1. MICHAEL KRYLOWSKI, CDIP, CCS, CCS-P, CPC
4936 S. Kolin
Chicago, Illinois 60632
(773) 531-6547
michaelkrylowski@gmail.com
Summary: Self-motivated, proactive, goal orientated, emotionally intelligent
individual who strives to do my best in any task, I take on or set before
me. I’m a lifelong learner, who’s looking for a company that rewards hard
work and success with increased responsibility while effectively utilizing
my management, coding, and consulting experience
Experience: Humana Insurance Company, Chicago, Ill 10/06-present
Provider Consultant/Front Line Leader/ Quality Assurance Coder
• Lead 12 Direct Reports from 3 different roles within the MRA
Department
• Conducted Quality Assurance & created and distributed metrics for
20 coders
• Review/Audit medical for projects: MRA, MMAI, ICP, Hedis,
RADV
• Conducted education and training for physician groups/offices to
increase awareness, proficiency and stress importance of accurate
clinical documentation and coding
Harris & Harris Law Firm, Chicago, Ill 06/04-10/06
Outsourcer/Intermediate Collector
• Acted as the hospital staff to resolve outstanding claims with
patients and/or insurance companies
• Responsible for accounts receivables
• Maintained strict confidentiality with JHACO and HIPPA
MCS, Chicago, Ill 07/02-06/04
Medical Biller/Collector
• Proven ability to handle large volume of accounts and resolutions
of claims through written, telephone, and in person negotiations
• Collected medical bills and interacted with insurance companies
• Advised clients/debtors of necessary actions and strategies for debt
repayment
Strengths: RADV, Hedis, SharePoint, Access, Visio, Publisher, Epic, CCP2, Excel,
Project Management, Metrics, Quality Assurance, MRA, MMAI, ICP,
ICD-10-Proficient, CDIP, CCS, CCS-P, CPC