Sarah Mendiola, Esq., Lpn, Cpc, Cpco
About Sarah Mendiola, Esq., Lpn, Cpc, Cpco
Sarah Mendiola, Esq., Lpn, Cpc, Cpco serves as the Senior Vice President of Denials Management at Cloudmed, bringing over 15 years of direct patient care experience and a strong legal background to her role. She has a Juris Doctorate from the University of Baltimore and specializes in Maryland Medicaid claim denials and the Medicare appeals process.
Work at Cloudmed
Sarah Mendiola serves as the Senior Vice President of Denials Management at Cloudmed. She has held this position since 2020, contributing to the company's efforts in managing healthcare claim audits and denial management. Her role involves overseeing strategies to address claim denials and ensuring compliance with healthcare regulations. Sarah's extensive background in both legal and medical fields enhances her effectiveness in this position.
Previous Experience at Revint Solutions
Prior to her current role at Cloudmed, Sarah Mendiola worked at Revint Solutions as Senior Vice President of Denials Management from 2019 to 2020. During her tenure, she focused on improving processes related to healthcare claim denials. Her experience at Revint Solutions contributed to her overall expertise in denial management and compliance.
Education and Expertise
Sarah Mendiola holds a Bachelor of Arts in Jurisprudence from the University of Baltimore, where she graduated Summa cum Laude. She also earned a Juris Doctorate (J.D.) with a concentration in Family Law from the University of Baltimore School of Law. Additionally, she completed the U.S. Army Practical Nurse Course at Walter Reed Army Medical Center, becoming a Licensed Practical Nurse (LPN). Sarah is certified as a professional coder (CPC) and a professional compliance officer (CPCO), showcasing her expertise in healthcare compliance and coding standards.
Background in Healthcare and Law
With 15 years of direct patient care experience, Sarah Mendiola possesses a strong foundation in healthcare. She worked as a Licensed Practical Nurse (LPN) at Mercy Medical Center in Baltimore, MD, from 2004 to 2014. Additionally, she served as an attorney at Washington & West, LLC from 2012 to 2019. Her diverse background in nursing and law provides her with a unique perspective on healthcare regulations and compliance.
Specialization in Medicaid and Medicare
Sarah Mendiola specializes in Maryland Medicaid claim denials, demonstrating a deep understanding of state-specific healthcare regulations. She has extensive experience in the Medicare appeals process, particularly in handling Administrative Law Judge Hearings. Her expertise in these areas enables her to effectively navigate complex healthcare claims and denial management.