KRISTINA GANSSLEY

ac8it6@r.postjobfree.com

312-***-****

HTTPS://WWW.LINKEDIN.COM/IN/KRISTINA-GANSSLEY-CPC-COPC-CPB-63B994105/

OBJECTIVE

To make an income while making an impact! The meaning of life is to find your gift. The purpose is to give it away.

SKILLS

Client facing, revenue cycle management, process improvement, data analytics, research and development.

EXPERIENCE

Evolent Health -Process Improvement Manager (Contracted Assignment) Apr 18- Sept 18

-Created formal business process and procedures for each unmapped client

-Assessed current business data analytics processes and implemented new streamlined approaches

Blue Cross Blue Shield- Business Data Analytics Consultant (Contracted Assignment) Nov 17- Jan-18

- Aided in open enrollment data mapping importation between clients, their vendor and HCSC.

Rush University Medical Center- Revenue Cycle Manager (Contracted Assignment) Apr 17- Jul 17

- Conducted a charge capture loss prevention audit resulting in $1.2 million in extra revenue.

- Participated in the coding, billing and aging revenue clean-up of claims.

- Implemented rules within EPIC software to reflect coding regulation and policy changes.

Eye Care Leaders, LLC. -Practice Consultant Manager (Contracted Assignment) Sept 16- Mar 17

-Travel 80% of the month to clients to assess their practice

-Trained a billing team on the specific payer policies & coding rules for each new client

- Perform transformative services for clients such as aging revenue clean up, credentialing and auditing/ compliance, portal billing, coding/ billing improvement and settle patient balances

Multiplan- Claim Operations ICD-10 Manager (Contracted Assignment) Sept 15-Sept 16

- Advised on payer policy changes and regulation standards to alter software processing of claims

- Aided software developers on ICD-10 related implementation issues

- Performed third party repricing of claims

Verus- ICD-10 Advisory Implementation Manager (Contracted Assignment) May 15 Sept 15

- Converted 4 major infertility specialists practices ICD-9 choosing into ICD-10 crosswalks

-Presented to the staff the new coding procedures and how it will affect their future workflow, reimbursement and finances as well as educated the Verus staff and physicians on ICD-10 coding

Advanced Healthcare Solutions- Revenue Cycle Manager Aug 12- May 15

- CPB, CPC, credentialing, contracting, and ERA/EFT setup

- Taught ICD-10 to staff of 25 as well as helped plan the 200+ clients both facility and physician billing ICD-10 path of implementation

- Taught the staff the AAPC professional biller course

EDUCATION/ FURTHERED EDUCATION:

BACHLEORS IN HEALTH SCIENCE AND BUSINESS OAKLAND UNIVERSITY 09-12

ASSOCIATES IN APPLIED SCIENCES MOTT COLLEGE 06-11

Certified Professional Coder- CPC

Certified Professional Coder of Ophthalmology- CPC-O

Certified Proficient ICD-10 Coder (2014) #AAPC0601110813A

Certified Professional Biller- CPB

Certificate in Mastering Documentation

RVU and DRG Auditing

Participated in the AAPC panel that wrote the credential in surgical ophthalmological coding

Waterfall, Six Sigma and Agile methodologies

SOFTWARE/ INTERFACES:

Optum, EPIC, Lytec, Tiger, Misys, Practice Fusion, Google Drive, Amazon S3, Source Medical, Citrix, Advantx, Adobe, Peach Tree, Microsoft Office including Outlook, Availity, CMS.gov, Navinet, MD Office, Management Plus, Centricity, Emdeon, Eye Doc, Integrity, Eye Med, Medflow, Allscripts, 3M, Encoder Pro, AAPC Coder, Athena Health, Cerner, Aprima/iMedica, Capterra, Meditouch, Praxis, Office Practicum, Sevocity HER, CareCloud, Chart Logic, Doctor Chrono, DocuTAP, AdvancedEHR, eClinicalWorks, Jira, Aldera, SQL, Confluence.

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