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Husna Kalam, Clinical Documentation Officer

Husna Kalam

Clinical Documentation Officer·BM Hospital

Kuwait

Bachelor's degree, Medicine

Work experience

Total years of experience: 2 years, 2 months

Clinical Documentation Officer

July 2023 - August 2025

BM Hospital

Kerala, India

July 2023 - August 2025

Maintained accurate and up-to-date patient medical records in



accordance with hospital and regulatory standards
Collaborated with physicians, nurses, and administrative staff to
ensure documentation completeness, accuracy, and compliance
Ensured the confidentiality and security of patient health information
(PHI) in alignment with HIPAA and hospital guidelines
Assisted in clinical audits and quality improvement initiatives by
preparing and reviewing clinical data
Identified documentation gaps and supported physicians in
improving the clarity and specificity of clinical entries
Utilized Electronic Health Records (EHR) systems for efficient
documentation and retrieval of patient data
Gained hands-on experience with ICD-10 and CPT coding practices
under supervision

Company industry:
Other Healthcare Services
Job role:
Medical, Healthcare, and Nursing

Medical Intern

February 2024 - February 2025

Government Ayurveda College Hospital

Kerala, India

February 2024 - February 2025

Created and managed detailed clinical documentation for patients


Company industry:
Medical Hospital

Clinical Documentation Officer

July 2023 - February 2025

BM Hspital

Thiruvananthapuram, India

July 2023 - February 2025

• Maintained accurate and up-to-date patient medical records in accordance with hospital and regulatory standards.
•Collaborated with physicians, nurses, and administrative staff to ensure documentation completeness, accuracy, and compliance.
• Ensured the confidentiality and security of patient health information (PHI) in alignment with HIPAA and hospital guidelines.
• Assisted in clinical audits and quality improvement initiatives by preparing and reviewing clinical data.
• Identified documentation gaps and supported physicians in improving the clarity and specificity of clinical entries.
• Utilized Electronic Health Records (EHR) systems for efficient documentation and retrieval of patient data.
• Gained hands-on experience with ICD-10 and CPT coding practices under supervision.

Company industry:
Medical Hospital
Job role:
Medical, Healthcare, and Nursing

Education

Kerala University of Health Sciences

January 2023

January 2023

Bachelor's degree, Medicine

India

Skills

Medical Coding
Expert
Medical Coding
Expert
HIPAA
Expert
HIPAA
Expert
Health Information Management
Expert
Health Information Management
Expert
Electronic medical records
Expert
Electronic medical records
Expert
Medical Records
Expert
Medical Records
Expert
ICD 10 Coding
Expert
ICD 10 Coding
Expert
MS office
Expert
MS office
Expert
CLINICAL DOCUMENTATION
Intermediate
CLINICAL DOCUMENTATION
Intermediate
CONSTRUCTION
Intermediate
CONSTRUCTION
Intermediate
HEALTHCARE SERVICES
Intermediate
HEALTHCARE SERVICES
Intermediate
QUALITY IMPROVEMENT
Intermediate
QUALITY IMPROVEMENT
Intermediate
ELECTRONIC HEALTH RECORD IMPLEMENTATION
Intermediate
ELECTRONIC HEALTH RECORD IMPLEMENTATION
Intermediate
ICD CODING ICD 9 ICD 10
Intermediate
ICD CODING ICD 9 ICD 10
Intermediate
CPT CODING
Intermediate
CPT CODING
Intermediate
CLINICAL DOCUMENTATION IMPROVEMENT
Intermediate
CLINICAL DOCUMENTATION IMPROVEMENT
Intermediate
HEALTH INFORMATION MANAGEMENT
Intermediate
HEALTH INFORMATION MANAGEMENT
Intermediate
COMPUTER SECURITY
Intermediate
COMPUTER SECURITY
Intermediate

Languages

English
Expert

Training and Certifications

Certifications
Medical Coding Course
Medical Coding

Hobbies

  • reading, learning new advancements in technology