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
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
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
Similar Profiles
NATALIE HANSENNATALIE HANSEN
Senior Director of Development, Huddle House & Perkins at Ascent Hospitality ManagementSenior Director of Development, Huddle House & Perkins at Ascent Hospitality Management
Josiah GabrielJosiah Gabriel
General Virtual Assistant at Ascent ManagementGeneral Virtual Assistant at Ascent Management
Dr Vanessa Stone, CHRM, LNHADr Vanessa Stone, CHRM, LNHA
Licensed Nursing Home Administrator at Ascent Healthare ManagementLicensed Nursing Home Administrator at Ascent Healthare Management
Dylan MurphyDylan Murphy
Care and Enrichment Technician at American Society for Prevention of Cruelty to Animals (ASPCA), Cruelty Recovery CenterCare and Enrichment Technician at American Society for Prevention of Cruelty to Animals (ASPCA), Cruelty Recovery Center
Larissa EpieLarissa Epie
Home Health Aide at Gracelove Home CareHome Health Aide at Gracelove Home Care