the only Magnet Hospital in Hawaii) and Stanford University Hospital. Last but not least, I am experience with DRG denial appeals with a high success rate of overturned denials. I am a great team player, quick learner, and very motivated to start.

  1. Full CDI documentation assessment with recommendations on documentation practice.
  2. Denial Support-Full service on denials (documentation assessment, generate appeal, work with payers, monitoring of deadlines).

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WHAT IS A CDI SPECIALIST?

CDI stands for Clinical Documentation Improvement Specialist. Traditionally, we conduct concurrent chart reviews in the inpatient realm to find gaps in documentation and educate physicians on capturing the complete clinical picture in the electronically health record (EHR).   CDI was born as a direct result of the constant changes in healthcare reimbursement requirements.  We are the bridge between physicians and coders.  Physicians are unable to keep up with the ever-changing needs of documentation, while coders do not have clinical experience to provide a deeper understanding of physicians practice both physically and electronically.  CDI specialists are able to link the clinical indicators to multiple diagnoses in the documentation.  We also identify gaps that will assist with capturing the true picture of the patient, electronically while still empowering the physician to provide care and treatment based on their own clinical judgement.

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