Bahar_Sedarati

Bahar Sedarati MD, CPE, FCUCM

Medical Director of Clinical Operation, Humana

Dr. Bahar Sedarati is a physician executive with diverse experience across the continuum of care, including private medical practice, medical group management, integrated delivery system, and the payers.  

She is a national expert and a physician trainer in both inpatient and outpatient clinical documentation (CDI), Medicare risk adjustment (MRA) coding as well as utilization management (UM) with an MCG Utilization and Case Management Certification. Her niche is in training clinicians on harvesting data to achieve precision in chronic disease management, cost savings, excellence in quality measures and pay per performance.

Dr. Sedarati provides guidance on administrative and clinical excellence, work-flow efficacy and electronic health records proficiency. She has created intelligent and innovative tools assisting clinicians to succeed in the value-based care as well as the on-demand care spaces.

Dr. Sedarati has over two-decade of experience in education, and academic medicine. She is the author of multiple nationally and internationally recognized medical review books and is a faculty at university of California, Irvine, UCI.

Dr. Sedarati is Board Certified in Internal Medicine (ABIM), and the Fellow of Collage of Urgent Care Medicine. She is a Certified Physician Executive and holds Six Sigma black belt and green belt certificates.

She is currently the lead medical director of clinical performance & operation for the Desert Pacific Region in Humana. She oversees the market acute and post-acute authorizations requests, conducts peer quality audits and education for the market medical directors on coding, clinical documentation, benchmarking and quality measures such as inpatient admissions and hospital length of stay.

Appearances