Sandra A. Sekcienski

** ***** ***** **.

Milford, DE 19963

Phone 302-***-****

Qualifications

• Maintains a pro-active style of documentation management to effectively mitigate

technical and documentation issues with positive results; constantly strives to improve

processes and personal performance; Identifies trends, analyzes data, and formulates

decisive actions. Works directly with employees and management to create

improvements to the procedures which benefits corporations and improves upon the final

product.

Beebe Medical Center, Tunnell Cancer Center, Lewes, DE – March 2004 to present

Coding and Reimbursement Specialist

Highly qualified and skilled individual with over 20 years of experience in office

environments; possesses outstanding organization, communication, documentation and

troubleshooting skills. Interacts comfortably with people of different cultures and

backgrounds at professional and technical levels

Solely responsible for ensuring all lab, pathology, radiology reports, physicians and

treatment notes are correct for medical center; codes over 1000 patients per month;

submits and verifies accounts totaling over 4 million dollars each month; maintains a

99.9% coding and data entry accuracy

Prepares and conducts monthly coding seminars; directly informs physicians and lab

technicians of documentation requirements, coding changes and guidelines; reviews,

analyzes and corrects quality discrepancies

Audits all charts monthly for physician and nursing documentation errors, including

proofreading and consistent diagnosing for Medicare regulations; maintains medical

records accuracy at 100%

Communicates with Medicare Administrative Contractor; submits additional ICD-9 codes

and corrects errors in Local Coverage Determinations

Effectively mitigates coding and billing issues; responsible for reversal of 12 out of 12

Medicare billing denials at a judicial level; speaks in court settings on patient’s behalf

Proactive employee; continually improves on the center’s record management system;

utilizes health information technology skills acquired through numerous memberships

with all healthcare associations; AHIMA, JHACO, NCCN, AHRQ, and CMS Medicare to

ensure center's currency with all coding changes and Medicare guidelines

Selected to perform several managerial duties during operation manager’s absence;

received laudatory comments for improvements, billing cycle adherence and accuracy

Provides correct reimbursement solutions on a daily basis; audits all facilities staff

charging errors, benefits medical center by saving thousands of dollars each month

Beebe Medical Center, Lewes, DE – February 1999 – March 2004

Medical Records Coder

Constantly outperformed peers; top outpatient coder for hospital accounts of all ancillary

services; received laudatory comments and recognized for speed and accuracy

Strived for continuous personal improvement; memorized newest coding changes for all

ICD-9 and CPT codes, reading Coding Clinic and CMS Medicare & Medicaid Services

website

Queried physicians as needed for correct assignment of codes; maintained accurate

documentation in medical database to ensure proper billing

Accurately coded all ancillary outpatient services, charts, and inpatient charts in a timely

manner

Friday's Secretarial Services, Lewes, DE - April 1997 - July 1998

Receptionist/Medical Secretary/Transcriptionist

Provided secretarial support for 20 businesses in office complex to include all forms of

correspondence

Performed Medical secretary duties; scheduled appointments, transcription and record

keeping for a staff of six physicians

Edited and corrected manuscripts for published therapist on several books; received

praise for document readability and accuracy

Performed paralegal duties for attorney's office as needed on a daily basis; responsible for

scheduling all appointments and meetings for a team of three lawyers

Completed bulk mailings of over 20,000 documents for center; ensured corrections

covering all aspects of post office regulations were adhered to

Perfect Sound Productions, PA, and DE - April 1996 – February 1997

Karaoke Company Owner/Technician

Directly responsible for all secretarial and public relations duties; including booking jobs

Designed all aspects of business including technical and show hosting; created

professional production atmosphere; increased repeat clientele and profits

Created innovative marketing techniques; designed graphic materials and form letters for

promotional purposes

Healthcare Network Development Inc., Chadds Ford, PA - March 1995 - April 1996

Administrative Assistant/Contracting Specialist

Executed data entry, filing, telephones, receptionist duties, created spreadsheets, and

handled medical contracts

Performed credentialing and re-credentialing of physicians for various insurance

companies

Marketed HMO's, PPO’s and other types of insurance

Chester ENT Specialists, Chester, PA - March 1993 - March 1994

Receptionist/Medical Secretary/Transcriptionist

Responsible for all clerical duties to include; scheduling, checking patients in and out;

confirmed appointments, telephone duties for a staff of five physicians

Assisted manager in coding and billing procedures for the practice

Hurley's Incorporated, Twin Oaks, PA - February 1990 - January 1993

Assistant Restaurant Manager and Bartender

Solely assumed all duties of Owner during their absence in every phase of business

Increased business profits due to excellent public relations and marketing skills, profits

up 30%

Recognized for outstanding problem solving abilities; initiated new items to improve

customer satisfaction

Responsible for nightly cash clearing and deposits; accuracy 100%

EDUCATION

AHIMA Coding Program for CCA, Certified Coding Assistant – currently enrolled

Sussex Technical High School, Georgetown, De. - Medical Arts Certificate Program,

Valedictorian - 4.0 GPA

Chubb Institute - Keystone School, Springfield, PA. - Diploma in Personal Computer

Applications - 4.0 GPA

Chubb Institute - Keystone School, Springfield, PA. - Medical Transcription - 4.0 GPA

Additional Courses:

Anatomy and Physiology Computers in Healthcare Pharmacology

I and II History of Healthcare Harvard Graphics 3.0

Anatomy and Physiology Business Mathematics Accounting I and II

Lab I and II English I and II

Ethics in Healthcare Mail Manager

Medical Terminology Keyboarding

My desire to advance at Beebe Medical Center has caused me to initiate a personal learning plan

to improve leadership effectiveness and have aligned training to coincide with identified areas of

development in pursuit of the Advancement of Health Information Technology mindset. I have

incorporated the learning section in Beebe to complete 36 online courses in the past years to

include Exercising Influence, Diversity, Employment law, Generation gap, Coordination of

Benefits, Medicare Advance Plans, CHAP, Tricare, and Third Party Administration. These have

been taken to further improve accuracy and to remain current in the ever changing medical

fields.

Software:

Windows XP, Lotus 1-2-3, DBase II Plus, Microsoft Office Suite 2003, 2007, WordPerfect,

SoftMed Health Information Management System, RAS, Outlook, SoftLab laboratory software,

ClinTrac, Radiology software, 3M Coding and Reimbursement System, CoPathPlus pathology

software, Invision and Varian Scheduling System

References furnished upon request

Contact this candidate