Management/Executive Management

Tia V. Curry-Cook, BA, MPA, CPC

**** ********* ***** ** • Grand Rapids, MI 49508• 616-***-**** (h)• 616-***-**** (c) • ************@***.***

OBJECTIVE

To secure a challenging position within an organization that provides an opportunity to add value by utilizing my current skills and knowledge.

EDUCATION & CERTIFICATIONS

B.B.A. in Accounting Savannah State University, Savannah, GA June 1994

MPA in Health Care Administration Western Michigan University, Kalamazoo, MI December 2001

Certified Professional Coder American Academy of Professional Coders March, 2007

MANAGEMENT AND ANALYTICAL EXPERIENCE

PRIORITY HEALTH (1239 E. Beltline, NE, Grand Rapids, MI 49525 Manager: Brenda Gross)

Priority Health is a nationally recognized health plan based in Grand Rapids, Michigan.

Cost Recovery Analyst 2/2002 - Present

• Perform medical record audits to ensure billing and coding compliance of physician office, hospital claims, and ancillary services for all commercial and government products, which includes reviewing CPT-4, ICD-9, DRG, HCPCS, etc.

• Prepare written communication to physicians, hospitals, and ancillary facilities regarding audit findings

• Perform analysis of medical claims and system data to determine outliers and aberrant billing patterns

• Educate physicians, hospitals, and ancillary facilities on medical coding and billing compliance

• Facilitate internal meeting regarding system setup, coding/billing issues, and claims payment

• Investigate and report cases of fraud, waste, and abuse related to providers, members, agents, vendors, employees, and facilities.

• Write news articles, policy and procedure on medical billing and coding compliance

• Organize and facilitate external meetings and negotiate settlements regarding overpayment recovery

• Research regulations and laws and utilize medical information for provider education

• Provide monthly reports of cost savings and on-going audit projects

• Manage state and federal program compliance for fraud, waste, and abuse (MiChild, Medicaid, and Medicare)

• Project Management

• Prepare ad hoc reports by request

OLD KENT BANK

Old Kent Bank was acquired by Fifth Third Bank, a nationally recognized financial institution with an office in Grand Rapids, MI

Funding Account Officer 9/2000 – 2/2001

• Managed five employees assigned to fund processing for mortgage projects by region

• Prepared monthly analysis of mortgage profits/loss by region

• Monitored production for several regions/branches

• Prepared annual performance appraisals, employed, and terminated staff

• Assisted with preparing monthly and year end financial statements

Tia Curry-Cook page 2

HEART CITY HEALTH CENTER (900 Sycamore Street, Elkhart, Indiana 46516 “New Mgt”)

Heart City Health Center is a Federally Qualified Health Center located in Elkhart, Indiana

Finance Director 12/1997 – 7/2000

• Managed 20 administrative staff and clinicians in an effort insure proper clinical operation.

• Managed a 2.5 million dollar operational and administrative budget

• Managed organizations Finances which include overseeing the coding and billing process, accounts receivables, accounts payable, and financial reporting

• Reported to Executive Director and Board of Directors which included attended monthly board meetings to provide the organization’s financial reports (balance sheet, cash flow, income state, etc.)

• Served on the Board of Directors Finance Committee

• Managed human resources and personnel functions including creating the personnel handbook, employment, and termination, physician contract negotiations, and employee training

• Managed medical records department and handled HIPAA and compliance issues

• Created clinical and personnel policies and procedures

• Represented the clinic as a board of directors member for several community organizations

AVIATION CONSTRUCTORS, INC., (2690 Cumberland Pkwy, Atlanta, GA Manger: Doug Craker)

Aviation Constructors, Incorporated is a general contracting company located in Atlanta, Georgia

Senior Accountant 8/1994 – 12/1997

• Managed cost on three individual construction projects: Florida, Texas, and Atlanta

• Maintained and track cost for assigned projects

• Analyzed and reported cost variances to controller

• Responsible for computing and reporting sales tax for assigned projects.

• Performed accounts payable oversight and assisted with accounts receivables.

• Prepared general journal entries and prepared bank reconciliations.

OTHER RELEVANT EXPERIENCE:

 Retail Sales and Collections Experience

 CBDG funds and grants Experience

 Sales Tax Experience

 Supervised Community Projects

 Human Resource Training

 Health Information Management (RHIT) Training and Seminars

AFFILIATIONS

 National Healthcare Anti-fraud Association

 American Academy of Professional Coders

 Indiana Chapter of Healthcare Financial Management Association

 Minority Health Coalition

 Delta Sigma Pi Business Fraternity

 Indiana Primary Health Care Association

 South Central Ullrey Development Association

 City of Elkhart Enterprise Zone Board

 Alpha Kappa Alpha Sorority, Inc./(Local Chapter President)

References Available Upon Request

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