Precious Martinez

Clinical Documentation Integrity (CDI) Specialist and Registered Nurse (RN, CDIP, CCS, CPC) with over 10 years of experience spanning CDI, medical coding, and clinical audit within leading tertiary healthcare institutions. Demonstrated expertise in optimizing documentation quality, enhancing DRG accuracy, and improving Case Mix Index (CMI) performance. Highly skilled in clinical validation, physician engagement, and audit defense, driving compliant documentation practices that support improved patient outcomes and organizational revenue integrity.

Clinical Documentation Integrity Specialist at Sheikh Shakhbout Medical City (2021-08 – 2026-06)

• Lead concurrent and retrospective CDI reviews to ensure accurate, complete, and compliant documentation
• Supported improved documentation quality contributing to optimized DRG accuracy, SOI/ROM, and Case Mix Index (CMI)
• Perform clinical validation reviews to support audit readiness and reduce compliance risks
• Develop and manage compliant physician queries, enhancing diagnosis specificity and clinical accuracy
• Analyze length of stay (LOS) trends and align documentation with patient acuity and outcomes
• Collaborate with physicians and interdisciplinary teams to strengthen documentation practices and compliance
• Support audit defense initiatives through data-driven CDI analysis and reporting
• Contribute to provider education programs, improving documentation quality

Clinical Documentation Improvement Specialist at Cleveland Clinic Abu Dhabi (2016-02 – 2021-07)

• Conducted concurrent and retrospective CDI reviews to ensure complete and clinically supported documentation
• Initiated and followed up on physician queries, improving diagnostic specificity and coding accuracy
• Strengthened documentation quality supporting accurate DRG assignment and reimbursement integrity
• Collaborated with physicians, coders, and quality teams to align documentation with clinical and regulatory standards
• Contributed to CDI program improvements and performance monitoring

Quality Control Analyst at Omega Healthcare Management Services, Inc. (2015-01 – 2016-01)

• Performed coding audits to improve accuracy, compliance, and quality standards
• Provided feedback and training to coding teams, enhancing coding performance and consistency
• Reviewed complex cases for clinical validation and DRG accuracy

Medical Coding Specialist at Dell Services (2014-02 – 2014-08)

• Assign accurate ICD-10-CM/PCS codes and ensure correct DRG classification based on detailed review of inpatient medical records
• Analyze clinical documentation to capture diagnoses, procedures, and CC/MCC, ensuring compliance with coding standards and regulatory guidelines

Bachelor of Science in Nursing – Far Eastern University (2010)