This document provides a summary of Frank Spencer's qualifications and experience in healthcare administration and medical coding. It includes his contact information, education history with multiple degrees, and certifications in areas such as coding, case management, and healthcare administration. The summary highlights over 15 years of experience in roles focused on medical coding, revenue cycle management, and provider education at healthcare organizations in Maine.

1. Frank Spencer, MHA, BA, CPC, CCS-P
8 Leonov, Lane, Richmond, ME 04357
Tel: (H) (207) 656-3211 (C) (207) 737-9940
Profile
• Dedicated and skilled healthcare professional with strong organizational skills
• Excellent ability to work under pressure
• Seasoned background in the medical coding profession
• Exceptional ability to multitask many projects with exceptional results.
Education
Kaplan University
School of Health Sciences – Master of Healthcare Administration – January 2013 – January 2015
Kaplan University
School of Health Sciences – Bachelor of Science in Public Health – April 2010 – January 2013
New Hampshire College
School of Business Administration – June 1991 – January 1995
Field Medical Services School
US Naval School of Health Sciences – February 1988 – April 1988
Hospital Corpsman A School
US Naval School of Health Sciences – October 1987 – February 1988
Richmond High School
September 1984 – June 1987
Certifications
Certified Coding Specialist – Provider
American Health Information Management Association – February 2013
Certificate Program in Case Management
University of Southern Maine Continuing Education – April 2008 – June 2008
Certified Professional Coder
American Academy of Professional Coders – June 2004
Professional Experience
Health Information Services, Charge Posting / Coding Specialists, January 2017 - Present
MaineGeneral Medical Center, Waterville, ME
• Provides coding support for a variety of physician practices, including but not limited to Family Practice,
Pediatrics, Pulmonology, Nephrology, Dialysis, Surgery, Orthopedics, Express Care, Allergy Immunology,
Diabetes and Nutrition, Anticoagulation, Pediatric Behavioral Health, Physiatry, Neurology, Rheumatology
• Reviews and confirms that all of the required information has been captured on the encounter form.
• Responsible for the coding accuracy of all encounter (including ICD-10, CPT and HCPCS codes). This also
includes accurate use of coding modifiers.
• Captures all hospital (inpatient, outpatient and ambulatory services) and assures that these charges are coded and
posted in a timely manner.
• Assures that all encounter charges are accounted for by completing charge reconciliation daily.
• Reviews denial and lag time reports monthly and discusses the findings with the Practice
Administrator/Coordinator to assure appropriate procedure changes and ongoing education
• Has knowledge in the use of the EMR, 3M/HDM Encoding system, Soarian Financials and other computer
programs used for the various physician practices.

2. • Checks regulatory documents to ensure ICD-9, CPT and HCPCHS codes are correct
Revenue Cycle Compliance Specialist, October 2016 – January 2017
MaineGeneral Health, Augusta, ME
 Monitors, reviews and tracks on-going communications from Medicare/CMS including monitoring
and tracking of Medi-messages.
 Communicates timely with areas impacted by regulatory changes and assists depts. in developing
self-monitoring protocols and processes.
Performs random self-monitoring/reviews of high-risk areas or recently implemented changes in
CDMs, billing and other regulatory requirements to ensure accurate and complete reporting on third
party payer bill forms including CMS 1500 and UB92.
Collaborates with Revenue Cycle Leaders to ensure self-monitoring of process changes are
completed and documented.
 Assists with self-monitoring of significant or high-risk changes within the revenue cycle.
Collaborates with Ethics and Compliance and Health Information Services departments to provide
resource for ancillary departments on revenue cycle regulatory questions for medical center
regarding CMS and or other regulatory rules and changes.
 Serves as the primary contact for revenue cycle core departments – PFS, Pt Registration and
Revenue Management for questions regarding revenue cycle compliance. Screens and refers
questions for legal guidance as appropriate.
Leads the development of on-going education and training plans related to annual APC/CMS
changes. Collaborates with members of the PARC Support team, Revenue Management charge
master team, Ethics and Compliance and HIS to ensure timely training and education on regulatory
changes is provided to ancillary areas impacted by change.
Assists Patient Registration and Patient Financial Services and their respective Training Coordinators
in developing education and training on regulatory changes to ensure staff education and training is
completed timely and effectively.
Works with PARC Support team and ancillary department representatives to analyze and implement
quarterly Outpatient Prospective Payment System (OPPS), Inpatient Prospective Payment System
(IPPS) and Ambulatory Payment Classification (APC) changes.
 Serves on various ad-hoc or established workgroup to assist in revenue cycle
implementation/changes in processes.
Other duties and tasks assigned by the Director that support the on-going education, training and
accurate implementation of revenue cycle regulatory changes.
Trainer Physician Practice Coding Educator, November 2010 – October 2016
MaineGeneral Medical Center, Waterville, ME
Provides ongoing training to physician practice coding staff related to claims review findings, regulatory updates and
established coding practices.
Conducts focused claim reviews to ensure coding and charging accuracy and compliance.
Reviews late charge work list daily to ensure charges are accurately and efficiently resubmitted for corrected claims.
Reviews the Enhanced Billing Error Work lists for NCCI, Diagnosis and modifier issues to ensure timely claims
submission.
Reviews denials for accurate coding, modifier and diagnosis usage.
Assists in secondary review of ePremis edits identified by claims editing staff.
Monitors the accuracy of physician and facility claims for MGMC Physician Practices that have been or will be
submitted to third party payers.
Provides ongoing coding and billing training to other patient care personnel involved in the claim development and
submission process to ensure material compliance with laws and regulations relating to the submission of claims.
Facilitation of record compilation and reviews for Medicare ADR (Additional Documentation Requests, other
government payers and private payer requests.
Complies with Corporate Compliance Policy as set out in the Standards of Ethical Conduct and Business Practices.
Protected Health Information is kept confidential at all times.
Enhances cooperation and communication between the physician offices, the MaineGeneral Health Information
Services Department, the Physician Liaison and the MaineGeneral Medical Center’s Registration and Patient
Financial Services departments.
Maintains and fosters a positive working environment within the department by promoting ongoing communication
and staff participation in active problem solving of practice issues.
Keeps Manager/Director informed of problems and issues. Seeks guidance in resolution of problems as needed.

3. Assists the Health Information Services Coding Manager, Director of HIS and Practice Administration to ensure that
accepted auditing procedures are used to evaluate the accuracy of coding and documentation.
Assists the Health Information Services Coding Manager, Director of HIS and Practice Administration to ensure that
provide ongoing education and training to ensure MaineGeneral policies and processes are in place.
Demonstrates performance, which is consistent with the organization mission, values, and quality improvement
standards. Promotes a culture of customer service centered on care. Elements of performance will include teamwork,
innovation, respect, corporation and honesty which create a positive image of leadership across the organization.
Participates in Health Information Services meetings, on-site and off-site coding training sessions and other activities
as assigned by the HIS Coding Manager.
Accepts supervision and guidance and actively participates in efforts to improve quality of performance.
Takes initiative for own professional growth and development by taking advantage of in-house educational offerings
and attending trainings as budget allows.
Charge Coding / Posting Representative II, June 2001 – November 2010
MaineGeneral Medical Center, Winthrop, ME
• Verifies that all demographic information is updated and accurate for each encounter. This includes securing
accurate third party payer information.
• Reviews and confirms that all of the required information has been captured on the encounter form.
• Responsible for the coding accuracy of all encounter (including ICD-9, CPT and HCPCS codes). This also
includes accurate use of coding modifiers.
• Captures all hospital and nursing home charges and assures that these charges are coded and posted in a timely
manner.
• Assures that all encounter forms are accounted for and completes the ticket reconciliation daily. Enters and
reconciles charges daily.
• Completes the hospital reconciliation report monthly and assures that all missing charges are captured and entered
in a timely manner.
• Assures that all medications and supplies are accurately priced and captured. Conducts or obtains an inventory of
supplies and medications comparing against existing charges in GPMS to assure that nothing new has been added
to the inventory that is not being charged for and pursues appropriate action for anything identified that is not
being charged for.
• Reviews denial and lag time reports monthly and discusses the findings with the Practice
Administrator/Coordinator to assure appropriate procedure changes and ongoing education
• Has knowledge in the use of the EMR and other computer programs used in the practice. Is able to correctly
keyboard pertinent information, as well as search for information in the appropriate areas of the EMR and other
computer programs in the practice.
• Checks regulatory documents to ensure ICD-9, CPT and HCPCHS codes are correct.
Patient Services Representative / Medical Assistant, April 2003 – November 2010
Ryan White Part C Grantee – Horizon Clinic, MaineGeneral Medical Center Gardner, ME
• Greets and registers patients in a prompt, courteous and helpful manner.
• Answers telephones, takes messages and provides non-medical information.
• Use EMR to provide information to patients and requests information from providers
• Schedules routine and acute appointments
• Verifies that all demographic information is updated and accurate for each encounter. This includes securing
accurate third party payer information.
• Discharges patients, schedule appropriate follow-up, diagnostic testing as needed.
• Facilitates a team approach to patient care; communicating effectively with patients, families and other members
of the HIV multidisciplinary team to provide appropriate level of care.
• Administers routine immunizations of HIV patients
Medical Service Representative, July 2000 – October 2000
Intelicare, Inc, Portland, ME

4. • Answering multi-line telephone
• Patient Triage
• Printing, faxing and filing of medical triage reports
• Data entry of patient information
Medical Administration Clerk
June 1997 – June 1998 Veterans Administration, Togus, ME
• Answer multi-line telephone
• Patient check-in and check-out for multi-provider clinics
• Make routine, acute pre-operative, post-operative, ancillary service appointments
• Medical record upkeep
Navy Hospital Corpsmen / Emergency Medical Technician
August 1987 – March 1995 United States Navy Various Locations,
• Patient care in a clinic setting and emergency setting
• Emergency vehicle operator trainer – trained approximately 150 non-medical staff on operation of the base
ambulances
• Medical supply purchasing – responsible for an annual supply budget of $750,000
• Supplemental healthcare agent – responsible for an annual supplemental healthcare budge of $250,000
Teaching
Adjunct Professor, January 2009 - Present
Kaplan University, Lewiston, ME
Adjunct instructor for the Medical Assistant Program for Kaplan University Maine, providing instruction both at on-
ground locations and online for medical terminology, medical coding & billing, medical office management and
professionalism in healthcare courses for the medical assistant program.
Service Work
• Secretary / Treasurer Lewiston Chapter of American Academy of Professional Coders
January 2012 – December 2012
• Treasure Lewiston Chapter of American Academy of Professional Coders.
January 2011 – December 2011
Honors & Awards
Graduated Summa Cum Laude – January 2013
Kaplan University
National Society of Collegiate Scholars – 2011
Kaplan University
Alpha Beta Kappa National Honor Society – September 2011
Kaplan University – Delta Zeta Chapter