Manager Customer Service

Shanna Crocker, CPC

**** ******** ********, ******* ** 30338 404-***-**** *********@*****.***

Profile Dynamic multi-talented health care professional with a demonstrated

record of excellence and over 20 years of progressive experience in

multiple disciplines. Adept in implementing innovative practices and

procedures to improve billing and coding efficiency. Excellent

interpersonal, oral and written communication skills.

Experience Expert Surgical Coder – Specialties: General Surgery, OB/GYN, Urology

and Plastic Surgery

2011-Current Kaiser Permanente Atlanta, GA

Review, code and assign CPT codes for all in-patient and out-patient

surgical procedures performed by over 100 providers of multiple

specialties. Accuracy rating of 99.2%.

Extensive ICD-10 Training provided through Precyse University, AAPC,

CMS and Ahima. Part of ICD-10 Implementation team.

Identify areas of lost revenue due to inaccurate procedural and diagnosis

coding and provides training. Provider accuracy ratings increased over

50%, able to re-coup over 80% of potential lost revenue.

Billing/ Coding Manager

2009-2011 ID Group of Atlanta, LLC Atlanta, GA

Increased revenue by 60% by implementing a more efficient billing

process resulting in a reduction of claim denials by over 40%.

Implement PQRI reporting and E-Prescribing incentive program

through Medicare.

Increased Medicaid reimbursement by 90%

Increase home health re-imbursement by 80%.

Assist Practice Manager in start up of Infusion Center. Potential of 2

million of additional revenue annually.

Consultant, Medicare/Medicaid Appeals

2008-2008 Tenet Health Care, Alpharetta GA

Recovery of more than 1 million dollars in underpaid claims from Medicaid

and Medicare.

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Appeal success rate of 95% with only 15% needing to reach 3 level

or Clinical appeal level.

Consultant, Contract Analyst

2008-2008 Kaiser Permanente, Atlanta, GA

Resolved billing and coding problems in over $4 million of suspended

claims. Tripled division revenues for each sales associate.

Performed audits of GCF’s, GCF Processing Modules and Group

Agreements resulting in 100% Sox Compliance.

Claims Analyst Supervisor

2004-2007 ACS, Atlanta, GA

Audit Medicaid claims submitted by hospitals, and providers to ensure

strict CMS compliance. 99% accuracy rating.

Recovered millions in overpayments made to providers and hospitals

through successful audits.

Supervise staff of 20 claims representatives, implemented incentive

programs resulting in a 40% increase in department productivity.

Logistics Coordinator

2001-2004 Heidelberg USA, Kennesaw GA

Maintained with 100% accuracy expense reports, filed claims for over 40

Service Technicians in the PNO region, including region manager.

Handled all customer service including but not limited to Invoicing and

billing of all service call requests in PNO with 95% overall customer

satisfaction.

Additional Skills Proficient in Microsoft Office (Access, Excel, Word, Power Point,

Publisher), Lotus Notes, Outlook

Experienced with multiple EMR Systems - Epic, NexGen, Allscripts

Strong Medicaid/Medicare competency

Specializing in General Surgery, OB/GYN, Urology, Plastic Surgery and

Infectious Disease.

Self motivated with a strong work ethic for integrity, professionalism and

timeliness

Certification Certified Professional Coder, CPC

Affiliation: AAPC License Number 01137750

Education Queens Borough CC, Corona, NY

1997-1999

References References are available on request.

Shanna Crocker

2287 Dunwoody Crossing Atlanta, GA 30338 404-***-**** *********@*****.***

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