Grading Rubric Homework Help

Career and Company Research (due this week)
Now that you have identified some career-related goals, it’s time to match those goals to potential employers. In this assignment, you will investigate companies based on those goals, and you will also spend some time thinking about how you will market yourself to those employers.
The assignment template and grading rubric are available in Doc Sharing. Save the template file by aIDing your last name to the template filename (e.g. Week4_Career_Company_Research_Template_Smith.docx).
Be sure to proofread and spell check your work before you submit it.

Phalisha Stevens
4549 Dix St NE
Washington, D.C.  20019
Daytime or Evening: (202)438-2358
Email: PHEE378@GMAIL.COM

OBJECTIVE
Seeking a challenging position where I can fully utilize my strong knowledge of development in medical practice management including physician contracting, utilization review, and quality assurance systems. I would also like to lead with my experience in Revenue Cycle, Business Management, Customer Service, Administrative and/or Program Management, Public Health, Program concepts, Policy and procedure implementation, compliance training, and financial assessments for the good of the organization.
EDUCATION

Devry University, Bethesda MD
Bachelor of Science Health Information Management – In Process -November 2014
3.18 GPA

Devry University, Bethesda MD                                                                                                                        Associate of Applied Science in Health Information Technology – November 2012
3.14 GPA

R.H.I.T Exam –In Process

PROFESSIONAL BACKGROUND/WORK EXPERIENCE

LBR Associates LLC
Clinical Experience
Upper Marlboro, MD
Dates 06/2012 – 12/2012

•    Reviewed and studied reporting procedures and other administrative procedures, regulations and directive materials to develop necessary data collection, consolidation, and reporting methods or meet current needs.
•    Supervised and directed all billing staff activities for accounts receivable collections
•    Resolved all outstanding claims and coordinated with the agency’s third party biller to re-bill corrected claims. Created procedures and reports for all activities associated with the claims billing process  consistent with Medicare and Medicaid guidelines
•    CPT coding, ICD-9 and ICD-10 coding
•    Posted payments and denials from 835’s. Provided training for task oriented assignments along with payment and denial resolution. Maintained charge rates and accurate reimbursement in consistent with insurance guidelines
•    Monitored developments and changes in federal, state, and local statutes, regulations and case law to determine the impact on the Catholic Charities’ health system
•    Provided extensive knowledge of quality assurance methods, principles, and practices to evaluate organization conformance to specified quality requirements and to assure that procedure/processes adequately control the quality of the product
•    Administered operating policies and procedures along with the knowledge of the operational methods and procedures of other activities such as program management, production engineering workload planning, procurement, supply, and skill to coordinate quality assurance requirements with these activities.
•    Reviewed patient medical records and updated the diagnosis codes when needed according to medical guidelines

•    Worked with team members and peers in and outside of their immediate work group to create an exceptional experience for patients, students and other visitors
•    Monitored developments and changes in federal, state, and local statutes, regulations and case law to determine the impact on the  health system
•    Developed and maintained relationships with insurance plans and payer consulting firms
•    Strategized, implemented, and monitored all activities relevant to the revenue cycle with a focus on streamlining processes and increasing accuracy that will result in charges for services rendered being collected in a timely manner while reducing the accounts receivables
•    Lockbox retrieval for balance and reconciliation
•    Participated in policy development, procedures, forms, reports, analyzed data, targeted problem areas, problem resolution, process improvement and other activities relevant to promoting accuracy, efficiency, increased patient and team-member satisfaction, and increased collections while minimizing losses due to administrative errors and omissions
•    Updated and changed HCPCS and procedure codes per Medicare guidelines
•    Assisted with the collection of over $200 million on an annually basis
•    Reviewed patient medical records for completeness, verifying all information is documented accurately and is recorded on charge ticket.
•    Tracked down and recorded implantable/durable medical equipment device numbers under designated charges
•    Maintained and understanding of medical record practices, standards and regulations within their assigned service area
•    Monitored coding and billing guidelines to maintain a CDM consistent with accurate documentation and HIPPA guidelines
•     Billed and re-billed claims through EPremis claims management solution system
•     Performed patient registration in the emergency room, scheduled return appointments, charge posting, and insurance verification
•    In and out patient Medicare/Medicaid billing and follow up while correcting revenue and HCPC codes, adjustments, cancelling claims, and verifying patient eligibility in Medicare system
•    Reviewed EOB’s and patient payments to determine possible over payments
•    Reviewed reports and rejections in timely manner for organizational productivity and quality review standards
•    Account write offs, refunds, payment allowances and adjustments, and bad debt consolidation
•    Resolved Medicare, along with other government insurance and Blue Cross appeals and denials

Children’s National Medical Center
E. R. Tech Specialist   Washington, DC
Dates Employed: 02/2006 – Present

•    Emergency Trauma Specialist provide emergency trauma techniques
•    Assist  physicians and nurse’s
•    Assist in Trauma Code, Medical Alert team as Nurse Right
•    Assist in meeting stable and unstable patients of helicopter arrivals
•    Document Vitals sign such as BP, Temp, Respiratory, Pulse Oximetry
•    Assess the condition of patients who have experienced body injury or are mentally distraught
•    Check the adequacy of airway, the presence of shock, the level of consciousness, and the presence associated with injuries, particularly those neccessitating immediate splinting
•    Provide rapid measures for control bleeding
•    Inspect lacerations, abrasions, puncture wounds, animal and human bites
•    Assist with tracheostomy and insertion of endotrachael tubes
•    Perform I.V. theraphy  and venipuncture for purpose of obtaining serology specimens
•    Perform emergency cardio-pulmonary resuscitation (CPR)
•    Obtain urine samples, by catheterization if necessary
•    Handle special treatment problems such as battered child, rape, molestation, prisoners, and psychiatric patients
•    Obtain adequate consultative services; and establish treatment priority in accordance with urgency of patients’ condition
•    Operate electrocardiographic and/or other cardiac monitoring equipment
•    Initiate Staple and Suture removal
•    ICD- 9 and ICD- 10 Coding for E. R. Billing
•    Perform other related duties as required.

Children’s National Medical Center
Surgical Coordinator   Washington, DC
Dates Employed: 10/2000 – 2/2006

•    Responsible for the efficient and effective performance of Medicaid, Medicare, private insurance, and private pay billing and collection functions
•    Responsible for patient account billings, collections, cash postings, management of receivables and reconciles revenue to the general ledger
•    Collect the  information needed for Medicaid applications and submit them to Department of Social Services for approval
•    Meets with all new admissions (resident or family) to explain financial obligations
•    Attend annual and periodic mandatory Compliance Program training including the Health Insurance Portability and Accountability Act (HIPAA) Privacy training
•    Maintained confidentiality of patients, families, and staff
•    Schedule Surgical procedures for In-patients and Out-patient Operating room for General and Ophthalmology Surgery
•    Ability to use computer on-line ORSOS, HBOC, PPM, PSM scheduling system.
•    Obtain insurance verification, pre-authorization, referrals, order specialized equipment
•    Perform complex clinical surgical coding of CPT and ICD-9 coding.
•    Abstract, analyze and manage healthcare data to determine proper diagnosis and procedure codes as well as other required information for patient and healthcare billing
•    Ability to understand and communicate Physician orders or Surgical Plan of Care

OTHER POSITIONS HELD

National Rehabilitation Hospital            Patient Account Representative               1998 – 2000
Dr. Ivan Leflore                    HIT Specialist                                         1996 – 1998
Columbia Hospital for Women            HIT Specialist/Front Desk Rep              1994 – 1996

TRAINING

HIPAA and JCAHO Regulations                                                        Medicare CMS                                                                                                                                                        Patient Scheduling                                Surgical Coder
Records Management
ICD 9 and 10 /CPT Coding/HCPCS
Medical Terminology
Hospital and Physician Coding
Data Collection
Maryland and DC Medicaid Regulations

TECHNICAL SKILLS

PowerPoint, Excel, Word, WordPerfect, MS Project, Acrobat, MS Outlook,  Medisoft,  Invision knowledge, PeopleSoft, Medicare IDE and Medicare CMS, 3M Coding and Reimbursement, Bear Tracks, ORSOS, ECW, Star Navigator, HPF, PPM and PSM

PROFESSIOANL ORGANIZATION AND ASSOCIATION

AHIMA
AAPC

Name:__________________________________________________
Week 4: Career and Company Research
Template and Grading Rubric
This document contains the template you will use to complete this assignment. Save the file by aIDing your last name to the filename (e.g. Week4_Career_Company_Research_Template_Smith.docx). Be sure to proofread and spell check your work before you submit it.
A grading rubric is also available at the end of this document.
There are TWO parts to the Career and Company Research assignment.
Part 1: Complete the table below and link your one-, two-, and five-year goals (recall that you identified these in the Week 2 Self-assessment Assignment) to specific company research. You can also use employers you identified in the Week 2 assignment if you wish. (50 POINTS)

GOALS    One-year Goal    Two-year Goal    Five-year Goal
(State your one-year goal here. Must be different from your two- and five-year goals.)    (State your two-year goal here. Must be different from your one- and five-year goals.)    (State your five-year goal here. Must be different from your one- and two-year goals.)
EMPLOYERS    Employer of Choice for One-year Goal (must be different from your two- and five-year employers)    Employer of Choice for Two-year Goal (must be different from your one- and five-year employers)    Employer of Choice for Five-year Goal (must be different from your one- and two-year employers)
Name, location(s), contact information

Products and/or services

Number of employees

Annual sales/profits/growth for the past year
Potential for growth of the firm and the industry as a whole
Major competitors

Mission and/or vision statement

Reputation

Part 2: What is your personal marketing strategy; i.e., what do you plan to do to ensure you achieve your goals? (Some questions you might reflect on in your response include: How will I penetrate the hiIDen job market? How will expand my professional network? Are there skills I need to be working on to be more competitive as a candidate? How will I track my job search? What resources can I use to help me in my job search and how I often should I be contacting them? How will I ensure my resumé and other job-search tools stay current? Where will I look for job leads? How will I hone my interviewing skills? What will I do on a daily, weekly, monthly basis to ensure I am conducting the most proactive job search possible?) (50 points)

In order to achieve my goals, I will . . .

(state what you are going to DO on a daily, weekly, monthly, yearly basis to launch your career)

Grading Rubric: Career and Company Research
Component    Points
Part 1: Award full credit if all sections meet minimum requirements. Deduct up to 30 points for incomplete work. No points awarded if the section is not submitted. Deduct up to 5 points for spelling and grammatical errors.    50
Part 2: Award full credit if marketing plan is comprehensive and is indicative of actions the students will be taking as part of his/her job-search process. Deduct up to 30 points for incomplete or unclear responses. No points awarded if the section is not submitted. Deduct up to 5 points for spelling and grammatical errors.    50
TOTAL POINTS    100