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Barbara Anne De Castro, RN, CPC, CCS

Medical Coder, Registered Nurse

Summary

Motivated individual with demonstrated proficiency in listening to clients needs, and helping in formulating the tactical action plan to achieve results. Constantly explores opportunities to further elevate customer satisfaction and boost revenues. Known for honesty, integrity and a genuine passion for achieving goals for self and others. Superior interpersonal dynamics interface seamlessly with others from all levels, backgrounds and cultures. 

Work History

Aug 2016Present

Inpatient Medical Coder

ARMCO Health Partners/CIOX Health
  • Review and interpret health record documentation to identify pertinent diagnosis and procedures requiring code assignments.
  • Translate diagnoses and procedures to ICD-10-CM and ICD-10-PCS codes.
  • Demonstrate appropriate utilization of coding software and reference materials.
  • Perform inpatient medical coding for medical centers in the United States.
  • Code medical records using ICD-10-CM and ICD-10-PCS.
  • Query physicians to ensure appropriate documentation for accurate coding.
Oct 2013Jun 2015

Recovery/Resolutions Analyst

UnitedHealth Group
  • Contacted provider offices to educate them of the overpayment.
  • Worked with providers to resolve the overpaid accounts.
  • Made follow-up calls to providers regarding the status of the accounts.
  • Created spreadsheets to facilitate review of overpaid accounts efficiently. 
  • Sent necessary documents to the provider to assist in reviewing the overpayment.
Sep 2012Sep 2013

Coordination of Benefits Representative

UnitedHealth Group
  • Investigated the existence of another health insurance of a subscriber which may include a commercial carrier or a federal or state mandated insurance (Medicare, Medicaid, etc.)
  • Verified the eligibility status of the member.
  • Determined primacy of insurance coverage using the NAIC guidelines.
  • Contacted members to obtain accurate insurance information.
  • Updated eligibility and COB information on different systems.
Apr 2011Apr 2012

Communication Assistant

Stellar Global Solutions
  • Facilitated communication or telephone conversation between the deaf, hearing-impaired or speech-disabled individuals and the voice party.
  • Assisted in obtaining accurate information from an automated system.
  • Relayed conversations verbatim.
  • Typed accurate message from and to the voice party.
  • Maintained confidentiality of communication as well as personal information which was disclosed during the call.
Aug 2008Apr 2011

Tutor

Freelance
  • Taught English and academic subjects to Korean Nationals.
  • Created practice exams to facilitate learning.
Aug 2006Mar 2007

Customer Service Representative

TeleTech Inc.
  • Provided eligibility status and benefits information to providers.
  • Determined participating status of providers.
  • Provided and discussed claims information and status.
  • Helped resolve claim disputes.

Education

Jun 2015Aug 2015

Medical Coding

TeleDevelopment Inc.
Jun 2002Mar 2006

Bachelor of Science in Nursing

University of Sto. Tomas
Jun 1998Mar 2002

High School Diploma

St. Scholastica's Academy

Skills

Medical Coding

Coding medical records using ICD-10-CM and ICD-10-PCS.

Medical Insurance

General knowledge with medical claims insurance - benefits and eligibility, claims, billing.

Typing

Typing of 80 to 85 words per minute.

Microsoft Office

Knowledge of basic Microsoft Office applications (Word, Excel, Powerpoint).

Collections

Acquired the basic collections skills from the training conducted by my manager.

Qualifications

  • Passed the Certified Coding Specialist Examination by the American Health Information Management Association (AHIMA) in August 2016.
  • Passed the ICD-10-CM Proficiency Assessment in September 2015 with a 97% score.
  • Passed the Certified Professional Coder Examination by the American Academy of Professional Coders (AAPC) in August 2015 with a 92% score.
  • Passed the 2006 Philippine Nursing Licensure Examination
  • Passed the National Council for Licensure Examination - Registered Nurse (State of California, 2010)
  • White Belt (2012) and Lean Training (2013) Certifications - Six Sigma
  • Received overall band score of 7.5 in IELTS (2010)
  • Received numerous recognition including Star Award, Venus Award, Employee spotlight, etc. in UHG.

Character References