Bernd Cooper
Vancouver
Summary
Dynamic Sr. Reimbursement Manager with expertise in Medicare & Medicaid cost reporting and contractual budgeting. Proven track record at Providence St. Joseph Health System, leading impactful analyses on regulatory changes and enhancing operational initiatives. Adept at collaborating with stakeholders while driving strategic financial improvements in healthcare reimbursement processes.
Overview
34
34
years of professional experience
Work History
Sr. Reimbursement Manager
Providence St. Joseph Health System
02.2005 - 07.2023
- Maintained up-to-date knowledge on national healthcare policies affecting reimbursements, advising senior leadership on necessary adjustments or updates to internal processes accordingly.
- Prepared annual Medicare & Oregon Medicaid cost reports in accordance with CMS regulations & guidelines. This included both PPS as well as CAH reports.
- Developed Contractual Budgeting Models for all payer types (IPPS, OPPS, SNF, HHA). This was done in conjunction with the annual CMS payment updates for these payer types.
- Provided Reimbursement expertise in operational initiatives, such as implementing new teaching programs (IME/GME), converting existing OP Clinics to Rural Health Clinics (if it made financial sense). Worked on Wage Index (Geographic Reclassifications) to maximize Medicare DRG payments.
- Integral in analyzing the impact of the Affordable Care Act as it was being proposed and implemented. Same with the later Provider Relief Funds during the Covid pandemic.
Sr. Reimbursement Analyst
Legacy Health & Services
08.1989 - 02.2005
- Prepared annual Medicare & OR Medicaid Cost reports in accordance with CMS regulations & guidelines.
- Lead in financial/reimbursement analysis for the construction of a new hospital.
- Month-end financial contractual allowance analysis.
- Contractual budgeting modeling.
- Served as a subject matter expert on reimbursement issues during meetings with external stakeholders such as government agencies or trade organizations.
- Maintained up-to-date knowledge of regulatory changes affecting reimbursements and proactively adapted processes accordingly.
Education
Master of Science - Information And Computer Systems
Washington State University
Pullman, WA12-2003
MBA - Finance
University of Puget Sound
Tacoma, WA07-1986
Skills
- Medicare & Medicaid Cost Reporting
- Contractual Budgeting
- Month-End Contractual Analysis
- Hospital Operations (ie Teaching & Transplant programs)
- CMS Regulation Impact analysis (IPPS, OPPS, SNF, HHA)
Timeline
Sr. Reimbursement Manager
Providence St. Joseph Health System
02.2005 - 07.2023
Sr. Reimbursement Analyst
Legacy Health & Services
08.1989 - 02.2005
Master of Science - Information And Computer Systems
Washington State University
MBA - Finance
University of Puget Sound
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