Kari Krolak
East Grand Forks,MN
Summary
Motivated candidate aiming to apply expertise and educational background to foster growth and enhance organizational success.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Profee Denials Specialist, CPC
Medovent Solutions
St. Petersburg, FL
09.2022 - 07.2025
- Utilized coding software to assign correct medical codes for diagnoses and procedures.
- Collaborated with healthcare providers to clarify documentation discrepancies.
- Reviewed patient records for accurate coding and billing compliance.
- Maintained up-to-date knowledge of coding guidelines and regulations.
- Analyzed data trends to support quality assurance initiatives in coding practices.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Maintained up-to-date knowledge of coding changes, updates, and new rules.
- Verified proper coding, sequencing of diagnoses, and accuracy of procedures.
- Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
- Verified accuracy of procedure codes to ensure proper reimbursement levels.
- Researched discrepancies between documentation and billing information in order to resolve any issues prior to submission.
Certified Professional Coder
Amergis (formerly Maxim Healthcare)
Columbia, MD
02.2022 - 09.2022
- Assigned value codes and modifiers to provide specific information for services provided.
- Accurately assigned codes using software and official print copy of code book.
- Reviewed medical records to identify appropriate codes for services rendered, ensuring accuracy and completeness of documentation.
- Provided guidance on complex clinical scenarios requiring special attention when assigning codes.
- Maintained current knowledge of coding regulations by attending seminars, conferences, workshops, or webinars.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained high accuracy rate on daily production of completed reviews.
- Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.
Certified Professional Coder
Omega Healthcare (formerly Himgaine Solutions)
Boca Raton, FL
11.2020 - 01.2022
- Reviewed medical records for coding accuracy and compliance with regulations.
- Assigned codes to diagnoses and procedures using industry-standard classification systems.
- Collaborated with healthcare professionals to clarify documentation and coding queries.
- Utilized electronic health record systems for efficient data entry and retrieval.
- Stayed updated on changes in coding policies and healthcare regulations for compliance.
- Reviewed clinical data from medical records to assign ICD, CPT, and HCPCS codes.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Collaborated with billing team to confirm no additional diagnosis codes available for LCD and NCD coverage.
- Responded to coding questions from callers and other internal departments.
- Accurately assigned codes using software and official print copy of code book.
ND
Altru Health System
Grand Forks, ND
04.2013 - 06.2020
- Coded outpatient and inpatient professional services
- Corrected coding denials
- Corrected NCI edits
- Educated providers on E/M levels
- Worked remotely at home while maintaining expected productivity goals each week (600 charts per week)
- Led coding department meetings monthly
- Maintained CPC credentials each year and continuing education credits every two years
<ul><li>Coded outpatient and inpatient professional services</li><li>Coded independent lab services</li><li>Prepared delinquent dictation reports</li><li>Submitted claims to insurances</li><li>Researched payer denials</li><li>Handled patient inquiries</li><li>Prepared A/R deposits for Billing Department</li><li>Coordinator for credentialing new and existing providers with insurance companies</li></ul>
Monarch Management and Consulting Services
10.2008 - 04.2013
- Coded outpatient and inpatient professional services
- Coded independent lab services
- Prepared delinquent dictation reports
- Submitted claims to insurances
- Researched payer denials
- Handled patient inquiries
- Prepared A/R deposits for Billing Department
- Coordinator for credentialing new and existing providers with insurance companies
Education
Medical Billing and Coding -
Northland Technical & Community College
East Grand Forks, MN05.2007
Skills
- Data Entry
- HIPAA
- Epic
- Claims submission
- Documentation review
- Attention to detail
- Effective communication
- Time management
- Quality assurance
- Quality assessment
- Technical communication
- Data Entry
- HIPAA
- Epic
- Claims submission
- Documentation review
- Attention to detail
- Effective communication
- Time management
- Quality assurance
- Quality assessment
- Technical communication
Certification
- AAPC Member
- Certified Professional Coder (CPC) Nov 2015 – Present
References
Available upon request
Timeline
Profee Denials Specialist, CPC
Medovent Solutions
09.2022 - 07.2025
Certified Professional Coder
Amergis (formerly Maxim Healthcare)
02.2022 - 09.2022
Certified Professional Coder
Omega Healthcare (formerly Himgaine Solutions)
11.2020 - 01.2022
ND
Altru Health System
04.2013 - 06.2020
<ul><li>Coded outpatient and inpatient professional services</li><li>Coded independent lab services</li><li>Prepared delinquent dictation reports</li><li>Submitted claims to insurances</li><li>Researched payer denials</li><li>Handled patient inquiries</li><li>Prepared A/R deposits for Billing Department</li><li>Coordinator for credentialing new and existing providers with insurance companies</li></ul>
Monarch Management and Consulting Services
10.2008 - 04.2013
Medical Billing and Coding -
Northland Technical & Community College
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