Alphonso Sanders
7900 Pasadena, Blvd. #504 Pembroke Pines ,Fl.
Summary
Dedicated Healthcare professional with a history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations. I bring a proven history of driving employee productivity, translating strategy into actionable steps for growth and performance management, and building a positive and highly inclusive culture where team members can thrive. My experience in leading diverse teams, managing vendor relations, and overseeing multiple service areas, combined with my ability to use data analysis to drive key performance indicators effectively, positions me to make a significant and immediate impact.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Senior Director of Revenue Cycle Management and Coding Integrity
Jessie Trice Community Health Systems
02.2019 - Current
- Oversight over Accounts Receivable, Patient Access, Managed Care, and Health Information departments
- Responsible for managing 56 FTEs
- Oversee all revenue cycle operations and vendor relations
- Denials management
- Manage patient access team, including appointment setting, insurance verification & eligibility, and charge posting
- Other responsibilities include hiring and overseeing eleven outpatient clinics, ordering supplies, payroll (ADP), and meeting the needs of the providers and nursing team
- Oversee scheduling, training, and resource management
- Maintaining proper licenses and policies, providing reports, conducting training, educating staff, and supervising overall productivity
- Managing day-to-day operations
- Implementation Lead for Credible Behavioral Health EHR
- Implementation manager for Solution Reach and Care Messenger, both tools to confirm appointments and message patients
- Implementation Lead for EPIC EHR
- Oversight over all credentialing for Providers and Locations
- All HIM operations -ROI, Coding, EHR maintenance, duplicate reduction, and auditing
Dir. of Health Information Management and Revenue Cycle
St. Joseph Medical Center
05.2017 - 04.2019
- Company Overview: a 792-bed facility and 50-bed sister hospital
- Oversee all HIM operations at St
- Joseph Medical Center (Steward)
- Duties include handling master patient index, unbilled, DNFB, failed claims, holds management, and denials, including RAC, Cert, and DRG challenges
- Oversee 31 FTEs and all operations, including scanning, prep, quality checks, and validation; and all coding functions (including remote coder management and outsourced vendor coding), the release of information, and clinical documentation improvement specialists
- Duties as the records custodian are establishing and maintaining control over medical record compliance, maintenance, retrieval, and retention by all Federal, State, and Local laws
- Also, facilitate medical record reviews, HIM committee, and forms committee
- Oversee all Audits and HIM Vendors and provide ongoing support and education for physicians and residents
- Reduced storage fees, saving the company $250,000.00 per year
- Guided Cerner implementation for the HIM department at the largest facility in the western division
- Eliminated all backlog within the department, including 98 feet of incomplete medical records, and eliminated all contract labor
- Maintained record integrity during the Nuance malware event that crippled our only source for transcription
- Successfully led the performance improvement of the medical records department during a CMS systems improvement agreement (SIA)
- Reduced average unbilled of 8 million to less than two million
- A 792-bed facility and 50-bed sister hospital
Director of Health Information Management (HIM)
Scenic Mountain Medical Center
05.2016 - 05.2017
- Responsible for all HIM operations and the revenue cycle portion, including unbilled management, DNFB, holds, and denials
- Serves as assistant facility privacy officer
- I oversaw twelve employees and all operations, including coding, birth registration & AOPs: patient portal and components of meaningful use, the release of information, and clinical documentation improvement functions
- Duties as the records custodian are establishing and maintaining control over medical record compliance, maintenance, retrieval, and retention by all Federal, State, and Local laws
- Also, I facilitated medical record reviews, revenue cycle committees, and forms committees
Regional HIMS Director
HealthSouth
12.2013 - 05.2016
- Regional Director of Health Information Management within the Southeast Region, containing 22 Rehabilitation hospitals, responsible for go-live implementation of Cerner product, training, coaching, and site support for Health Information Management departments and Directors within the region
HIMS Director
HealthSouth Rehabilitation Hospital
10.2012 - 06.2013
- Director of Health Information Management responsible for the overall direction, planning, control of the department, and supervision of HIMS staff and related functions
- My current position ensures that health information systems are performed efficiently, promptly, and professionally consistently with applicable regulatory and certification requirements
- Creates and maintains systems to control clinical information collection, maintenance, retrieval, and retention
- Facilitate committees that have medical records or clinical information management objectives
- Responsible for the revenue cycle, which includes coding, the transmission of bills to CMS, and maintenance of the Master Patient Index
- Also, the release of information, compliance, and clinical documentation specialist
- Currently performs the role of Facility Privacy Officer; Risk Management Designee, responsible for all investigations and grievances for the facility and performing risk assessments; and Electronic Medical Record trainer for physicians
HIM Consultant
Florida Hospital Association
06.2005 - 10.2012
- Duties include Documentation specialist, capturing E/M levels, ER and outpatient coding, analysis, reanalysis, and assembly of electronic or paper-based medical records
- As a consultant, I am familiar with all areas of HIM operations, including confidentiality, data security, quality, record completion, record retention, and integrity
Education
Doctor of Healthcare Administration -
Virginia University of Lynchburg
Lynchburg, Virginia01.2024
Masters in Health Administration -
Louisiana State University At Shreveport
Shreveport, LA12.2017
Bachelor’s - Health Information Management and Informatics
University of Central Florida
Orlando, Fl08.2012
A.A.S. - Health Information Management
Lake Sumter Community College
Leesburg, Fl05.2005
Skills
Collaborative Leadership
Culture Transformation
Team Management
Policy Development
Team Building and Motivation
Organizational Development
Practice Operations Management
Administrative Oversight
Strategies and goals
People Management
Operations Management
Decision-Making
Affiliations
- American College of Healthcare Executives (ACHE)
- American Health Information Management Association (AHIMA)
- Florida Health Information Association (FHIMA)
Accreditationsandlicenses
Registered Health Information Administrator (RHIA)
References
- Tamika DeLee, mstdd@yahoo.com, 352-874-2114
- Patrice Pullings, patricempullings@gmail.com, 352-239-8186
- Sammy King, sammylkingjr@gmail.com, 734-560-8343
- Brittany Eberhart, briitany16eberhart@gmail.com, 786-620-6337
Volunteer Experience
- President of Cornerstone Social Services
- Omega Psi Phi Fraternity
- Brownsville #510 (PHA Masonic Lodge)
Certification
- RHIA - Registered Health Information Administrator
Timeline
Senior Director of Revenue Cycle Management and Coding Integrity
Jessie Trice Community Health Systems
02.2019 - Current
Dir. of Health Information Management and Revenue Cycle
St. Joseph Medical Center
05.2017 - 04.2019
Director of Health Information Management (HIM)
Scenic Mountain Medical Center
05.2016 - 05.2017
Regional HIMS Director
HealthSouth
12.2013 - 05.2016
HIMS Director
HealthSouth Rehabilitation Hospital
10.2012 - 06.2013
HIM Consultant
Florida Hospital Association
06.2005 - 10.2012
Bachelor’s - Health Information Management and Informatics
University of Central Florida
A.A.S. - Health Information Management
Lake Sumter Community College
- RHIA - Registered Health Information Administrator
Doctor of Healthcare Administration -
Virginia University of Lynchburg
Masters in Health Administration -
Louisiana State University At Shreveport
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