Summary
Overview
Work History
Education
Skills
License
Certification
Trainings/Seminars/Webinars
Personal Information
Language Spoken
References
Timeline
Generic
JOY CISNEROS-CALIXTRO

JOY CISNEROS-CALIXTRO

Registered Nurse, Certified Risk Adjustment Coder
Quezon City

Summary

Highly organized and dependable candidate with a proven ability to effectively manage multiple priorities while maintaining a positive attitude. Shows a track record of success in meeting team goals by willingly taking on additional responsibilities.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Medical Coder

Optum
9 2023 - Current
  • Reviews medical records for diagnosis and service code accuracy.
  • Assigns appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable.
  • Flags the provider when documentation is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
  • Participates effectively in clinical documentation improvement initiatives and team meetings to promote quality across all projects.
  • Complies with official coding guidelines, confidentiality regulations, and security of systems.
  • Remains current on coding guidelines and risk adjustment reimbursement requirements.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.

Medical Coder

Change Healthcare Philippines
11.2021 - 09.2023
  • Reviews medical records for diagnosis and service code accuracy.
  • Assigns appropriate ICD–10-CM codes, mapping to risk adjustment models as applicable.
  • Flags the provider when documentation is inadequate, ambiguous, or otherwise unclear for medical coding purposes.
  • Participates effectively in clinical documentation improvement initiatives and team meetings to promote quality across all projects.
  • Complies with official coding guidelines, confidentiality regulations, and security of systems.
  • Remains current on coding guidelines and risk adjustment reimbursement requirements.
  • Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.

Nurse Vaccinator

Department of Health (NCR)
06.2021 - 06.2021

Project-based DOH program during COVID-19 Pandemic.



Occupational Health Nurse

DATEM, Inc.
11.2020 - 05.2021
  • Improved employee health by implementing comprehensive wellness programs and initiatives.
  • Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
  • Provided guidance on proper use of personal protective equipment, significantly reducing the risk of exposure to hazardous materials.
  • Utilized well-honed communication and active listening skills to conduct pre-employment screenings.
  • Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
  • Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
  • Coordinated with external healthcare providers to ensure seamless continuity of care for employees receiving treatment outside the workplace.
  • Developed return-to-work plans tailored to individual needs that expedited recovery time after illness or injury.

Staff Nurse

Elaj Sudair Medical Center
02.2018 - 02.2020
  • Administered medications via oral, IV, and intramuscular injections and monitored responses.
  • Performed various nursing interventions such as wound dressing, vital sign monitoring, and specimen collection.
  • Educated family members and caregivers on patient care instructions.
  • Monitored patients' conditions and reported changes in physical presentation, appearance, and behavior to discuss treatment with physicians.
  • Educated patients on self-care management, empowering them to take an active role in their overall health and wellbeing.

Project Nurse

DATEM, Inc.
05.2017 - 01.2018
  • Improved employee health by implementing comprehensive wellness programs and initiatives.
  • Enhanced employee productivity by providing prompt and effective medical care for work-related illnesses and injuries.
  • Provided guidance on proper use of personal protective equipment, significantly reducing the risk of exposure to hazardous materials.
  • Utilized well-honed communication and active listening skills to conduct pre-employment screenings.
  • Reduced workplace injuries by conducting thorough risk assessments and recommending appropriate safety measures.
  • Maintained detailed records of employee health data, ensuring compliance with privacy regulations and facilitating data-driven decision making on workplace wellness initiatives.
  • Coordinated with external healthcare providers to ensure seamless continuity of care for employees receiving treatment outside the workplace.
  • Developed return-to-work plans tailored to individual needs that expedited recovery time after illness or injury.

Community Health Nurse

DEPARTMENT OF HEALTH (EASTERN VISAYAS)
01.2014 - 12.2016
  • Disseminate health information through community health awareness programs
  • Attend community meetings or health fairs to understand community issues or build relationships with community members
  • Refer community members to needed health services.
  • Provided case management services for high-risk populations such as pregnant women, infants, elderly individuals, and those with chronic illnesses or disabilities.
  • Conducted home visits for at-risk patients, providing necessary medical care and support for improved wellbeing.
  • Collaborated with other health-focused organizations and agencies to promote community health.
  • Enhanced community health through delivering educational presentations on disease prevention, nutrition, and healthy lifestyles.
  • Managed immunization clinics, ensuring timely administration of vaccinations and reducing the spread of communicable diseases.
  • Participated in community outreach events promoting public health resources and services available to local residents.

Education

BACHELOR OF SCIENCE IN NURSING -

University of Eastern Philippines
Catarman, Northern Samar

Skills

    Medical Coder: Reviews patients’ charts and assigns appropriate codes for each patient diagnosis for insurance reimbursement, complying with medical coding guidelines and policies

    Medication and IV administration

    Patient Education and counseling

    Provide basic health services

    Community Health Education

License

  • Professional Regulation Commission (PRC) – REGISTERED NURSE
  • Certified Risk Adjustment Coder (CRC)

Certification

CRC - Certified Risk Adjustment Coder

Trainings/Seminars/Webinars

  • PERFORMANCE IMPROVEMENT IN NURSING MANAGEMENT (PNA), 10/04/21
  • PAIN MANAGEMENT WEBINAR: “The PCA” and “Enhancing Labor Analgesia”, 12/11/20
  • ICU FORUM WEBINAR: “Multi-Organ Dysfunction in Sepsis” and Antimicrobial Stewardship and Using Our Antibiotics Wisely”, 11/18/20
  • Traumatic Brain Injury in Children Webinar, 11/18/20
  • Cardiopulmonary Resuscitation (BLS Provider), 04/04/18
  • Family Planning Competency-Based Training I (FPCBT1), 05/18/15
  • Training on Trainor in Interpersonal Communication and Counseling (TOTIPCC), 01/27/14
  • Registered Nurses for Health Enhancement and Local Services (RNHEALS), 01/01/13 - 12/31/13

Personal Information

  • Age: 33
  • Gender: FEMALE
  • Marital Status: MARRIED

Language Spoken

  • ENGLISH
  • TAGALOG

References

Available upon request

Timeline

Medical Coder

Change Healthcare Philippines
11.2021 - 09.2023

Nurse Vaccinator

Department of Health (NCR)
06.2021 - 06.2021

Occupational Health Nurse

DATEM, Inc.
11.2020 - 05.2021

Staff Nurse

Elaj Sudair Medical Center
02.2018 - 02.2020

Project Nurse

DATEM, Inc.
05.2017 - 01.2018

Community Health Nurse

DEPARTMENT OF HEALTH (EASTERN VISAYAS)
01.2014 - 12.2016

Medical Coder

Optum
9 2023 - Current

BACHELOR OF SCIENCE IN NURSING -

University of Eastern Philippines
JOY CISNEROS-CALIXTRORegistered Nurse, Certified Risk Adjustment Coder