Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Hospitalcommittees
References
References
Timeline
Generic

Latwashe Demmerelle Sanchez

Hawthorne,USA

Summary

Experienced management professionals with strong qualifications in a large Health Information Management Department.Transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes.

Overview

24
24
years of professional experience
1
1
Certification

Work History

Remote HIM Coding Manager

LAC-USC Medical Center
Los Angeles, USA
06.2007 - Current
  • Manage the Coding team, including but not limited to hiring, training, managing, and evaluating team performance, and conducting professional development plans.
  • Ensure that the productivity and actions of the Coding team meet and support the overall operational goals of the department and institution.
  • Design, develop, and execute standard policies and procedures, standardized queries, and strategies targeted to improve the quality of documentation and overall quality and financial performance.
  • Analyze and execute compliant coding based on PEPPER Reports, 3rd party auditor alerts, OIG, CMS, WHA, etc.
  • Ensured accuracy of documentation by effectively communicating with Chief Medical Officer, Head Nurse, and other clinicians.
  • Developed job aid for staff to ensure access to resource tools.
  • Counsel coding team on actions required to meet minimum performance requirements.
  • Ensure my auditing team is accurately conducting all audits correctly.
  • Inform and educate coding staff or other departments (as needed) of regulatory (CMS/Medicaid) and 3rd party payors and implements policy/guidelines to ensure compliance with changes.
  • Various meeting with all multiple department in the hospital.

Remote Health Information Senior Supervisor

LAC+USC Medical Center
Los Angeles, USA
10.2006 - Current
  • Plans, organizes, assigns, and reviews the work of technical coding sections and support staff engaged in reviewing patients' medical files for completeness, consistency, and compliance with hospital regulations and special hospital codes.
  • Plans and schedules meetings with subordinates to explain and implement new policies, procedures, and practices; instructs and provides guidance to employees in hospital rules and regulations.
  • Develops and directs the implementation of procedures and policies governing health information, and coordinates the implementation of changes with other units in the hospital.
  • Supervises the preparation of a variety of regular and special medical-statistical reports; prepares correspondence and other medical-statistical data for hospital units, County departments, and outside institutions and agencies.
  • Supervises and monitors the coding of medical information to the public, private medical facilities, governmental agencies, and the courts in accordance with department and facility policies and procedures, as well as legal requirements and regulations, including the Health Insurance Portability and Accountability Act Security Standards, which govern the release of medical information.
  • Supervises staff engaged in itemized data collection and providing patient medical record scanning services.
  • Acts as a consultant to hospital staff on legal issues related to patients' health information, including consents for treatment, release of medical information, and consents for autopsies.
  • Assists management in organizing the work of the division by conducting studies and making recommendations concerning staffing, organization, budgeting, and work flow operations.
  • May serve on hospital committees such as health information audit, utilization, surgery, and tissue; reviews legislative/regulation changes and makes appropriate recommendations and modifications as deemed necessary.
  • Maintains records as required; assists medical support personnel with special projects as requested.
  • Provides orientation and training for initial and ongoing competence of staff.
  • Prepares performance evaluations, interviews, and hires staff, handles disciplinary actions.

Coder II Outpatient and Imaging

Cedar Sinai Medical Center
Los Angeles, CA
03.2001 - 11.2023
  • Coded and abstracted patient encounters, capturing accurate diagnostic and procedural information.
  • Inputting coded data and patient information into electronic health records (EHR) systems
  • Code over 45 different clinic types.
  • Code a wide range of services, including E/M, anesthesia, surgery, radiology, pathology, and medicine.
  • Respond to all auditor and CDI Nurses.

Medical Records Coder

Harbor-UCLA Medical Center
Torrance, USA
04.2002 - 10.2006
  • Enters coded medical data into a computer terminal and selects diagnoses and procedure codes from designated computer-based coding systems; coordinates efforts with billing staff.
  • Accurately selects principal diagnosis, sequences diagnoses, and procedures, and demonstrates significant knowledge of co-morbidities and other factors affecting the assignment of correct DRGs to patients' health information.
  • Abstracts and codes the most difficult inpatient cases, such as complex invasive surgical procedures, difficult disease categories and/or trauma, and cases involving multiple body systems and co-morbidities; and facilitates patient discharge reviews and recommends (and may approve) additional coding.
  • Code medical record entries pertaining to diagnoses and procedures according to the most current edition of ICD-CM, and when applicable, CPT; enter information into the designated computer system.
  • Making sure that codes are assigned correctly and sequenced appropriately, as per government and insurance regulations.
  • Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes, and surgical techniques through participation in continuing education programs to effectively apply ICD-10-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.

Education

Health Information Coding Certificate - Medical Coding

East Los Angeles College
03.2002

Medical Coding And Billing

American Career College
Los Angeles, CA
08.1999

Skills

  • ICD-10-CM
  • CPT
  • PCS
  • E/M
  • EPIC
  • Optum
  • Cerner
  • 3M-360
  • Affinity
  • Medical terminology
  • Clinical Documentation
  • Radiology
  • HIPAA Compliance
  • Revenue Cycle Management
  • Coding Audits
  • Medical Billing

Affiliations

  • American Health Information Management Association (AHIMA)
  • California Health Information Management (CHIA)

Certification

American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS)

Hospitalcommittees

  • Days A/R
  • HIM Safety
  • Perinatal Committee
  • CDM Committee
  • Health Policy Committee
  • Medical Coder Committee
  • Labor Management Committee
  • UADC Operation Committee
  • Contacting Committee
  • Health Information technology strategic Planning Committee

References

Available upon Request

References

References available upon request.

Timeline

Remote HIM Coding Manager

LAC-USC Medical Center
06.2007 - Current

Remote Health Information Senior Supervisor

LAC+USC Medical Center
10.2006 - Current

Medical Records Coder

Harbor-UCLA Medical Center
04.2002 - 10.2006

Coder II Outpatient and Imaging

Cedar Sinai Medical Center
03.2001 - 11.2023

American Health Information Management Association (AHIMA) Certified Coding Specialist (CCS)

Health Information Coding Certificate - Medical Coding

East Los Angeles College

Medical Coding And Billing

American Career College
Latwashe Demmerelle Sanchez