
Mohammed Qureshi Md Mph Ccs Ccds
• Expertise in Clinical Documentation Integrity and CDI leadership, including program implementation, maintenance, audits, physicians/CDI-Coder training, scope expansion... | Baltimore, Maryland, United States
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Mohammed Qureshi Md Mph Ccs Ccds’s Emails mq****@cv****.com
Mohammed Qureshi Md Mph Ccs Ccds’s Phone Numbers No phone number available.
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Mohammed Qureshi Md Mph Ccs Ccds’s Location Baltimore, Maryland, United States
Mohammed Qureshi Md Mph Ccs Ccds’s Expertise • Expertise in Clinical Documentation Integrity and CDI leadership, including program implementation, maintenance, audits, physicians/CDI-Coder training, scope expansion and innovative growth • Expertise in CDI data management systems and EHR, data tracking, reporting, management, analysis and application optimization to drive program and individual performance • Strong clinical background with more than 12 years of clinical experience in hospital and primary care environments. • Successfully implemented CDI programs in specialties (COEs) such as Neurology, Neurosurgery, Gastrointestinal as well as General Surgery and Medicine; successfully presented educational sessions to influence the physician’s documentation practices • Have extensive knowledge of MS-DRG, APR-DRG, CMS-HCC risk adjustment payment model, diagnostic and procedural code assignment, ICD-10 CM/PCS, RAC, HAC, POA regulations, clinical documentation integrity, denial management leadership including P2P reviews, appeals for medical necessity & DRG downgrade denials, policies and procedures with DRG payer issues, increase in Medicare case mix index (CMI) and regulatory agency requirements with CDI and Coding compliance, and Quality audits. • Collaborated with the Medical Staff and documentation team to provide physician, RN and coder training related to clinical documentation improvement concepts with ICD-10 anatomy and physiology. • Exceptional communication and problem-solving skills in order to establish and maintain successful working relationships with all levels of staff • Possess tact, initiative and confidence to meet the essential functions of the physician advisor/ educator as well as UM/CDI leadership position
Mohammed Qureshi Md Mph Ccs Ccds’s Current Industry Prospect Medical Systems
Mohammed
Qureshi Md Mph Ccs Ccds’s Prior Industry
Center For Immigrant Health Nyu School Of Medicine Bellevue Hospital
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Qtc Management Lockheed Martin
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Intersect Healthcare
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Mount Sinai Queens Hospital
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Accretive Health
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Precyse
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Clearview
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University Of Maryland Baltimore Washington Medical Center
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Prospect Medical Systems
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Work Experience

Prospect Medical Systems
Medical Director
Mon Oct 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time) — Present
Clearview
Sr. Auditor, Clinical Services
Fri Jan 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Oct 01 2019 00:00:00 GMT+0000 (Coordinated Universal Time)
University Of Maryland Baltimore Washington Medical Center
Physician Advisor, Clinical Documentation
Fri Jan 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time) — Mon Jan 01 2018 00:00:00 GMT+0000 (Coordinated Universal Time)
Accretive Health
Director - Clinical Documentation Excellence
Sun Jan 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Jan 01 2016 00:00:00 GMT+0000 (Coordinated Universal Time)
Precyse
Consultant - Clinical Documentation Improvement
Sun Jan 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time) — Tue Jan 01 2013 00:00:00 GMT+0000 (Coordinated Universal Time)
Intersect Healthcare
Clinical Reviewer, Audit and Appeal Services
Fri Jan 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Jan 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time)
Mount Sinai Queens Hospital
Assistant Director - CDI Clinical Services
Fri Jan 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time) — Sun Jan 01 2012 00:00:00 GMT+0000 (Coordinated Universal Time)
Qtc Management Lockheed Martin
Medical Quality Assurance Specialist
Thu Jan 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time) — Fri Jan 01 2010 00:00:00 GMT+0000 (Coordinated Universal Time)
Center For Immigrant Health Nyu School Of Medicine Bellevue Hospital
Clinical Research Intern
Tue Jan 01 2008 00:00:00 GMT+0000 (Coordinated Universal Time) — Thu Jan 01 2009 00:00:00 GMT+0000 (Coordinated Universal Time)