Sharon Macomber personal email
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Sharon is a Northwest Florida native who has made her residence in the Pensacola area for over 30 years. She is a Registered Nurse and holds a degree in business with a major in accounting from the University of West Florida.Her diverse work experience includes 15 years with Florida Blue, formerly Blue Cross Blue Shield of Florida. In addition she has worked in the Health Care Provider community with Baptist, Sacred Heart, and West Florida Hospitals. Most recently she is a healthcare consultant with a national consulting firm specializing in hospital business operations.
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Senior Healthcare ConsultantPancea Healthcare Solutions Nov 2014 - Apr 2016St. Paul, MinnesotaSharon's background includes: clinical experience as an RN, managed care contracting for both the payer and hospital, hospital billing and payment compliance, and consulting. She is technically proficient in the development and implementation of strategic initiatives and project management. Her expertise includes chargemaster review, revenue assurance, and regulatory compliance. -
Account ExecutiveBarnes Insurance & Financial Sevices Jun 2014 - May 2015Pensacola, Florida Area
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Senior Healthcare ConsultantPanacea Healthcare Solutions Aug 2013 - Jul 2014St. Paul, Minnesota• Independent Contractor for Hospital Charge Capture Compliance Projects
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Reimbursement & Compliance Specialist, Center For Wound Care And Hyperbaric Oxygen TherapySacred Heart Hospital, Apr 2013 - Jul 2014Pensacola, Florida Area(PRN position)• Abstracts pertinent information from patient medical records.• Assigns the appropriate International Classification of Diseases, Clinical Modification (ICD-9), Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes.• Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes.• Keeps abreast of and complies with coding guidelines and reimbursement reporting requirements.
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Senior ConsultantImpact Healthcare Services Nov 2005 - Aug 2012Provide expertise in issues relative to Medicare, Medicaid, and third party payers billing compliance in contracting hospitals in the Southeastern and Midwestern USA.Education and training of new analysts in contracted hospitals.Mentoring and coaching of analysts at various levels of development.
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Manager, Billing ComplianceBaptist Health Care Jan 2000 - Nov 2005Pensacola, Florida AreaChargemaster maintenance and compliance for multi-state entities.Provide education to clinical departments & hospital management to ensure compliance with federal and state regulations. -
Payment ComplianceBaptist Health Care Jan 2001 - Jan 2002Review of claims to the largest managed care payers to ensure payment was in compliance with the contracts.Liason to clinical personnel for process improvements for complete and compliant billing.Appeals of claims denied for technical/medical issues.
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Manager, Managed Care Risk ContractsBaptist Health Care Jan 2000 - Jan 2001Identify key contractural issues to determine internal ramification of agreements under negotiation and recommend stratgies to achieve desire results, protect corporate assets , and ensure organizational and financial compliance.Serve as techincal resource for existing contracts. Recommend modifications as needed to realign operations and facilities with regulatory requirements.
Sharon Macomber Skills
Sharon Macomber Education Details
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Mobile Infirmary School Of NursingNursing -
Accounting
Frequently Asked Questions about Sharon Macomber
What is Sharon Macomber's role at the current company?
Sharon Macomber's current role is Healthcare Consultant.
What is Sharon Macomber's email address?
Sharon Macomber's email address is ma****@****aol.com
What schools did Sharon Macomber attend?
Sharon Macomber attended Mobile Infirmary School Of Nursing, University Of West Florida.
What are some of Sharon Macomber's interests?
Sharon Macomber has interest in Health.
What skills is Sharon Macomber known for?
Sharon Macomber has skills like Healthcare, Project Management, Change Management, Process Improvement, Strategic Planning, Hospitals, Healthcare Management, Medical Billing, Medicaid, Medical Coding, Medicare, Managed Care.
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