Medical Administrative Assistant

RENEE KRANKOSKI, CPC 410-***-****

**** *****’s Drive, Columbia, MD 21044

abksll@r.postjobfree.com

Objective: To Obtain a Challenging Career oriented Position where I can utilize my 5 years of

Coding/Auditing experience in Physician and Hospital-based Outpatient Services as well as

extensive Administrative and Managerial experience.

Education: Towson State University, BS Early Childhood Education 1986 .

John Hopkins University Technical Institute, Medical Coding and Master Certificate

Program 2006.

Certified Professional Coder

AREAS OF EXPERTISE:

• Certified Professional Coder (CPC) Certification received from the American Academy of

Professional Coders in June 2008 I.D. # 01045413.

• Over 5 years Progressive Coding and Auditing of Evaluation and Management ( E/M )

Records for Accurate Coding/Auditing of Emergency Department (E/D) and Physician Out

Patient Services.

• Advanced Knowledge of Coding/Auditing Compliance Guidelines.

• Knowledge of Anatomy, Medical Terminology, and Firm Understanding of Disease

Process, Surgical and Medical Procedures.

• Ability to Work Independently with Minimum Supervision and to Handle Multiple Tasks.

• Computer Skills: MSWord, MS Access, MS Window, Meditech, HTML, Cisco, Intergy

(Sage),Encoder & AHLTA Government Software CHCS Work List.

• Excellent Verbal, Written Communication and Organization Skills.

• Knowledge of HIPAA Rules and Regulations.

Work Experience: 12/09 to 7/10

Mc Bee Associates, Inc. Health Care Financial & Management Consultants

• Performs Diagnostic and Procedural Coding/ Audits of all Ambulatory and Emergency

Service Diagnoses and Conditions, Working from the Appropriate Documentation in

the Health Record of the Patient.

• Classification Systems include ICD-9-CM and CPT-4, for the purpose of Data

Collection, Research, Regulatory Compliance and Financial Reimbursement in

Accordance with National and Hospital-Specific Coding/Auditing Guidelines.

HealthCare Resolution Services Inc.

8/09 to 12/09

• National Naval Medical Center, NNMC Bethesda, MD

Medical Coding

• Understanding of all Coding Conventions ( ICD-9-CM DoD Extender Codes,CPT Procedure

and HCPCS Codes ) including 95/97 Evaluation and Management Guidelines and

Regulatory Compliance to ensure that the MTF receives the Optimum Allowable

Reimbursement.

• Work within assigned MTF, BMC, and /or Clinics to Perform Coding Quality Reviews of

Patient Records. Complete Quantitative/Qualitative Analysis of Records to ensure all

Components of Record are Present and Comply with JCAHO Requirements. Ensure all

Documentation is Present in Appropriate Format and Sequence.

• Collaborates with Physicians and Appropriate Associates in Development of improved

Capabilities in the area of Documentation, Coding and Compliance Documentation.

Children’s Pediatrician and Associates, Silver Spring, MD 4/07 to 2/09

Coder/Auditor

• Responsible for Accuracy of Coding/Auditing of Medical Services Performed by

Physicians and Nurses and for Assignment of Corresponding Diagnosis Codes on Claim

submitted to payers based on Chart Documentation.

• Responsible for Accurate Input of CPT and ICD-9CM for non electronic submitted office

Charges.

• Post Charges Process Electronic and Paper Claims and Post Payments from EOB’s for

Medical Services Performed by Pediatric Physicians.

• Conducted Internal Audit of Coding Accuracy and Completeness of Chart Documentation

for all CP&A Offices.

• Assist the Practice Manager with Development of Coding and Auditing Policies and

Procedures.

• Assist with the Initiation of a Comprehensive Coding Training Program for Physicians and

Staff.

• Analyzed Records, Data Collection, ICD-9CM, CPT and HCPS coding.

ENTAA-CARE, Columbia, MD 4/2005 to 3/2006

Administrative Assistant/ Medical Billing Specialist

• Posted Charges, Processed electronic and paper Claims and Posted Payments.

• Coordinated Billing to various Insurance Companies, including Medicare, Medicaid, and

Blue Cross Blue Shield.

• Kept abreast of Changes in Insurance Billing Requirements, ICD-9CM and CPT Code

Changes.

• Acted as Liaison with Insurance Companies to resolve denied Claims and Disputes.

• Was responsible for follow-up on unpaid Claims to ensure timely Payment.

• Implemented and Managed Programs that maintained Project Goals.

Learning How Day Care Center, Baltimore, MD 1990 to 2003

Owner

• Owner and Director of Childcare Business, directly Responsible for all Aspects of

Business, including development of Resources and Clients, Daily Operations, and all

Associated Financial Obligations which included Budgeting, Payroll and P/L

Accountability.

• Developed a program of Community-Based Services including facilitating Cooperation

and Information sharing with other Community Providers to Delivery of Community

services available to Children and Family.

Contact this candidate