Medical Management

Jannie DuPree, CPC

P O BOX ****** ● MIAMI, FL **243 ● 305-***-**** ● ************@*****.***

PROFESSIONAL PROFILE

Strengths include vast knowledge of medical record computer and operational systems with the ability to evaluate and improve current system efficiency. Extensive experience in ICD-9 and HCPCS/CPT coding systems. Excellent organizational skills; highly motivated; experienced in coding system instruction and seminar/report presentation.

Seeking a management position where leadership and management skills can be exercised to improve the firm's expansion and long-term viability as a successful business.

FUNCTIONAL AREAS OF EXPERTISE

Claims Operations Team Leadership Software Application Time Management

Auditing Customer care / Empathy Database Management Effective communication

Compliance Staff Recruitment / T raining Account Management Commitment to excellence

Interviewing Coping/Flexibility Problem Solving/Analysis Negotiation and Persuasion

PROFESSIONAL EXPERIENCE

MEDICAL RESOURCE STAFFING 08/2009 04/2010

● Reviewed written medical information for data entry ● Entered assigned ICD-9 code for medical diagnosis

● Explained/applied regulatory policies, procedures and guidelines ● Apply regulatory laws/regulations

● Ensured optimization of reimbursement by reviewing diagnoses and procedure codes ● Credentialing of providers

● Handled billing, denial reconciliation and posted payment ● Utilized analytical reasoning, communication and research

PPMC Primary Provider Management Company 08/2008 01/2009

● Performed account audits ● Ensured accuracy and consistency ● Shared expertise and best practices

● Ensured adherence to state and federal compliance policies, reimbursement policies and contract compliance ● Investigate and pursue recoveries and related to violation of program integrity, fraud waste and abuse • Recommended corrective/preventive actions to address non-conformities and deviations

Sharp Healthcare 05/2003 08/2008

● Implemented billing process developing issues and trends in medical coding procedures requirements

● Kept abreast of developing issues and trends and in medical coding procedures requirements ● Supervised

● Completed billing cycle ATB and monthly reports developing issues and trends in medical coding procedures

requirements

Balboa Naval Medical Center 06/2002 04/2003

●Ensured appropriate codes ● Complied and analyzed documentation ● Adhered to policies and guidelines

●Facilitated billing and data collection within established timeframes

University of California at San Diego 04/1989 08/2001

● Complied and analyzed data ● Generated monthly, quarterly and annual reports ● Supervised/ trained

● Conducts ad hoc investigations. ● Actively participated in practice development ● Kept abreast policy changes

EDUCATION / CERTIFICATION

Fundamentals of Project Management ● Core Leadership

UCSD Extended Studies Hospital Coding Specialist Training

UCSD Management Skills Assessment (MSAP) Training Program

Miami Dade College Miami, Florida

Various College and Self Enrichment Courses

LICENSES/CERTIFICATIONS CPC---Certified Professional Coder American Academy of Professional Coders Since 1997

2003,2004,2005 PRESIDENT San Diego Chapter of American Academy of Professional Coders (SDAAPC)

As President of the local chapter of the American Academy of Professional Coders

. Scheduled speakers for local chapter monthly meetings.

. Reported educational program completions to national office

. Coordinated recognition of member achievement

. Induction of new members

. Presided over all local chapter board and executive committee meetings

. Called for and presided over all monthly chapter meetings

. Attended/represented local chapter at community, area and district meetings

. Oversee administrative operation of chapter in compliance with the national AAPC Constitution and Bylaws

. Ensured Chapter's ongoing membership-building program.

. Assessed and developed skills in others (board members) -performance tracking

. Delegated, Directed, Motivated, Implemented, Negotiated, Planned, Problem solved, Organized

. Established and maintained networking sources/resources

. Prepared successor for office

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