Mohamed A.

Medical Doctor and Clinical Documentation Specialist supporting US inpatient and skilled nursing facility (SNF) workflows. I have completed drafting THOUSANDS of admission H&Ps, daily progress notes, and discharge summaries in a remote, asynchronous environment. I work directly from physician instructions to produce notes that are ready for review and sign off, not drafts that require rework. MY WORKFLOW INVOLVES: - Chart review: reviewing active problem lists, prior day notes, and hospital course to ensure continuity - Data integration: incorporating labs, imaging, vitals, and medication changes into daily notes - Precise documentation review: flag documentation inconsistencies and missing information for physician clarification - Discharge planning: drafting summaries that accurately reflect hospital course, diagnostics, medications, and follow-up - Documentation alignment: ensuring diagnoses, assessments, and plans are documented clearly to support ICD-10 coding and billing review when required DOCUMENTATION SCOPE: - Inpatient and SNF admission H&Ps - Daily progress notes with updated assessments and plans - Discharge summaries and transfer notes - ICD-10 compliant clinical documentation - Documentation structured to meet medical necessity and payer review standards when required SYSTEMS AND WORKFLOW: - eClinicalWorks - PointClickCare - Meditech - Epic - HIPAA compliant, fully remote documentation - Same day or next day turnaround based on patient volume LANGUAGES: - English: Professional medical documentation - Arabic: Native Available for ongoing or high volume inpatient and SNF documentation support.