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TiAnna Marie Colombo; MBA, MBOE, CPC, CMCO
5067 Township Road 187
Marengo, Ohio 43334
Cellular: 614-209-0762
Email: tianna.colombo@gmail.com
EDUCATION
Masters of Business Operational Excellence (Healthcare concentration), December 2014.
The Ohio State University; Columbus, Ohio
Masters of Business Administration (Healthcare concentration), December 2012.
Keller Graduate School of Management; Columbus, Ohio
Outstanding Leader Program, May 2012.
The Wexner Medical Center; The Advisory Board; Columbus, Ohio
Bachelor of Science (Healthcare Management), May 2010.
Franklin University; Columbus, Ohio
Diploma, Registered Medical Assistant, October 1998.
Columbus Para Professional Institute; Columbus, Ohio
TiAnna Marie Colombo; MBA, CPC, CMCO Page 2 of 9
___________________________________________________________________________________________
EMPLOYMENT
TrustHCS, Remote
Coding Account Specialist, 2015 to present
Review medical records for remote locations and assign appropriate CPT, ICD-9 and ICD-10
codes for billing of claims
 Emergency room documentation reviews conducted, appropriate ICD-9 and ICD-10
codes assigned in 3M
 Observation documentation reviewed, appropriate level of service assigned, hours of
observation and ICD-9 codes assigned for billing
 Remote reviews conducted for auditing/accuracy of coding staff of hospital and
physicians
OutCode LLC, Indianapolis, IN
Coding Account Manager, 2011 to 2015
Manage and code all daily services for multiple physician practices.
 Code all outpatient office visits and in office procedures for 2-4 physician practices at a
given time.
 Manage the activities of the billing specialist working with the account to assure accurate
and timely claims management and follow-through
 Post insurance and patient payments to all charges for each of the physician offices
 File pre-certifications when necessary for in-office procedures.
 Code physician services provided in the hospital setting
 Provide documentation education to the physician and the physicians staff
TiAnna Marie Colombo; MBA, CPC, CMCO Page 3 of 9
___________________________________________________________________________________________
OhioHealth, Columbus, Ohio
System Program Director, 2013 to 2015
Coordinate and manage the development and ongoing processes of multiple Neuroscience
programs within OhioHealth’s system. Specific duties include:
 On-Boarding of multiple physicians to the system.
 Development of the System-wide Epilepsy program to provide a continuum of care
across the entire state of Ohio.
 Work in collaboration with The Epilepsy Foundation Physician Advisory Board and our
staff to create community education.
 Development of The Movement Disorder Program at OhioHealth, including creation of a
multi-disciplinary clinic, which will then expand to the communities of the State of Ohio.
 Creation of a Neuro-Trauma Continuum of Care model that will track patients and
outcomes from all trauma centers within the system.
 Participation on multiple task forces, such as: Neuro-Tower Operations, Population
Health Management and Mortality Data
 ICD-10 Education to the Neuroscience Physicians and ambulatory staff.
 Preparation of the Long Range Financial Plans for system programs
 Preparation of annual budget documents to support program strategies to align with
system strategies.
The Ohio State University Medical Center, Columbus, Ohio
Coding, Compliance and Revenue Capture Manager-Specialty Care Network, 2008 to 2013
Coordinate and facilitate ongoing implementation and monitoring of day to day coding and
compliance activities of the Ohio State University Integrity Program (Compliance Program) for
its Specialty Care Network consisting of approximately 7 clinical departments and divisions
employing approximately 150 physician faculty as well as non physician practitioners. Specific
duties include:
TiAnna Marie Colombo; MBA, CPC, CMCO Page 4 of 9
___________________________________________________________________________________________
 Oversee and directs internal review and monitoring activities, including annual or
periodic department reviews
 Prepares and plans budget activities for fiscal year
 Conducts financial reviews, wRVU reviews and trending analysis for divisions and
physicians in the Specialty Care Network
 Develop, coordinate and participate in multi-faceted educational and training programs
regarding fundamental principles of Medicare and Medicaid billing, coding and
reimbursement
 Work with different divisions to develop a sustainable and productive business plan, also
working with the divisions to create process improvements to keep these business plans
viable
 Under the direction of legal counsel, and the Compliance Office, investigate and act on
matters related to compliance, including document review, including patient records,
billing records and participating in employee interviews
 Provides education and training to the physicians and staff of the specialty care network
in regards to coding and compliance
 Collaborate with key managers to identify aberrant trends in coding and billing areas
 Provide management to coding and billing staff
 Work as a physician coder for any area in need of additional coding support
The Ohio State University Medical Center, Columbus Ohio
Coding Specialist- Maternal Fetal Medicine, 2006 to 2008
Provided coding and reimbursement support to OSU Division of Maternal Fetal Medicine
consisting of approximately 10 physician faculty
 Managed and monitors the coding and reimbursement activities for services provided by
the physicians of Ohio State University maternal fetal medicine.
 Provided collaborative support to the Ohio State University compliance office.
TiAnna Marie Colombo; MBA, CPC, CMCO Page 5 of 9
___________________________________________________________________________________________
 Determined accurate CPT, HCPCS and ICD-9 codes
 Performed various auditing activities, perform periodic random sample audits
 Reviewed Explanation of Benefits (EOB) and related payer correspondence for accurate
billing and reimbursement
 Provided coding and compliance training to practice’s staff and physicians
Central Ohio Primary Care Physicians, Columbus, Ohio
Coding and Compliance Specialist, 2000-2006
Provided compliance, coding and reimbursement support to primary care physician practice
consisting of approximately 190 physicians providing clinical services ranging from pediatrics to
family and internal medicine in the Columbus community. Specific duties included:
 Monitoring Medicare and Medicaid regulatory coding and coverage requirements to
facilitate education and implementation of updated and compliance
coding/documentation practices.
 Assists with formal training programs for physicians and coding specialists by
determining training needs, and formulating training materials;
 Assessing claims denial data to identify patterns of noncompliance and develop
preventative/corrective measures to ensure compliance;
 Conducted coding and documentation audits to validate physician coding and billing
practices;
 Facilitate annual external audit activities as well as payer audits;
 Served as primary contact (including 24/7 on-call) for response to and resolution of
compliance queries and concerns;
 Managed the Practices compliance plan activities for all 27 sites including the central
billing office.
TiAnna Marie Colombo; MBA, CPC, CMCO Page 6 of 9
___________________________________________________________________________________________
Central Ohio Primary Care Physicians, Columbus, Ohio
Manager, Insurance Collections, 2002 to 2005
Managed insurance (government and private insurance) through supervision of 15 employees in
the Practice’s insurance collections/charge entry department located at its central billing office in
Columbus, Ohio. Specific duties included:
 Reviewed payer manuals, contracts and related materials to verify payment guidelines
and ensure prompt and accurate professional reimbursement;
 Processed Medicare claims and payment information; served as primary contact for
Centers for Medicare and Medicaid (CMS) contractor to facilitate payment issues;
 Managed the payment appeals process, including timely filing, document
supplementation and follow up correspondence to resolve payment denial issues;
 Served as contact to third party insurance provider representatives to facilitate good
business relationships and continued reimbursement;
 Developed and implemented process for reducing and maintaining the Practice’s
accounts receivable below 42 days, as well as to keep all cash below 90 days aging;
 Assisted with the Patient Collections process;
 Developed and integrated the insurance and patient collection modules for internal
systems.
Central Ohio Primary Care Physicians, Columbus, Ohio
Cash Application Specialist, 2000 to 2002
Served in an entry level position applying cash postings and patient payments for professional
services rendered by Practice physicians. Additional duties included:
 Processing of all refunds requested by insurance carriers;
 Developing Excel spreadsheets for tracking large refunds and payment appeals;
 Processing patient checks returned for insufficient funds (“bounced”) to follow up
regarding patient payment;
 Implemented special projects assigned by executive management as directed.
TiAnna Marie Colombo; MBA, CPC, CMCO Page 7 of 9
___________________________________________________________________________________________
US Family Mortgage, Columbus, Ohio
Loan Originator, 1999-2000
Responsible for the analyzing and processing of leads generated from the telemarketing
department for purposes of developing residential property loans. Also worked closely with
lenders to establish mortgage loans beneficial for clients. Proposed and finalized the sale of the
loan for prospective clients and oversaw loan process up though day of closing.
Bank One, Columbus, Ohio
Customer Service Associate, 1997-1999
Served as vault teller responsible for the accurate maintenance of significant cash quantities and
provided customer service to bank’s clients. Also responsible for all opening and closing
procedures of the branch, as well as, assisting in the sales of additional investment and banking
products.
CERTIFICATIONS
Certified Professional Coder (CPC), 2005 to present
American Academy of Professional Coders
Certified Medical Compliance Officer, (CMCO), 2009 to present
American Institute of Health Care Compliance
Six Sigma Green Belt, 2014 to present
The Ohio State University
TiAnna Marie Colombo; MBA, CPC, CMCO Page 8 of 9
___________________________________________________________________________________________
SPECIALIZED TRAINING
 Six Sigma – Lean
 Outstanding Leader Program
 IHIS/EPIC Super-User/Trainer
 ICD-10 Certified Training
PROFESSIONAL ASSOCIATIONS
National Association of Professional Women
Member 2014 – Present
Participates with the local chapter and with all education events for continued learning and
network.
The American Academy of Professional Coder’s
Education Officer, 2010-2011 Columbus Oh Chapter
Coordinate all education opportunities for the Columbus Chapter. Network with other chapters
and nationals to coordinate education for local professional coders.
TiAnna Marie Colombo; MBA, CPC, CMCO Page 9 of 9
___________________________________________________________________________________________
The Society of Maternal Fetal Medicine, Washington, DC
Coding and Practice Management Committee Board Member, 2006-2008
Participated and presented at several national coding seminars. I served as Society’s consultant to
membership at large for questions regarding complex coding issues.
REFERENCES
Available upon request

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TiAnna M.Colombo CV 3

  • 1. TiAnna Marie Colombo; MBA, MBOE, CPC, CMCO 5067 Township Road 187 Marengo, Ohio 43334 Cellular: 614-209-0762 Email: tianna.colombo@gmail.com EDUCATION Masters of Business Operational Excellence (Healthcare concentration), December 2014. The Ohio State University; Columbus, Ohio Masters of Business Administration (Healthcare concentration), December 2012. Keller Graduate School of Management; Columbus, Ohio Outstanding Leader Program, May 2012. The Wexner Medical Center; The Advisory Board; Columbus, Ohio Bachelor of Science (Healthcare Management), May 2010. Franklin University; Columbus, Ohio Diploma, Registered Medical Assistant, October 1998. Columbus Para Professional Institute; Columbus, Ohio
  • 2. TiAnna Marie Colombo; MBA, CPC, CMCO Page 2 of 9 ___________________________________________________________________________________________ EMPLOYMENT TrustHCS, Remote Coding Account Specialist, 2015 to present Review medical records for remote locations and assign appropriate CPT, ICD-9 and ICD-10 codes for billing of claims  Emergency room documentation reviews conducted, appropriate ICD-9 and ICD-10 codes assigned in 3M  Observation documentation reviewed, appropriate level of service assigned, hours of observation and ICD-9 codes assigned for billing  Remote reviews conducted for auditing/accuracy of coding staff of hospital and physicians OutCode LLC, Indianapolis, IN Coding Account Manager, 2011 to 2015 Manage and code all daily services for multiple physician practices.  Code all outpatient office visits and in office procedures for 2-4 physician practices at a given time.  Manage the activities of the billing specialist working with the account to assure accurate and timely claims management and follow-through  Post insurance and patient payments to all charges for each of the physician offices  File pre-certifications when necessary for in-office procedures.  Code physician services provided in the hospital setting  Provide documentation education to the physician and the physicians staff
  • 3. TiAnna Marie Colombo; MBA, CPC, CMCO Page 3 of 9 ___________________________________________________________________________________________ OhioHealth, Columbus, Ohio System Program Director, 2013 to 2015 Coordinate and manage the development and ongoing processes of multiple Neuroscience programs within OhioHealth’s system. Specific duties include:  On-Boarding of multiple physicians to the system.  Development of the System-wide Epilepsy program to provide a continuum of care across the entire state of Ohio.  Work in collaboration with The Epilepsy Foundation Physician Advisory Board and our staff to create community education.  Development of The Movement Disorder Program at OhioHealth, including creation of a multi-disciplinary clinic, which will then expand to the communities of the State of Ohio.  Creation of a Neuro-Trauma Continuum of Care model that will track patients and outcomes from all trauma centers within the system.  Participation on multiple task forces, such as: Neuro-Tower Operations, Population Health Management and Mortality Data  ICD-10 Education to the Neuroscience Physicians and ambulatory staff.  Preparation of the Long Range Financial Plans for system programs  Preparation of annual budget documents to support program strategies to align with system strategies. The Ohio State University Medical Center, Columbus, Ohio Coding, Compliance and Revenue Capture Manager-Specialty Care Network, 2008 to 2013 Coordinate and facilitate ongoing implementation and monitoring of day to day coding and compliance activities of the Ohio State University Integrity Program (Compliance Program) for its Specialty Care Network consisting of approximately 7 clinical departments and divisions employing approximately 150 physician faculty as well as non physician practitioners. Specific duties include:
  • 4. TiAnna Marie Colombo; MBA, CPC, CMCO Page 4 of 9 ___________________________________________________________________________________________  Oversee and directs internal review and monitoring activities, including annual or periodic department reviews  Prepares and plans budget activities for fiscal year  Conducts financial reviews, wRVU reviews and trending analysis for divisions and physicians in the Specialty Care Network  Develop, coordinate and participate in multi-faceted educational and training programs regarding fundamental principles of Medicare and Medicaid billing, coding and reimbursement  Work with different divisions to develop a sustainable and productive business plan, also working with the divisions to create process improvements to keep these business plans viable  Under the direction of legal counsel, and the Compliance Office, investigate and act on matters related to compliance, including document review, including patient records, billing records and participating in employee interviews  Provides education and training to the physicians and staff of the specialty care network in regards to coding and compliance  Collaborate with key managers to identify aberrant trends in coding and billing areas  Provide management to coding and billing staff  Work as a physician coder for any area in need of additional coding support The Ohio State University Medical Center, Columbus Ohio Coding Specialist- Maternal Fetal Medicine, 2006 to 2008 Provided coding and reimbursement support to OSU Division of Maternal Fetal Medicine consisting of approximately 10 physician faculty  Managed and monitors the coding and reimbursement activities for services provided by the physicians of Ohio State University maternal fetal medicine.  Provided collaborative support to the Ohio State University compliance office.
  • 5. TiAnna Marie Colombo; MBA, CPC, CMCO Page 5 of 9 ___________________________________________________________________________________________  Determined accurate CPT, HCPCS and ICD-9 codes  Performed various auditing activities, perform periodic random sample audits  Reviewed Explanation of Benefits (EOB) and related payer correspondence for accurate billing and reimbursement  Provided coding and compliance training to practice’s staff and physicians Central Ohio Primary Care Physicians, Columbus, Ohio Coding and Compliance Specialist, 2000-2006 Provided compliance, coding and reimbursement support to primary care physician practice consisting of approximately 190 physicians providing clinical services ranging from pediatrics to family and internal medicine in the Columbus community. Specific duties included:  Monitoring Medicare and Medicaid regulatory coding and coverage requirements to facilitate education and implementation of updated and compliance coding/documentation practices.  Assists with formal training programs for physicians and coding specialists by determining training needs, and formulating training materials;  Assessing claims denial data to identify patterns of noncompliance and develop preventative/corrective measures to ensure compliance;  Conducted coding and documentation audits to validate physician coding and billing practices;  Facilitate annual external audit activities as well as payer audits;  Served as primary contact (including 24/7 on-call) for response to and resolution of compliance queries and concerns;  Managed the Practices compliance plan activities for all 27 sites including the central billing office.
  • 6. TiAnna Marie Colombo; MBA, CPC, CMCO Page 6 of 9 ___________________________________________________________________________________________ Central Ohio Primary Care Physicians, Columbus, Ohio Manager, Insurance Collections, 2002 to 2005 Managed insurance (government and private insurance) through supervision of 15 employees in the Practice’s insurance collections/charge entry department located at its central billing office in Columbus, Ohio. Specific duties included:  Reviewed payer manuals, contracts and related materials to verify payment guidelines and ensure prompt and accurate professional reimbursement;  Processed Medicare claims and payment information; served as primary contact for Centers for Medicare and Medicaid (CMS) contractor to facilitate payment issues;  Managed the payment appeals process, including timely filing, document supplementation and follow up correspondence to resolve payment denial issues;  Served as contact to third party insurance provider representatives to facilitate good business relationships and continued reimbursement;  Developed and implemented process for reducing and maintaining the Practice’s accounts receivable below 42 days, as well as to keep all cash below 90 days aging;  Assisted with the Patient Collections process;  Developed and integrated the insurance and patient collection modules for internal systems. Central Ohio Primary Care Physicians, Columbus, Ohio Cash Application Specialist, 2000 to 2002 Served in an entry level position applying cash postings and patient payments for professional services rendered by Practice physicians. Additional duties included:  Processing of all refunds requested by insurance carriers;  Developing Excel spreadsheets for tracking large refunds and payment appeals;  Processing patient checks returned for insufficient funds (“bounced”) to follow up regarding patient payment;  Implemented special projects assigned by executive management as directed.
  • 7. TiAnna Marie Colombo; MBA, CPC, CMCO Page 7 of 9 ___________________________________________________________________________________________ US Family Mortgage, Columbus, Ohio Loan Originator, 1999-2000 Responsible for the analyzing and processing of leads generated from the telemarketing department for purposes of developing residential property loans. Also worked closely with lenders to establish mortgage loans beneficial for clients. Proposed and finalized the sale of the loan for prospective clients and oversaw loan process up though day of closing. Bank One, Columbus, Ohio Customer Service Associate, 1997-1999 Served as vault teller responsible for the accurate maintenance of significant cash quantities and provided customer service to bank’s clients. Also responsible for all opening and closing procedures of the branch, as well as, assisting in the sales of additional investment and banking products. CERTIFICATIONS Certified Professional Coder (CPC), 2005 to present American Academy of Professional Coders Certified Medical Compliance Officer, (CMCO), 2009 to present American Institute of Health Care Compliance Six Sigma Green Belt, 2014 to present The Ohio State University
  • 8. TiAnna Marie Colombo; MBA, CPC, CMCO Page 8 of 9 ___________________________________________________________________________________________ SPECIALIZED TRAINING  Six Sigma – Lean  Outstanding Leader Program  IHIS/EPIC Super-User/Trainer  ICD-10 Certified Training PROFESSIONAL ASSOCIATIONS National Association of Professional Women Member 2014 – Present Participates with the local chapter and with all education events for continued learning and network. The American Academy of Professional Coder’s Education Officer, 2010-2011 Columbus Oh Chapter Coordinate all education opportunities for the Columbus Chapter. Network with other chapters and nationals to coordinate education for local professional coders.
  • 9. TiAnna Marie Colombo; MBA, CPC, CMCO Page 9 of 9 ___________________________________________________________________________________________ The Society of Maternal Fetal Medicine, Washington, DC Coding and Practice Management Committee Board Member, 2006-2008 Participated and presented at several national coding seminars. I served as Society’s consultant to membership at large for questions regarding complex coding issues. REFERENCES Available upon request