Pamela Casto
Delaware,OH
Summary
Experienced healthcare coding professional with a proven track record in outpatient coding. Ensures precise and compliant medical record documentation. Recognized for strong collaborative skills and a steadfast commitment to achieving accurate results. Reliable team player with the flexibility to adapt to changing needs. Proficient in ICD-10, CPT, and HCPCS coding systems.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Coding
Ascent Medical Management INC
Ohio
10.2022 - Current
- Surgical coding includes the extraction of documentation to code CPT/ ICD 10 for billing of surgical procedures and deliveries
- Physician office coding includes the review of documentation to code CPT/ ICD 10 for billing of E/M’s, in office procedures and testing (EKG, in office labs, injections) monthly monitoring services of RPM and CCM and DME for podiatry
- Office coding consists of OB/GYN, Family Practice, and Podiatry
- Review and educate clients of the new LCD’s and insurance policies as new ones are released along with new CPT and ICD 10 guidelines
- Help with new edits and billing procedures as new policies are added
- Review and correct denials of claims for rebilling
Coding
Holzer Health Systems
Ohio
09.2013 - 09.2022
- Managed initial coding for rehabilitation therapy, wound care, as well as OB/GYN and chiropractic as needed
- Reviewed and re-coded rejections for all specialties
- Coordinated with the billing department for updates and payer specific policies
- Training of new employees on PM software and coding department specialties such as wound care, cardiac rehab and podiatry
- Completed governmental billing of medical claims
- Composed and sent reviews for medical claims
- Contacted and worked with insurance companies on resolving disputed claims on the patient’s behalf
- I had a set of work files that I managed for rebilling consisting of faxing, filing and organizing for timely billing
Business Owner
K&L Catering
07.1998 - 12.2012
- Established and managed all aspects of a small business
- Communicated and worked closely with clients in planning and executing big life events for clients, vendors in processing orders and deliveries, staffing in training with new trends, foods, and venues
- Oversaw and executed all aspects of catering including serving, transporting, cooking, planning and ordering of supplies
- Office manager’s duties included payroll, scheduling staff and events, organizing events from start to finish, menu development, phones, customer service and accounting (accounts payables and receivables)
- Operated QuickBooks Pro and Microsoft Office software to manage employees, events, and expenses
Skills
- Encoder
- Epic
- NexGen
- Excel
- Microsoft Outlook 365
- Athena
- Touchworks
- IHeal
- Emdeon
Certification
- AAPC- CERTIFIED PROFESSIONAL CODER, 10/01/16, Present
- AHIMA- CERTIFIED CODING SPECIALIST, 08/01/19, Present
Current Memberships
- AAPC, 10/01/16, Present, Columbus Chapter
- AHIMA, 08/01/19, Present
- OHIMA, 04/01/21, Present
Timeline
Coding
Ascent Medical Management INC
10.2022 - Current
Coding
Holzer Health Systems
09.2013 - 09.2022
Business Owner
K&L Catering
07.1998 - 12.2012