Audrey Spells-Cooper, ACPAR, CFC
416 Spring Head Drive
Lawrenceville, GA 30046
404-438-0856
acooper713@yahoo.com
EDUCATION
Master of Arts-Business Leadership, Shorter University, Atlanta, GA
Bachelor of Science-Management, Shorter University, Lawrenceville, GA
Associates Degree-Business Management, Shorter University, Lawrenceville, GA
SUMMARY OF QUALIFICATIONS
• Delegate authority successfully to appropriate staff and ensure that staff is appropriately trained.
• Self-motivated with ability to work independently or with others.
• Work to stimulate teamwork and positive attitude among staff members.
• Knowledgeable of CPT-4, ICD-9, and HCPCS coding
• Knowledgeable of Medicare, Medicaid, CMOs, HMO, PPO, POS, and Commercial Insurance Carriers.
• Experienced with Epic, NextGen, IDX, Navicure, Emdeon, Navinet, Ingenix and Availity
PROFESSIONAL EXPERIENCE
Piedmont Healthcare, Atlanta, GA (Feb 2008 to Present)
Piedmont Medical Care Corporation, / Revenue Cycle Manager:
• Responsible for timely insurance follow up for Orthopedic, Ophthalmology, Endocrinology, OB/GYN,
GYN Oncology, General Surgery, Breast Surgery, Surgicalists, Urology, Neurology, Hospitalists and
Cardiology specialties.
• Responsible for overseeing training and development and staff engagement.
• Successfully led Specialty team to exceed monthly DAR goals per MGMA for each specialty.
• Generated ATB reports to monitor AR and reduce AR greater than 90 days and over.
• Identified AR >121 and developed process to decrease average days in accounts receivable.
• Established ways to improve efficiency and effectiveness of processes for insurance follow-up.
Piedmont Medical Care Corporation, /CBO Coordinator:
• Responsible for insurance follow up and reducing A/R 90 days and over
• Trained, coached and educated team on new coding guides and payor guidelines.
• Audited and monitored daily productivity
• Monitored billing errors and claim editing in the Specialty Department
• Managed self-pay balances for Bad Debt and pre-listing to outsourced collection agency.
• Reduced insurance and patient credits by closely monitoring credit balance reports.
Piedmont Heart Institute, / Medical Billing Manager:
• Responsible for accurate and timely charge entry for cardiology procedural billing
• Responsible for monitoring and auditing cardiology coding
• Exceeded monthly charge entry goal
• Monitored all office, hospital, and procedure billing
• Audit insurance and patient refund requests
• Reduce patient complaints during the first quarter by 25%
• Developed job descriptions and job aides for employees
2
• Liaison between billing office and Virtual Business Office in South Dakota
• Monitoring billing errors and claims editing for all payers
• Managed staff performance by engaging in timely feedback
• Insurance follow up for Government and Non-Government payers
• Reduced Self-Pay Financial Class
• Decreased days in A/R in 90 and greater buckets
• Increased revenue for all financial classes
• Maintained departmental quarterly budget
Piedmont Medical Care Corporation, /CBO Manager- Specialty:
• Billing manager for Transplant, OB/GYN Oncology, Cardiology, Nephrology & Orthopedic services
• Monitoring billing errors and claim editing in the Specialty Department
• Successfully trained and educated staff
• Responsible for insurance follow up and reducing A/R 90 days and over
• Responsible for accurately and timely capture of all transplant charges in the NextGen system
• Communicate front end and billing error with physicians and practice manager
RevenueMed, Norcross, GA Client Account Manager (August 2007 – January 2008)
• Provided administrative and supervisory support for a 30 plus foreign team assigned to coding, charges
entry, personal and insurance payment posting.
• Responsible for weekly updates to clients regarding day- to- day operations.
• Consulted with clients and provided feedback to staff
• Implemented training manual for each client
• Provided coding quality assurance
• Proactively managed AR metrics
Gwinnett Hospital System, Lawrenceville, GA (October 1998 – August 2007)
Gwinnett Hospital System, /Patient Account Representative:
• Successfully balanced cash prepped for bank
• Insurance payment posting for all major payors
• Accurately balanced automatic EFT on a daily basis
Gwinnett Hospital System, /Accounts Manager:
• Responsible for managing the functions of the Cash Posting and Pro Fee Departments
• Filed electronic and hardcopy claims for Pro Fee Department
• Proficient in NextGen, HIS, Epremis, and I-suite software.
• Reviewed and analyzed VBO and collection agency’s remittances, research the appropriateness of fee
charges and focused on specific details of accounts exceeding $5,000 and higher.
Gwinnett Medical Service, Inc., / CBO Reimbursement Manager:
• Responsible for managing the functions of the Central Billing Office
• Responsible for staffing, training, employment interviewing and cost containment
• Works collaboratively with Practice Managers, Practice Administrators, and Executive Director to ensure
excellent customer service
• Created, monitored, assisted and implemented department policies
• Implemented NextGen EPM system
• Reduced DAR to meet MGMA standards

Audrey Cooper Resume 2015

  • 1.
    Audrey Spells-Cooper, ACPAR,CFC 416 Spring Head Drive Lawrenceville, GA 30046 404-438-0856 acooper713@yahoo.com EDUCATION Master of Arts-Business Leadership, Shorter University, Atlanta, GA Bachelor of Science-Management, Shorter University, Lawrenceville, GA Associates Degree-Business Management, Shorter University, Lawrenceville, GA SUMMARY OF QUALIFICATIONS • Delegate authority successfully to appropriate staff and ensure that staff is appropriately trained. • Self-motivated with ability to work independently or with others. • Work to stimulate teamwork and positive attitude among staff members. • Knowledgeable of CPT-4, ICD-9, and HCPCS coding • Knowledgeable of Medicare, Medicaid, CMOs, HMO, PPO, POS, and Commercial Insurance Carriers. • Experienced with Epic, NextGen, IDX, Navicure, Emdeon, Navinet, Ingenix and Availity PROFESSIONAL EXPERIENCE Piedmont Healthcare, Atlanta, GA (Feb 2008 to Present) Piedmont Medical Care Corporation, / Revenue Cycle Manager: • Responsible for timely insurance follow up for Orthopedic, Ophthalmology, Endocrinology, OB/GYN, GYN Oncology, General Surgery, Breast Surgery, Surgicalists, Urology, Neurology, Hospitalists and Cardiology specialties. • Responsible for overseeing training and development and staff engagement. • Successfully led Specialty team to exceed monthly DAR goals per MGMA for each specialty. • Generated ATB reports to monitor AR and reduce AR greater than 90 days and over. • Identified AR >121 and developed process to decrease average days in accounts receivable. • Established ways to improve efficiency and effectiveness of processes for insurance follow-up. Piedmont Medical Care Corporation, /CBO Coordinator: • Responsible for insurance follow up and reducing A/R 90 days and over • Trained, coached and educated team on new coding guides and payor guidelines. • Audited and monitored daily productivity • Monitored billing errors and claim editing in the Specialty Department • Managed self-pay balances for Bad Debt and pre-listing to outsourced collection agency. • Reduced insurance and patient credits by closely monitoring credit balance reports. Piedmont Heart Institute, / Medical Billing Manager: • Responsible for accurate and timely charge entry for cardiology procedural billing • Responsible for monitoring and auditing cardiology coding • Exceeded monthly charge entry goal • Monitored all office, hospital, and procedure billing • Audit insurance and patient refund requests • Reduce patient complaints during the first quarter by 25% • Developed job descriptions and job aides for employees
  • 2.
    2 • Liaison betweenbilling office and Virtual Business Office in South Dakota • Monitoring billing errors and claims editing for all payers • Managed staff performance by engaging in timely feedback • Insurance follow up for Government and Non-Government payers • Reduced Self-Pay Financial Class • Decreased days in A/R in 90 and greater buckets • Increased revenue for all financial classes • Maintained departmental quarterly budget Piedmont Medical Care Corporation, /CBO Manager- Specialty: • Billing manager for Transplant, OB/GYN Oncology, Cardiology, Nephrology & Orthopedic services • Monitoring billing errors and claim editing in the Specialty Department • Successfully trained and educated staff • Responsible for insurance follow up and reducing A/R 90 days and over • Responsible for accurately and timely capture of all transplant charges in the NextGen system • Communicate front end and billing error with physicians and practice manager RevenueMed, Norcross, GA Client Account Manager (August 2007 – January 2008) • Provided administrative and supervisory support for a 30 plus foreign team assigned to coding, charges entry, personal and insurance payment posting. • Responsible for weekly updates to clients regarding day- to- day operations. • Consulted with clients and provided feedback to staff • Implemented training manual for each client • Provided coding quality assurance • Proactively managed AR metrics Gwinnett Hospital System, Lawrenceville, GA (October 1998 – August 2007) Gwinnett Hospital System, /Patient Account Representative: • Successfully balanced cash prepped for bank • Insurance payment posting for all major payors • Accurately balanced automatic EFT on a daily basis Gwinnett Hospital System, /Accounts Manager: • Responsible for managing the functions of the Cash Posting and Pro Fee Departments • Filed electronic and hardcopy claims for Pro Fee Department • Proficient in NextGen, HIS, Epremis, and I-suite software. • Reviewed and analyzed VBO and collection agency’s remittances, research the appropriateness of fee charges and focused on specific details of accounts exceeding $5,000 and higher. Gwinnett Medical Service, Inc., / CBO Reimbursement Manager: • Responsible for managing the functions of the Central Billing Office • Responsible for staffing, training, employment interviewing and cost containment • Works collaboratively with Practice Managers, Practice Administrators, and Executive Director to ensure excellent customer service • Created, monitored, assisted and implemented department policies • Implemented NextGen EPM system • Reduced DAR to meet MGMA standards