Karen Anderson, MBA

Tavares, FL adz97z@r.postjobfree.com 407-***-****

EDUCATOR HEALTHCARE MANAGEMENT ACQUISITIONS

SUMMARY

A leader in healthcare management, who is as adept at finding financial efficiencies as training staff, and instructing vendors and physicians, in the intricacies of medical coding in a manner that will save time and ultimately money. As the health manager at the largest retirement community in the country, The Villages, the property added growth through acquisition, demonstrating her expertise in negotiations, finance, and planning. No detail is too small, and is reflected in her work, whether in finalizing complex financial analyses or designing training manuals.

CORE COMPETENCIES

HEALTHCARE SYSTEMS FINANCIAL ANALYSIS CODING ASSET MANAGEMENT CONTRACT REVIEW REIMBURSEMENT LEADERSHIP DOCUMENTATION TRAINING ACQUISITIONS EPIC GE CENTRICITY MEDICAL MANAGER MEDISOFT NEXTGEN

PROFESSIONAL EXPERIENCE

CODING MANAGER 2022-Present

Tabula Rasa HealthCare, Moorestown, NJ

Supervise daily operations of PACE, CPT, Risk Adjustment, and HCC coding processes, documentation, charge entry, and reimbursement of providers.

Oversee new business, revenue cycle process and RAP audits, and perform utilization and financial analysis.

Conduct physician chart audits and implemented the Performa process for new coding practices.

Facilitate and conduct training sessions for coding and documentation guidelines and perform compliance case analysis.

Assist with correct documentation by reporting findings, offering recommendations, developing action plans, and conducting exit interviews.

MANAGER 2021-2022

The Villages Health, The Villages, FL

Managed daily activities of 21 coding staff members, for Risk Adjustment, HCC, CPT, ICD -10 -CM coding for PCP and multi-specialty practices as well as onboarded all new changes for evaluation and developed and conducted training sessions for reimbursement documentation guidelines.

Oversaw acquisition of new business, performed utilization analysis, documented contract integrity, and oversaw EOB analysis and tracking denials patterns.

Conducted new business and physician chart audits while partnering with physicians, coders, and billers to handle any reimbursement/coding/documentation issues.

Assisted implementation of ATHENA

KAREN ANDERSON, MBA PAGE 2

VP OF REVENUE CYCLE MANAGEMENT 2012-2021

Allscripts, Orlando, FL

Managed inpatient and outpatient coding/billing and collections for more than 200 physicians, at several hospitals, surgery centers and practices.

Instrumental in improving clinical, financial, and business operations as a member of the Finance Leadership, Revenue Cycle, Managed Care Contract, and Enterprise Coding committees.

Instructed various companies on maximizing revenue through accurate documentation and provided training to businesses, doctors, university students, and staff.

Supervised daily activities of staff, and global staff members in India.

Managed risk-adjustment, HCC, fee-for-service, and multi-specialty plans to include 5 organ transplants.

Assisted with implementation of the ICD 10 CM coding system.

PROFESSOR of HEALTHCARE ADMINISTRATION 2012-2015

Florida Technical College, Orlando, FL

Constructed a comprehensive lesson plan and syllabus, instructed university level students, and graded all assignments.

Maintained CEUs for coding certification and continued education towards earning MBA.

EDUCATION

Master of Business Administration, MBA

University of Phoenix, Chicago, IL

Healthcare Administration, BS

University of Phoenix, Chicago, IL

CERTIFICATIONS

Certified Professional Coder American Association of Professional Coders

ICD 10 CM/PCS Proficiency Certification American Association of Professional Coders

Certified ICD 10 CM/PCS Trainer/Ambassador American Health Information Management Assn.

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