TIA V. CURRY-COOK, PHD, CPC
Apopka, FL *****
****************@*****.*** 407-***-**** / 616-***-**** linkedin.com/in/TiaCurryCook1908
HEALTHCARE MANAGEMENT
Cultivating processes to enhance business through operational excellence
Extensive experience optimizing revenue through budget management by changing culture, cost recovery, and operational compliance. Early career financial operations roles. Result-driven, decisive leader with success in health care finance and operations. Proven results in cost recovery practices and provider compliance training and reviews. Adept at spearheading operational improvements, increasing compliance and decreasing cost. Known for exceeding Key Performance Indicators (KPIs) and goals. 20+ years of community board and project organizer experience.
Healthcare Operation Budget Management Regulatory Compliance Process Improvement DEI RCM Clinical & Coding Audits & Reviews Health Care FWA Performance & Change Management Clinical Engagement Employee Motivation & Mentoring Organizational Collaboration Managed Care Data Analysis FQHC
PROFESSIONAL EXPERIENCE
Envision Healthcare, Clearwater, FL 2014 to 2020
Director of Practice Improvement
Supervised divisional documentation and billing for 48 hospital facilities. Provided clinical documentation, coding and billing education and training to 2K+ emergency medicine, and hospital medicine physicians, non-physician practitioners, and resident providers. Advised & mentored 4 supervisors and 50 billing coordinators on content management system (CMS), company compliance, coding, billing, and documentation guidelines. Managed utilization and RCM issues and division P/L.
●Requested to act as Interim Director to oversee an additional 20 hospital facilities resulting in division meeting KPI goals. Providers passed CMS Merit-based incentive payment system (MIPS Measures) above the required pass percentage.
●Decreased procedural down-codes by 95.12%.
●Reduced procedural non-bills by 81.82%
●Attained a divisional increase in critical care services by 76.06%
●Succeeded divisional MIPS measures of 90%+
oKPI goals were met by:
Managing and mentoring billing team, guaranteeing monthly outcomes on documentation and billing KPI goals. Addressing high level patient and provider billing issues, and performing audits.
Holding monthly divisional meetings with leadership, addressing facilities with opportunities to improve.
Submitting monthly KPI performance reports to each facility’s leadership, comparing overall performance to KPI goals.
Performing on-site training, Web-Ex training, and 1-on-1 training with individual providers.
Spearheaded the MIPS committee and created documentation tips, mouse pads, and pocket cards from the CMS guidelines, and provided extensive training on each specialty measure.
●Reduced (RFIs) by streamlining processes and creating procedures for ordering Radiology services.
IHealth Technologies, Atlanta, GA 2011 to 2013
Internationally recognized health care payment policy consultant group
Client Policy Manager (Remote)
Managed claims payment policies for managed care clients in Centers of Medicare and Medicaid region 4 and region 5.
●Identified and made changes to client payment policies which saved client's millions annually.
●Prevented improper reimbursements by researching and using CMS, American Medical Association (AMA), and leading industry coding guidelines. Compared and revised medical payment policies, procedures, and applications.
Tia V. Curry-Cook, PhD, CPC 2
Priority Health Grand Rapids, MI
Cost Recovery Senior Analyst (Auditor)
Performed fraud and abuse investigations and provider audits for cost recovery of office & outpatient/EM/HM, ancillary services, PT/OT/, DME, stop-loss, and risk adjustment for all commercial and government products resulting in a departmental saving of nearly 4 million annually. Issued corrective action plans and monitored individual providers, group practices, and facilities through data mining, bell curve analysis, and data analysis. Held provider meetings and conducted provider training for practice improvement. Authored news articles, policy, and procedures on compliance and FWA. Reported FWA cases (Anti-kickback Statute, Stark law, & False Claims Act), to state and federal programs which included Medicare and Medicaid programs. Referenced the OIG annual plan and served on the company's Diversity and Inclusion leadership committee.
ADDITIONAL RELEVANT EXPERIENCE
Heart City Health Center, Elkhart, IN
Finance Director (FQHC)
ACADEMIC RELEVANT EXPERIENCE
Charter College, Anchorage, AK 2015 to Present
Leader in private postsecondary, and career-focused education.
Adjunct Instructor (Remote)
Teach 5-week Allied Health Care online course. Collaborate with instructors on departmental program papers, policies, and course material.
●Maintained 4.9 out of 5 online teaching and course observation rating by contacting students throughout course, ensuring each was on track with studies and materials. Provided additional guidance to students falling below pass rate.
●Accomplished 90%+ retention rate by creating interesting class activities and course material, collaborating with student advisors to address student needs, providing extra tutoring.
●Attained average 84% course pass rate.
EDUCATION
Doctoral of Healthcare Administration, University of Phoenix, Phoenix, AZ
Master of Public Administration (MPA), School of Public Affairs and Administration,
Western Michigan University, Kalamazoo, MI
Bachelor of Science (BS), Accounting, Savannah State University, Savannah, GA
CERTIFICATION
Certified Professional Coder (CPC), American Academy of Professional Coders
TECHNICAL SKILLS
Microsoft (MS) Word, Excel, PowerPoint, Publisher, OneNote, Outlook, Access, Teams
Meditech, EPIC, Cerner, Tableau, IDM Find, Embillz, MediMobile, SharePoint, Canvas, EncoderPro, Adobe Writer, Global Data Warehouse, Business Objects, Resource America, and Peachtree
PROFESSIONAL AFFILIATIONS
The National Society of Leadership and Success American Academy of Professional Coders
Delta Sigma Pi Business Fraternity Alpha Kappa Alpha Sorority, Inc.