Certified Professional Coder Certified Medical Office Manager
Resume:
SARITA L. COPE, CPC, CPMA, CMOM
*** ***** ***** ******, *******, FL 34824
407-***-**** (CELL)
OBJECTIVE: Certified Professional Coder and Certified Professional Medical Auditor proficient in guidelines with AAPC ICD-10 Certified Trained the Trainer, seeks a challenging role in growing organization.
EXPERINCE
October 2015 – Present - United Health Group – Optum
Contracted HCC Coding Specialist
Risk adjustment Coding
Reviewing and abstracting diagnosis in various medical Records
March 2015 – October 2015 - IPC Healthcare Inc. Compliance Department
Remote Clinical Documentation Improvement and Coding Specialist
Conduct clinical documentation and coding education to physicians and practitioners in acute, post-acute and outpatient care settings in person and via telephone. Specialized in Medical Decision Making and Medical Necessity.
Provide support to CBO with assistance to payer audits and denials.
Review and conduct evaluation and management audits and abstracting clinical information from hand written notes and EMR.
Coding support to Providers and staff for Florida Region.
July 2012 – March 2015 - Florida Hospital Medical Group Process Improvement Team
Auditing Specialist
Responsible for assuring accurate coding and medical record documentation.
Performance of Evaluation and Management audits with discussion of results with the providers.
Performance of Infusion and Chemotherapy audits.
Compliance with “incident to” and “shared visits” guidelines with NP.
Provide physicians and staff with coding education.
Resource for practice and billing staff for coding questions which may include researching these questions with outside agencies.
Review A/R to target any coding related problem areas and provide additional education.
May 2011 – July 2012 -Florida Hospital Medical Group
Premier OB/GYN
Office Manager
Oversee all operations of two physician OB/GYN practice. Supervise clerical and clinical staff members.
Maintain and communicate FHMG protocols, policies and procedures.
Provide support to staff in maintaining excellent patient service.
Maintain and submit all financial and practice reports required by FHMG administration
Proficient in Cerner, MYSIS, Medic, Medical Manager and Allscripts Registration and Scheduling software.
Oversee the billing, coding, compliance, and clinical protocols of the practice.
April 2010 – May 2011- Physician Associates LLC Baldwin Park Offices
Office Manager
Oversee all operation of multispecialty office with 4 doctors and 15 clinical and clerical staff.
Maintain budgeting and profitability of practice. Review month financial executive reports; insurance denial reports
Oversee personnel and training office operation.
Provide support of staff in implementing excellent patient care.
Conduct training and rollout EMR of Allscripts in Baldwin Park Offices.
2008-2010 -Osceola Cancer Center
Assistant Administrator
Help to oversee the administration of 45 clinical and clerical staff.
Assist in controlling specialty pharmaceutical purchasing protocols and practices for the practice, assuring optimal patient benefit and profitability.
Participate in management and strategic planning efforts including personnel management and training, budgeting, and financial management.
Provide support to staff in implementing excellent patient service.
Conduct training in office efficiency and patient relations.
Human Resource management, including payroll and benefit administration.
Troubleshooting and training with clinical applications with Medical Manager Intergy
Osceola Cancer Center (Continued) 2007-2008
Research Manager
Oversaw the start and maintenance of research studies including eight those for Genentech, Amgen, Pfizer GSK.
Assured study compliance and adherence to all medical and informational protocols required for each study.
Promoted protocols with physicians and nursing staff for qualified study candidates.
Oversaw the work of one Research Coordinator.
Developed all promotional plans for increasing patient participation.
Oversee and training of pharmaceutical Internet reporting.
Osceola Cancer Center (Continued) 1999-2007
Billing and Coding Specialist
Effectively worked with insurance companies including HMO’s, commercial and Medicare and Medicaid.
Review, post billing and code radiation oncology, CT scans and PET scans charges.
Responsible for A/R collections for medical and radiation oncology primary and secondary claims.
Manage and maintain contracts between skilled nursing facilities and practice.
Working with financial assistance programs for medical oncology.
EDUCATION
College of the Palm Beaches
Medical Transcription - Associates Degree
Certified Professional Coder
Certified AHS AAPC ICD-10 Train the Trainer
Certified Medical Professional Auditor
Certified Medical Office Manager
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