AnnMarie Sersch
Harrisburg, PA 17103
************@*****.***
Summary:
I worked in the medical field for over 20 years from the front office, back office, and medical coding. I am proficient with EMR/EHR systems, along with Microsoft, teams, excel and I am a quick learner on new computer systems. I also had jobs within the grocery store, waitress and bartending.
Experience:
Medical Group of PA- Camp Hill, PA 01/2000-06/2023
Medical Coding
Held at least 95% accuracy on production scores. Oversaw 20 practices, managing coders and physicians. Audited coders on risk adjustments, ensuring all gaps were closed. Answered questions and concerns from facility medical billers and coders regarding coding issues. Also, did data entry with closing of medical gaps throughout the year. Performed DRG validation by reviewing charges and validating the principal and secondary diagnosis. Reviewed up to 50 cases per day at the most. Ensured there was no overspending between Medicare and Medicaid by utilizing CMS guidelines. I audited and validated inpatient hospital care throughout the United States. I would also, work on appeals from the insurance company to find out why the claim was denied. I worked with Aetna, CMS and Highmark via coding and assisting with appeals to has the facilities to understand why the cases are being denied. I also, had the ability to agree with the facilities with the denials
CCI- Baltimore, MD (PRN) 06/2019-05/2022
Medical Assistant Instructor
Develop and instruct students in the Medical Assistant curriculum. Teach and interact with students from various socioeconomic and cultural backgrounds. Implement continuous evaluations to assess and improve student understanding of course materials. Provide additional assistance and tutoring to students in need of one-on-one attention.
KePro-Tampa, FL (Laid Off) 07/2014-06/2019
DRG Validation
Performed DRG validation by reviewing charges and validating the principal and secondary diagnosis. Reviewed up to 50 cases per day at the most. Ensured there was no overspending between Medicare and Medicaid by utilizing CMS guidelines. I audited and validated inpatient hospital care throughout the United States. I would also, work on appeals from the insurance company to find out why the claim was denied. I would also, work on appeals from the insurance company to find out why the claim was denied. I worked with Aetna, CMS, United Healthcare, Medicaid, Blue Cross, Blue Shield, Cigna and Highmark via coding and assisting with appeals to had the facilities to understand why the cases are being denied. I also, had the ability to agree with the facilities with the denials
McCann Business and Technical Institute- Allentown, PA (Closed) 04/2012-07/2014
Medical Assistant Instructor
AnnMarie Sersch
2711 Butler Street
Harrisburg, PA 17103
************@*****.***
Develop and instruct students in the Medical Assistant curriculum. Teach and interact with students from various socioeconomic and cultural backgrounds. Implement continuous evaluations to assess and improve student understanding of course materials. Provide additional assistance and tutoring to students in need of one-on-one attention.
Keystone Technical Institutes- Harrisburg, PA (Closed) 09-2011-04/2012
Medical Assistant Instructor
Develop and instruct students in the Medical Assistant curriculum. Teach and interact with students from various socioeconomic and cultural backgrounds. Implement continuous evaluations to assess and improve student understanding of course materials. Provide additional assistance and tutoring to students in need of one-on-one attention.
Darowish and Associates- Harrisburg, PA (Closed) 05/2002-09/2009
Medical Assistant
Assisted with routine checks and diagnostic testing by collecting a processing specimen. Directed patients to exam rooms, fielded questions and prepare the patient for the examination. Obtained the vitals, documented why the patient was being seen, and administering vaccinations needed.
Education:
Medical Assistant Program, Academy of Medical Arts and Business, Harrisburg, PA 2002
High School Diploma, Steelton-Highspire High School, Steelton, PA 1987