Coding Specialist Medical

Professional Profile

I have excellent communication skills, highly qualified, and very dynamic in my profession. I am very detailed oriented, and my high-level leveraging qualifications have helped proven my expertise. My skills and strong practical knowledge have helped me grow throughout my career.

Skills

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Counseling Education

Student Assessment

Regulatory Compliance Financial Resource Mgmt.

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Academic Strategy

Medical Coding, Current

Procedural Terminology

(CPT) & International

Reporting

•Research Programs

•Database Management

•Payment Processing

•Internal Reporting

Experience

Health & Human Services Commission Houston, Texas

06/2022- Present

RCCL Inspector III

Monitors licensed and registered child-care facilities, documents compliance or noncompliance with standards, and notifies providers of required corrective or adverse actions being taken.

Monitoring includes the timely completion of monitoring inspections; follow-up inspections; waivers and variances requests; fees payments; background checks; controlling persons identification; and permit renewals.

Ensures their time at the operation is appropriate to the facility type, capacity, and inspection type conducted; evaluates all standards in a two-year period.

Evaluates the federally required standards annually; conducts inspections at the appropriate times of day; identifies and cites deficiencies correctly and addresses risk; takes photos as required and documents those correctly.

Ensures the documentation is clear and concise; ensures corrections to deficiencies are appropriate to address risk; and provides useful, purposeful technical assistance to assist operations in improving compliance.

Investigates complaints, incidents, and reports of minimum standards violations in licensed child-care facilities and licensed, registered, and listed homes. Investigations are completed timely according to law, rule, and policy.

Documentation reflects that investigations are thorough, address risk to children, and are compliant with laws, rules, and minimum standards. In addition, documentation of findings is sufficient to support the investigation decisions.

Evaluates new applications for child-care facilities to issue licenses and registrations. Licensing applications and issuances are processed according to Child Care Regulation law, rules, and policy time frames.

Identifies risk and recommending appropriate enforcement actions be taken in accordance with law, rule, and policy, to ensure the health, safety, and well-being of children in regulated child-care facilities.

Provides training and technical assistance to child-care providers on issues related to minimum standards. Attends or presents at provider meetings.

Conducts provider trainings that are useful, purposeful, and outcome-oriented, including Pre-Application sessions for new providers, and minimum standard trainings. Networks and collaborates with providers, stakeholders, and the general public.

Responds to emergency complaints of high-risk situations in licensed operations.

Performs other duties as assigned and required to maintain unit operations.

H&R Block Houston, TX

08/2016 – 04/2022

Senior Tax Analyst

•Started as a seasonal position, then became part-time to full-time

•Review, prepared, and filed tax returns for an individual and business.

•Advised all clients keeping accurate documentation to provide to the IRS.

•Professional Networking and remaining up-to-date on current tax practices &changes in tax law • Reporting and implementing changes into a business tax strategy.

•Tax planning, building strategy plans, and guidance for every client

•Leveraging accounting knowledge for every client needs.

•Work closely with internal staff to enhance tax knowledge planning

Department of Family & Protective Services Houston, TX

CPS Specialist IV

03/2009 – 08/2021

CPS Specialist II

06/2007 – 03/2009

•After children were removed from homes, case(s) had to be reviewed to be placed in CPS conservatorship and care outside of their homes. Pinpointing critical permanency resources.

•Issued referrals for testing, evaluations, and/or further assessments depending on the need of each child.

•Aligning all services with the achievement of engaging with children, families, and communities to plan for a child's positive living & home permanency.

•Sourced potential kinship providers, performing home studies of children's family members/friends. Partnered with the placement team and kinship staff on child placement.

•Liaise with parents to evaluate risk and safety issues and/or identify behavioral changes necessary to achieve child safety.

•Monitored adoptive placements until finalization or until case transferred to adoption caseworker.

•Attended and supported court hearings on families and children, contacting involved parties prior to hearings, preparing court reports, and testifying in court on child’s needs, family’s progress, and efforts to achieve child permanency. By conducting monthly visits and considering the progress of every child’s feelings and accessing their safety in current homes.

•Reported children’s progress to parents, caregivers, court-appointed attorney, and guardian ad litem.

•Oversaw children’s home transitions during reunification services, providing comprehensive family support until closing of legal case.

University of Texas Health Science Center Houston, TX

02/2002 – 12/2007

Medical Records Tech II

Coding Specialist

•Delivered support to nurse and physician on research studies

•Drafted, maintained, and archived accurate patient and employee records.

•Created, Processed, tracked system for all related documentation and managed various project databases.

•Developed notable improvements to payment distribution efficiencies.

•Assured compliance of patient medical records and charts coding to Medicaid and Medicare guidelines.

•Released patient information to requesting parties in accordance with state and local laws.

•Penned weekly status reports aligned with department guidelines and timelines.

•Evaluated provider’s diagnostic and procedural notes and converted into correct codes for recordtracking and billing purposes.

•Administered EMS and pediatrics-specific ICD-9-CM and CPT-4 coding.

•Prepared and disseminated invoices or claims for payment and corrected rejected claims. • Follow-up with patients and insurance agencies regarding outstanding payments

•Successfully achieved 100% capture of all charges.

•Introduced system to enable tracking of all billing information by management.

Baylor College of Medicine, Houston, TX

02/1995 – 6/1999

Data Manager

•Coordinated appropriate treatment and follow-up care for hematology patients.

•Established new and modified databases to meet design requirements for diverse research studies.

•Partnered on multi-institutional studies, providing database design and maintenance, quality reviews, and overall study reviews.

•Drafted prospective and retrospective treatment, toxicity, and response data abstracts and reports.

•Collaborated on enhanced development of clinical research information systems at Texas Children’s Cancer Center.

Education

Master of Counseling Education

University of Houston

Master of Education

Concordia University Austin

Master of Business Administration

University of Phoenix

Bachelor of Business Administration

Concordia University Austin

Associate of Applied Science in Health Information Management

Houston Community College

Language, Proficiency

References

Department of Family & Protective Services

Charline O. Toney

Adoption Prep Program Director

*********.*****@****.*****.*** or Phone#: 832-***-****

University of Texas - Houston

Kevin M. Neal

LCDC

************@*****.*** or Phone #: 832-***-****

Latessa Spencer

LMSW

**************@*****.*** or Phone #: 832-***-****

Contact this candidate