Summary
Overview
Work History
Education
Skills
Affiliations
Additional Information
Work Availability
Quote
Timeline
License
License
Generic

Sheri Sanford

Bradenton,Florida

Summary

Over 12 years of experience as high performing Clinical Documentation Specialist responsible for collaborative improvement through the identification of documentation issues impacting revenue, severity and quality.

Able to work with minimal direction to solve problems,and respond to internal & external inquiries for optimal coding.

Confident Clinical Documentation Specialist facilitating positive changes to documentation through close collaboration with healthcare providers.

Analysis-oriented professional with exemplary Cerner/Iodine/HPF/MPF/McKesson/3M 360 experience, judgement and critical thinking skills. Consistently finding ways to improve workflows and processes that save time and money.

Reliable individual interacts with practitioners and healthcare providers to properly complete medical records. Clinical Documentation Specialist with 12 years of experience recognizing and implementing methods to improve medical records process.

Overview

40
40
years of professional experience

Work History

Clinical Documentation Specialist

HCA Corporate
10.2020 - 11.2023
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
  • Audited and reviewed patient information via EMR management to verify accuracy and completeness.
  • Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
  • Managed electronic clinical documentation and uploaded changes or updates using McKesson, 3M 360 and Iodine.
  • Processed records quickly to avoid delays and keep workflows running smoothly.
  • Verified accuracy and overall completeness of medical records by auditing and reviewing patient information.
  • Implemented procedures for performance of quality audits for patient charts at three hospitals.
  • Audited quality and performance procedures by reviewing processes and charts at all HCA facilities.
  • Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation
  • Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care
  • Managed electronic clinical documentation and uploaded changes or updates using Cerner/3M 360/Iodine/McKesson/erequest

RN CDIS

HCA Healthcare Inc. West Florida Division
Tampa, FL
2018.05 - 2020.10
  • Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
  • Audited quality and performance procedures by reviewing processes and charts at all HCA West Florida Division facilities.
  • Processed records efficiently and oversaw timely project completion.
  • Audited and reviewed patient information via EMR management to verify accuracy and completeness.
  • Managed electronic clinical documentation and uploaded changes or updates using Iodine, McKesson, Cerner, HPF/MPF, 3M 360 .
  • Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
  • Processed records quickly to avoid delays and keep workflows running smoothly.
  • Audited quality and performance procedures by reviewing processes and charts at multiple HCA West Florida Division facilities.
  • Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.

Clinical Documentation Specialist

Blake Medical Center
Bradenton, FL
02.2014 - 10.2018

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  • Responsible for improving overall quality and completeness of clinical documentation by working in collaboration with others.
  • Audited quality and performance procedures by reviewing processes and charts at all West Florida Division HCA facilities.
  • Implemented procedures for performance of quality audits for patient charts at all West Florida HCA hospitals.
  • Adapt to new processes which resulted in marked performance improvements.
  • Audited and reviewed patient information via EMR management to verify accuracy and completeness.
  • Carefully reviewed patient files for clarity on diseases, diagnoses and procedures to determine quality of care.
  • Maintained strong knowledge of medical terminology, diseases and conditions and procedures.
  • Managed electronic clinical documentation and uploaded changes or updates using 3M 360 and Iodine software.
  • Processed records quickly to avoid delays and keep workflows running smoothly.
  • Communicated with physicians, nurses and other caregivers to explain importance of accurate and clear documentation.
  • Questioned physicians regarding missing or unclear health record documentation and requested further information for clarification purposes.
  • Managed electronic clinical documentation and uploaded changes or updates using Iodine/Cerner/McKesson/erequest.
  • Excellent communication skills, both verbal and written.
  • Completed paperwork, recognizing discrepancies and promptly addressing for resolution.

Clinical Documentation Specialist

Doctors Hospital of Sarasota
10.2012 - 02.2014
  • Partnering to ensure clinical documentation to be used is accurate and complete on concurrent records with all stakeholders.
  • Responsible for improving overall quality and completeness of clinical documentation by working in collaboration with others.
  • Adapt to new processes which resulted in marked performance improvements.

Registered Nurse

Manatee Memorial Hospital
07.1983 - 09.2012
  • Heart & Vascular Center and Chest Pain Committee.
  • Directing, supervising and evaluating performance of Cath Lab staff, contributes to development of fully qualified and continuously improving staff, and supporting work redesign and quality improvement within department.
  • Planning and administering annual budget in collaboration with Director of Imaging Services.
  • Integrating evidence based practices utilizing nursing process.
  • Demonstrates Service Excellence at all times.
  • Other duties as assigned.

Education

Associate of Science - Associate of Science in Nursing

Manatee Junior College
Bradenton, Florida
1983

Current BLS, certified Previous , certifiedAccomplishments l Clinical experience l Preceptor l Running staff meetings l Supervisory duties l Compliance reporting l Strong clinical judgment l Disease prevention and intervention l Health and wellness l Radiology diagnostics l Clinical training l Strong medical ethic l Patient evaluation/intervention l Advanced Cardiac Life Support () certification l Critical care nursing l Computerized charting l Problem resolution l -9 forms l Budgeting l Self-directed l Policy and program development l Vascular care l Patient counseling l Acute care expertise l Skilled cardiac care nurse l experience l Taking patient histories l Lab result evaluation l Health and wellness l Administering medication l Conducting physical examinations l Culturally competent care l Clinical training l Strong medical ethic l Patient evaluation/intervention. - undefined

Skills

  • High performer
  • ICD 10 proficient
  • Adaptable to new software
  • Analytical thinking
  • Critical thinking skills
  • Seasoned in medical clinical procedures
  • Code validation skills
  • Interpersonal and written communication
  • Adaptable to environment
  • Critical care expertise
  • Quality improvement
  • Regulatory compliance

Affiliations

  • Member, ACDIS National and State, 2012 to Current

Additional Information

CCDS Certification # CD1800434

Exp. 10/15/2024

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

"The difference between the almost right word and the right word is really a large matter- tis the difference between the lightning-bug and the lightning"
Mark Twain

Timeline

Clinical Documentation Specialist

HCA Corporate
10.2020 - 11.2023

RN CDIS

HCA Healthcare Inc. West Florida Division
2018.05 - 2020.10

Clinical Documentation Specialist

Blake Medical Center
02.2014 - 10.2018

Clinical Documentation Specialist

Doctors Hospital of Sarasota
10.2012 - 02.2014

Registered Nurse

Manatee Memorial Hospital
07.1983 - 09.2012

Associate of Science - Associate of Science in Nursing

Manatee Junior College

Current BLS, certified Previous , certifiedAccomplishments l Clinical experience l Preceptor l Running staff meetings l Supervisory duties l Compliance reporting l Strong clinical judgment l Disease prevention and intervention l Health and wellness l Radiology diagnostics l Clinical training l Strong medical ethic l Patient evaluation/intervention l Advanced Cardiac Life Support () certification l Critical care nursing l Computerized charting l Problem resolution l -9 forms l Budgeting l Self-directed l Policy and program development l Vascular care l Patient counseling l Acute care expertise l Skilled cardiac care nurse l experience l Taking patient histories l Lab result evaluation l Health and wellness l Administering medication l Conducting physical examinations l Culturally competent care l Clinical training l Strong medical ethic l Patient evaluation/intervention. - undefined

License

Florida RN License # 1476172 since 1983 maintained in consistent good standing.

Expiration 4/30/2026

License

Florida RN License # 1476172 since 1983 maintained in consistent good standing.

Expiration 4/30/2026

Sheri Sanford