Lovely Joseph

• Trained and mentored other coding staff, providing guidance and support to improve coding accuracy and maintain quality control standards
• Providing managerial support whilst the reporting manager on leave - updating tasks and targets, checking the jobs and report any findings
• Evaluated medical records to assess completeness, accuracy and data integrity.
• Prepared and delivered case notes for different individual or team needs.
• Coded procedures using correct system and values to support recordkeeping and billing objectives.
• Archived healthcare records for deceased individuals and those meeting specific criteria.
• Supported clinical teams with easily read and updated charts and related records.
• Completed admissions and discharge documentation following proper procedures and filed correctly to facilitate new actions.
• Followed required policies and protocols regarding medical releases to authorised persons or agencies.
• Maintained indices of health records for protection and timely storage and retrieval.
• Used narrative descriptions and numeric information to build desired records for personnel.
• Supervised and directed clerical teams in proper maintenance, organisation and updating of medical records.
• Audited medical records to identify archive-ready files and discrepancies for resolution.
• Optimised storage systems to maintain security and comply with applicable regulations.
• Compiled health data for epidemiological monitoring and helped prepare associated models or reports.

Planning and Designing Audits Data Collection and Analysis Reporting and Feedback Quality Improvement Initiatives Regulatory Compliance Documentation and Record Keeping Stakeholder Collaboration Continuous Professional Development

• Identify areas for audit based on clinical risks, performance indicators, or areas where improvements are required.
• Develop audit criteria and standards based on best practices, national guidelines (e.g., NICE guidelines), and internal policies.
• Engage with clinicians and healthcare professionals to agree on audit scopes and methodologies.
• Gather data from various clinical records, healthcare systems (such as EMIS Web or DOCMAN), and patient information to assess compliance with set criteria.
• Use statistical tools and software to analyze audit data, identify trends, and highlight areas for improvement.
• Ensure data accuracy and confidentiality throughout the audit process.
• Produce detailed audit reports that summarize findings, compare performance against standards, and provide actionable recommendations.
• Present audit results to clinical teams, department heads, or governance boards.
• Offer feedback on areas needing improvement and areas where standards are being met or exceeded.
• Collaborate with clinical governance teams to implement quality improvement strategies based on audit findings.
• Help design and facilitate workshops or training to address areas of non-compliance or improvement.
• Monitor the implementation of action plans and reassess progress through follow-up audits.
• Ensure that audits meet national healthcare regulations, such as Care Quality Commission (CQC) standards, NICE guidelines, or NHS internal protocols.
• Contribute to external audits or inspections conducted by regulatory bodies like the Joint Commission International Accreditation (JCIA) or NHS Improvement.
• Maintain comprehensive records of audits conducted, including data sources, methodologies, and results.
• Ensure that records are easily accessible for future reference or external reviews.
• Work closely with clinicians, nursing staff, administrative teams, and governance boards to ensure audit processes are integrated into clinical practice.
• Attend clinical governance meetings to contribute to ongoing discussions around quality, safety, and service improvements.
• Stay updated on changes in clinical guidelines, audit methodologies, and healthcare regulations.
• Attend relevant training and workshops to enhance auditing skills and stay aligned with NHS quality standards.

• Read, understand and verify the medical terms for diagnosis and procedures for the encounter of the patient from documents in the DOCMAN system
• Translate medical diagnosis and procedures to codes using EMIS enabling SNOMED CT terminology
• Liaise with the doctor for any clarification on the diagnosis or terminology
• Process the documents for any urgent/ attention to GP for any action
• Process the 111 reports for any urgent action to be taken and to send to the doctor concerned
• Contribute to the team work - scanning letters, processing emails and any tasks as and when assigned by the manager.

• Collaborated with healthcare providers and staff to identify and resolve any identified compliance issues, resulting in improved patient care standards
• Developed and implemented effective medical record review processes to increase efficiency and accuracy of audits
• Maintained detailed records of all findings and recommendations, providing regular reports to management and stakeholders for ongoing compliance monitoring.
• Well experienced with preparing processes and protocols in compliance to the JCIA survey.

• Clinical coding of diagnosis and procedures as well as all the patient encounters to the hospital
• Classification and terminology identification-based coding using Read Coding and SNOMED CT terms
• Conducted thorough medical record reviews and accurately assigned ICD-10-CM, CPT, and HCPCS codes resulting in a 95% accuracy rate
• Experienced in coding using READ code system
• Collaborated with physicians and other healthcare professionals to clarify and document diagnoses and procedures for improved coding accuracy
• Developed and implemented training programs for new clinical coders resulting in a 50% reduction in coding errors within the first 6 months of implementation
• Utilized advanced coding software to streamline coding processes and increase productivity by 30%
• Taken part in Australian Accreditation survey
• Knowledge of SNOMED and EMR
• Finding duplicate files and merging with the original files
• Issuing end of service reports to pilots.

• Coding and indexing the diseases for both OPD and A/E department on a daily basis up to completion using 3M software using ICD-9 CM and then to ICD-10 (for statistics purpose)
• Developed and implemented a new electronic medical record system, resulting in a 50% improvement in overall data accuracy and efficiency
• Conducted ongoing training sessions for staff on JCIA as well UAE national regulations, resulting in a 100% compliance rate and zero violations
• Analysed healthcare data to identify trends and patterns, providing key insights to improve patient outcomes and reduce costs
• Collaborated with interdisciplinary teams to develop and maintain standardized clinical documentation, resulting in improved communication and continuity of care for patients.