GLORIA E. SANCHEZ
Lake Worth,FL
Summary
Results-oriented, flexible, and highly organized self-starter who excels at resolving complex issues in imaginative and practical ways through a diverse work history and strategic relationships. My exceptional communication and technical skills enable me to support and reinforce a company’s mission, vision, values and corporate culture. I am a team player, eager to learn from others, and grow in my career.
Overview
39
39
years of professional experience
1
1
Certification
Work History
Coding Manager
HSAHospitals
11.2021 - Current
- Led coding team to enhance operational efficiency and accuracy in patient data management.
- Developed and implemented coding guidelines, ensuring compliance with industry standards and regulations.
- Mentored junior coders, fostering skill development and promoting best practices in coding processes.
- Streamlined coding workflows, reducing turnaround time for claims submissions and improving revenue cycle performance.
Coding Manager
THE HOSPITALS OF PROVIDENCE
01.2013 - 01.2021
- Management of 21 coders over five (5) El Paso hospitals
- Responsible for project management pertaining to coding, documentation, scripts, etc.
- Coding and abstracting of inpatient and outpatient records with ICD-9 and CPT 4 coding utilizing AMA coding guidelines
- Created training tools to assist staff with data and software issues, concurrent coding program and proper script documentation as well as training with Case Management with the CDIP Program to ensure proper physician documentation
- Conducted monthly quality coding audits and both monitor and correct AHCA reports as necessary
- Implemented an action plan on coding audits which resulted in less than 95% coding accuracy
- Monitor A-130 in order to keep our DNFC within Corporate standards of less than 3.0 days unbilled
- Provided coding education to staff members, Case Managers and Physicians as needed
- Training on all software usage, department resources, case reviews, etc. with all new staff members
- Conduct data quality studies through our Smart/Cards Compliance checker
- Monitor certifications and credentials for all staff members in the department
- Monitor coder productivity to ensure coders are meeting standards on a monthly basis
- Review/Audit all REVINT software recommendations for coding changes, educate and discuss with coders corrections for future quality improvement
- Reviewed case and audit denials and followed through with coding staff on documentation improvement
- Highlights of Accomplishments:
Coding Manager
DUAL MANAGEMENT FOR DELRAY MEDICAL CENTER
01.1992 - 01.2013
- Provide leadership to department of 15 coders (both DMC and FMC)
- Responsible for project management pertaining to coding, documentation, scripts, etc.
- Highlights of Accomplishments:
Coding Manager
DUAL MANAGEMENT FOR FLORIDA MEDICAL CENTER
01.1992 - 01.2013
- Provide leadership to department of 15 coders (both DMC and FMC)
- Responsible for project management pertaining to coding, documentation, scripts, etc.
- Highlights of Accomplishments:
Coding Supervisor/Inpatient & Outpatient Coder
WEST BOCA MEDICAL CENTER
01.1986 - 01.1992
- Assembly and analysis of medical records for the department
- Assist with establishing birth certificate registration
- Provided coding education to staff members, Case Managers and Physicians as needed
- Implemented action plan for coding audits to improve coding accuracy rates based on coding standards
- Coding and abstracting of inpatient and outpatient records with ICD-9 and CPT 4 coding utilizing AMA coding guidelines
- Assisted Department Director with all HIM functions (transcription, release of information, physician query, physician education, etc.)
- Highlights of Accomplishments:
Education
High School Diploma -
Rezin ORR
Chicago, ILSkills
- ICD-9, ICD-10 and CPT-4 Coding System experience
- Proficient in CLINTRAC, 3M-360, AS 400, HRMS, PEPP and other systems
- Proactive & Resourceful
- Life-long learner
- Meticulous attention to detail
- Strong interpersonal skills
- Excellent analytical and organizational skills
- Customer Service focused
- Software development Meditech
Certification
- CCS CERTIFICATION –2009
- DALE CARNEGIE MANAGEMENT TRAINING - 2012
- AHIMA APPROVED ICD-10CM/PCS TRAINER - 2013
- CLINTRAC ABSTRACTING SYSTEM CERTIFICATION - 2013
Languages
English
Native or Bilingual
Spanish
Timeline
Coding Manager
HSAHospitals
11.2021 - Current
Coding Manager
THE HOSPITALS OF PROVIDENCE
01.2013 - 01.2021
Coding Manager
DUAL MANAGEMENT FOR DELRAY MEDICAL CENTER
01.1992 - 01.2013
Coding Manager
DUAL MANAGEMENT FOR FLORIDA MEDICAL CENTER
01.1992 - 01.2013
Coding Supervisor/Inpatient & Outpatient Coder
WEST BOCA MEDICAL CENTER
01.1986 - 01.1992
High School Diploma -
Rezin ORR
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