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Childcare Provider Resume Example

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CHILDCARE PROVIDER
Summary

Kind and knowledgeable Childcare Provider well-versed in maintaining safe and nurturing environments for children. Comfortable caring for individuals of varying ages.

Excellent communicator with good organizational, problem-solving and conflict resolution skills. Hands-on professional offering a keen understanding of data confidentiality and HIPAA regulations.

Highly trained Medical Coder knowledgeable in AMA and the CMS coding rules. Self-motivated Medical Records Specialist with expertise in scanning and indexing medical records to correct chart.

Skills
  • Record keeping requirements
  • Creative arts talent
  • Age-appropriate activities
  • Safety understanding
  • Housekeeping abilities
  • Reading skills
  • Conflict resolution
  • Organizational skills
  • Coordination
  • Leadership
  • Decision-making
  • Active listening
  • Critical thinking
  • Medical terminology
  • Healthcare claim coding
  • Medical record security
  • Documentation oversight
  • Patient data identification
  • Knowledgeable in 3M, Epic, and Medical Manager
  • Data entry
  • Billing procedures
  • Insurance Verification
  • Insurance billing
  • Medical recordkeeping
  • Inventory controls
  • Team building
  • Flexible
  • Excellent communication skills
  • Internet savvy
  • Goal-oriented
  • Staff development/training
Experience
Lexi MorganBonne Terre, MOChildcare Provider12/2020 to Current
  • Secured indoor and outdoor premises to protect children under care.
  • Helped prepare meals, snacks and refreshments for children, accounting for individual dietary needs and restrictions.
  • Used techniques such as positive reinforcement and behavior modeling to instill discipline in children.
  • Balanced schedules to provide optimal rest, play and educational periods.
  • Incorporated music and art activities to encourage creativity and expression.
  • Provided nurturing and appropriate environment for child 10 months.
  • Assisted children in development of social, communication and problem-solving skills.
  • Discussed new developments, misbehavior and concerns with parents or guardians.
  • Kept children safe and secure at all times.
BJC HealthcareSt. Louis, MOOutpatient Medical Coder06/2012 to 07/2020
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
  • Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
  • Received, organized and maintained all coding and reimbursement periodicals and updates.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Thoroughly reviewed remittance codes from EOBS/AR's.
  • Coded outpatient encounters at rate of 100 per day and 170 complex specialty coding, maintaining 95% accuracy.
  • Read through patient health data, including histories, physician diagnoses and treatments to gain understanding for coding purposes.
  • Reviewed medical record information to identify all appropriate coding based on 3M.
  • Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
  • Maintained 95% accuracy rate on daily production of 100 to 150 reviews per day.
  • Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.
  • Verified proper coding, sequencing of diagnoses and accuracy of Outpatient procedures.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Verified and abstracted all medical data to assign appropriate codes for hospital inpatient records.
  • Reviewed and abstracted relevant clinical data from electronic medical records to select appropriate code for procedures.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
Jung H. Lee, M.D.Crystal City, MOMedical Biller and Coder11/2009 to 06/2012
  • Assessed medical codes on patient records for accuracy.
  • Reviewed medical records to meet insurance company requirements.
  • Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
  • Assigned Physician Quality Reporting System (PQRS) codes appropriately.
  • Documented and filed patient data and medical records.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Interpreted medical terminology and pharmacological information to translate information into coding system.
  • Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations.
  • Expertly assigned charges and payments for medical procedures.
  • Effectively coordinated all communications between patients, billing personnel and insurance carriers.
  • Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
  • Filed and submitted insurance claims.
  • Researched and rectified account discrepancies.
  • Organized information for accounts more than 90 days past due and transferred to collection agency.
  • Reviewed account information to confirm patient and insurance information is accurate and complete.
  • Reviewed all claims for accurateness and appropriateness.
  • Utilized electronic charge capture systems to consolidate and streamline billing processes.
  • Compiled and maintained logs, and statistical or research records to locate requested health data.
  • Applied HIPAA Privacy and Security Regulations while handling patient information.
  • Flagged return claims and dealt with insufficient payments.
  • Completed and submitted appeals.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
  • Addressed and responded to staff and client inquiries regarding CPT and diagnosis codes.
  • Sought clarification from physicians and other hospital personnel for answers to any needed coding interpretations prior to abstracting records.
  • Added modifiers, coded narrative diagnosis and verified diagnoses.
  • Performed with precision by entering data accurately and researching to resolve questions.
  • Performed routine quality assurance audits to promote data integrity.
  • Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
  • Researched and communicated insurance requirements, including patient financial responsibilities and fee-for-service
  • Managed benefit contract pricing, processing, policies and procedures.
  • Verified final claim submissions by comparing account charges with documentation.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Scheduled patient's appointments and procedures.
  • Pre-Certified patient procedures with insurance carriers prior to procedure appointments at the hospital.
St. Louis Post-DispatchSt. Louis, MOClassified Paginator07/1998 to 10/2008
  • Responsible for meeting strict daily deadlines.
  • Training co-workers.
  • I had to lay out the daily classified sections and special editions.
  • I designed and maintained a training manual.
  • Was in constant contact with classified personnel on a daily basis.
  • Tested new software when the system was updated.
  • Scanned images to be used in ads and daily photos used in the newspaper.
  • I would build ads that ran in the newspaper.
  • Proofread ads and content of ads for accuracy.
  • I would adjust my schedule to meet the needs of the classified section and stay late when needed.
Education and Training
High School Diploma05/1998North County Senior High School, Bonne Terre, MO
Some College (No Degree):Graphic CommunicationsUnitec Career Center, Bonne Terre, MO
Some College (No Degree):Medical Billing And CodingSanford-Brown College - Fenton, Fenton, MO
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Resume Overview

Companies Worked For:

  • Lexi Morgan
  • BJC Healthcare
  • Jung H. Lee, M.D.
  • St. Louis Post-Dispatch

School Attended

  • North County Senior High School
  • Unitec Career Center
  • Sanford-Brown College - Fenton

Job Titles Held:

  • Childcare Provider
  • Outpatient Medical Coder
  • Medical Biller and Coder
  • Classified Paginator

Degrees

  • High School Diploma 05/1998
    Some College (No Degree) : Graphic Communications
    Some College (No Degree) : Medical Billing And Coding

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