Melissa Weymer is a highly dedicated and experienced licensed practical nurse seeking a position where she can apply her skills in insurance authorization, documentation, and ICD/CPT coding. She has over 20 years of nursing experience in various settings including home health care, medical offices, and daycare ownership. Her experience also includes managing authorizations, compiling documentation, and ensuring compliance with CMS standards.

1. 3417 Broad Avenue
Altoona Pa 16601
(814)-691-5532
melissa254@comcast.net
MELISSA WEYMER
SUMMARY
STATEMENT
Highly dedicated and reliable authorization nurse with excellent insurance
document organization and interpretation skills. Ableto apply appropriate ICD-
10 and CPT codes for proper insurance reimbursement. Understanding of CMS
standards and medical necessity. Experience with 3M encoder and ICD 10 and
CPT.
SKILLS & ABILITIES  Drafted business plan and curriculum for startup of own family
daycare.
 Compiled and designed various newsletters, documents and fliers
to promote family business using Print Shop, Power Point and
various other Microsoft applications.
 Designed web page for day care business using Microsoft Front
Page
 LPN Diploma
 CPR certified
 Experience with Excel
EXPERIENCE Humana, Care Manager
August 2015 to present
 Manage community resources for Humana members
 Comply with stringent CMS standards
 Compile action plans for members that met CMS standards
UPMC Blair Medical Associates, LPN
May 2014 to present
 Prior authorization department, obtained authorization for all cardiac testing in a very
high volume cardiology office.
 Research ICD-9/ ICD 10 codes to submit for medication prior authorization to
insurance companies.
 Experience with Epic care and Centricity
 Research and provide data to support medication authorizations
 Apply correct ICD-9/ICD 10 codes into documentation for insurance authorizations.
 Received Kudos recognition from UPMC main office regarding accurate completion of
insurance authorization

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Interim Healthcare, LPN
September 2004-March 2014
 Interview patients and families to obtain medical history.
 Administer medication and injections to patients.
 Maintain pediatric trach.
 Maintain pediatric client on ventilator.
RESTA HOME CARE, LPN
September 2010- 2011
 Assess and manage pain in post op and wound care clients
 Perform venipuncture as ordered
 Record data and file paperwork
 Assessment of client and implementation of plan of care.
 Performed all skilled nursing aspects of in home care for client.
OWNER/OPERATOR
2003-2005
Creation Station Day Care and Early Learning Center, LLC Portage, PA
 Created and managed all day care activities.
 Devised goal statement and business philosophy for day care.
 Implemented policies and procedures with contracts/documents created on
personal computer.
Medical Staffing Network, Hollidaysburg, PA
2001-2005
 Interview patients and family to obtain medical history
 Worked in short staffed facilities.
 Initiate plan of care for patient in accordance with facility and HIPPA regulations
EDUCATION DEVRY ONLINE- HEALTH INFORMATION TECHNOLOGY, A.A.S. SEPTEMBER 2013-DECEMBER 20,
2015
GPA 3.85
Honors Program
Inductee into National Society of Leadership and Success

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PENN HIGHLANDS COMMUNITY COLLEGE- JONSTOWN, PA EARLY CHILDHOOD EDUCATION, 2006
30 credits completed
GPA 3.5
GREATER JOHNSTOWN VO-TECH- JOHNSTOWN, PA, LPN DIPLOMA, 1996
PENN STATE UNIVERSITY-STATE COLLEGE, PA- SPEECH PATHOLOGY 1987-1991
120 credits completed
REFERENCES AVAILABLE UPON REQUEST