Summary
Overview
Work History
Education
Skills
Awards
Certification
References
Timeline
Generic

Donna Marasa, CPC

Westminster,MA

Summary

Knowledgeable and meticulous compliance manager experienced in policy development, program management, risk mitigation, and operational planning. Skilled in ensuring regulatory compliance and resolving systemic issues through collaboration with providers and business managers. A team-focused professional who builds strategic alliances to enhance department goals. Effective communicator who fosters trust and confidence across all organizational levels. Proven track record of advancing strategic goals through staff training and mentoring, leading to increased employee satisfaction and engagement.

Overview

28
28
years of professional experience
1
1
Certification

Work History

PB Coding & Compliance Manager

Denver Health Hospital Authority
08.2017 - Current
  • Manage Professional Billing for FQHC Clinics, OB/GYN, Psych, Emergency Medicine/Urgent Care/DUC, Pathology, Radiology, IP BH, OBHS, STEP, Substance Abuse and Denver Cares Clinic
  • Reduce and maintain DOS to DOP for PB billing from 10 days to 5 days
  • Develop tactical mechanisms to identify potential revenue
  • Foster respectful relationships between Coding, Providers, DOS, and other stakeholders
  • Institute stream-lined workflow processes within Epic for coder efficiency
  • Decrease edits volume by 50% by scrubbing and updating Epic front end logic
  • Advance organizational goals thru education and mentoring of staff
  • Provided guidance on complex regulatory issues to senior management and other departments.
  • Manage off site coding staff while enhancing morale and cultivating team cohesiveness
  • Facilitate monthly meetings to increase communication and align with strategic initiatives
  • Partner with ED to identify missed revenue capturing an additional $371,120.00 in charges.
  • Assisted with the development of training materials for employees regarding compliance requirements.

Billing/Coding Operations Manager

CU Medicine
12.2011 - 08.2017
  • Managed professional billing operations for Children’s Hospital Colorado (CHCO) Department of Pediatric Medicine, University of Colorado Hospital (UCH) Emergency Medicine and Cardiology
  • Responsible for a staff of thirty-six coders, three supervisors, one trainer and two Epic analysts
  • Pinpointed potential lost revenue for UCH ED resulting in capturing an additional $481,837.00 in under one year
  • While reducing the DOS to DOP from 15.31 to 7.75 (below the 10-day KPI goal)
  • Launched multi-department education sessions: ARR/Audit/Compliance/Billing Services to reduce denials, rejections and timely filing issues resulting in an increase in charges for UCH Cardiology of 10.21% and an increase in payments of 15.81%
  • Direct involvement with multiple CHCO Outreach clinics thru the region, Sites of Practice and Telehealth implementation
  • Analysis of yearly CPT changes and the fiscal impact to Departments KPI’s
  • Enacted a pilot program with CHCO ED to enhance revenue, reduce risk and improve DOS/DOP which resulted in DOS/DOP dropping from 14.2 to 9.64 while reducing lost revenue from unbillable encounters to zero from July 2015 thru April 2016
  • Designed a mentor program for staff career advancement within the organization
  • Leading to valued employee retention, engagement, and satisfaction.

Epic Applications Coding Analyst

CU Medicine
05.2010 - 12.2011
  • Supported development, build, testing, and implementation for conversion to Epic EMR for UCH
  • Ambulatory and Inpatient Epic go-live elbow support to providers and administrators
  • Refined internal charge cross mapping for CHCO and UCH
  • Created Epic resource tools, step actions, process flow maps, preference lists and smart phrases.

Coding Team Lead

CU Medicine
05.2007 - 05.2010
  • Implemented internal audit processes resulting in exceeding department charge goals by 10%
  • Decreased DOS/DOP from 16 days to 5 days.

Operations Mail Flow Manager

United States Postal Service
01.2004 - 10.2009
  • Identified Operational Mail Flow deficiencies and implemented corrected workflow processes overseeing fifteen supervisors and up to 525 staff per shift
  • Improved overnight delivery for Denver metro area from 80% to meet the 95% goal
  • Implemented 1 day delivery improvement program with Processing Plant and Service Stations
  • Interacted daily with clerk (APWU) and mail handler (NPMHU) unions to resolve grievances.

Professional Radiology Coder

CU Medicine
11.2001 - 05.2007
  • Coded all professional services for all modalities for UCH and CHCO Radiology.

Operations Supervisor

United States Postal Service
08.1996 - 01.2004
  • Administratively and operationally supervised ninety clerks and mail handlers daily
  • Maintained training, attendance, payroll, evaluations, and disciplinary actions for staff
  • Completed a national year-long supervisor training program with top honors
  • Won two $500
  • Awards for process Improvement implementations.

Education

Associate Science Degree -

05.1985

Associate General Studies Degree -

05.1985

Skills

  • Project Management
  • Microsoft Office Suite
  • Coding
  • Data Analysis
  • Talent Development
  • System Development
  • FQHC
  • Regulatory compliance oversight

Awards

  • DH Heroes of the Heart Award – nominated by Emergency Dept. Dr. Brad Shy, 08/2020

Certification

  • AAPC Certified Medical Coder, CPC 11/2002

References

References available upon request.

Timeline

PB Coding & Compliance Manager

Denver Health Hospital Authority
08.2017 - Current

Billing/Coding Operations Manager

CU Medicine
12.2011 - 08.2017

Epic Applications Coding Analyst

CU Medicine
05.2010 - 12.2011

Coding Team Lead

CU Medicine
05.2007 - 05.2010

Operations Mail Flow Manager

United States Postal Service
01.2004 - 10.2009

Professional Radiology Coder

CU Medicine
11.2001 - 05.2007

Operations Supervisor

United States Postal Service
08.1996 - 01.2004

Associate Science Degree -

Associate General Studies Degree -

  • AAPC Certified Medical Coder, CPC 11/2002
Donna Marasa, CPC