Alma Sanchez
Pittsfield,MA
Summary
Detail-oriented Outpatient Coding Specialist with more than five years of experience coding complex outpatient encounters in a high-volume healthcare environment. AHIMA-certified professional with expertise in ICD-10-CM, CPT, HCPCS Level II, charge reconciliation, denial resolution, and regulatory compliance. Recognized for maintaining 98–100% coding accuracy while consistently achieving 140% productivity. Currently pursuing the Certified Coding Specialist (CCS) credential.
Professional with strong foundation in outpatient coding, prepared for role. Proven track record in ensuring accurate medical coding and compliance with healthcare regulations. Known for collaboration, adaptability, and consistently delivering results. Expertise in medical terminology, ICD-10-CM, CPT codes, and EHR systems. Reliable team member who excels in dynamic environments.
Overview
9
9
years of professional experience
Work History
Outpatient Coding Specialist
Baystate Medical Center
Springfield, MA
09.2020 - 02.2026
- Review and analyze medical records to assign accurate ICD-10-CM, CPT, HCPCS Level II codes, and appropriate modifiers.
- Code a wide range of outpatient encounters including Emergency Department, Observation, Oncology, OB/GYN, Cardiology, Radiology, Laboratory, and other specialty clinics.
- Reconcile charge capture discrepancies and resolve coding-related billing denials.
- Ensure compliance with HIPAA regulations, CMS guidelines, payer policies, and federal and state regulations.
- Collaborate with providers, managers, and coding staff to clarify documentation and improve coding accuracy.
- Consistently maintained 98–100% coding accuracy with productivity averaging 140%.
Caregiver
Private Client – Brian and Sidney Urquhart
06.2019 - 01.2021
- Assisted clients with activities of daily living including bathing, dressing, toileting, meal preparation, mobility, and companionship.
- Provided specialized care for individuals with Alzheimer's disease and dementia.
- Performed light housekeeping and transportation for appointments and errands.
Caregiver
Home Instead / Private
07.2017 - 05.2019
- Delivered compassionate in-home care while supporting clients' safety, independence, and quality of life.
- Assisted with personal care, mobility, meal preparation, companionship, and household tasks.
Education
AHIMA Credentials -
Additional Education - Micro-Computer Operator, Executive Bilingual Secretary
Skills
- ICD-10-CM
- CPT
- HCPCS Level II
- 3M Coding System
- SMS
- PK
- CIS
- CDM
- Microsoft Office
CORE COMPETENCIES
- Outpatient Coding
- Charge Capture Reconciliation
- Coding Compliance
- Denial Prevention and Resolution
- HIPAA Compliance
- Attention to Detail
- Analytical Problem Solving
- Team Collaboration
- Independent Work and Multitasking
Timeline
Outpatient Coding Specialist
Baystate Medical Center
09.2020 - 02.2026
Caregiver
Private Client – Brian and Sidney Urquhart
06.2019 - 01.2021
Caregiver
Home Instead / Private
07.2017 - 05.2019