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#1
08-08-2012, 02:51 PM
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Seeking a per diem, part time, weekend or remote employment in Los Angeles, CA
BRIAN C. HUGUEZ, CPC, CPC-H, MBIC
OBJECTIVE Seeking a per diem, part time or remote employment as a Medical Coder/Compliance Auditor where I may utilize my eight plus years of healthcare experience and maximize my potentials for growth in the medical field. EXPERIENCE 01/12-Present St. Jude Heritage Healthcare-SJHS Fullerton, CA Coder/Physician Educator Routine compliance audits HCC Risk adjustment coding, reviews & provider education Educate physicians on coding & documentation guidelines Accurately code inpatient, outpatient, intensive care, trauma/general surgeries, transitional care and family practice cases using ICD-9-CM, CPT-4, HCPCS code sets and properly sequence diagnosis/procedures per patient EMR Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse Review, audit, and submit charges from Touchworks to IDX system Resolve billing & coding discrepancies 09/09–12/11 Vantage Oncology, Inc. Manhattan Beach, CA Patient Account Services Representative-Collector Accurately code radiation therapy & medical oncology treatment cases using ICD-9-CM, CPT-4, HCPCS code sets and properly sequence diagnosis/procedures per patient EMR Review aging reports for all Government, HMO, PPO, CCS, Worker’s Compensation and other Commercial insurances carriers Audit claims prior to submission to insurance carriers Research & Analysis of delinquent third party payers Follow up on insurance denials, requests, and notifications Determine reimbursement problems and resolve billing & collection discrepancies Redeterminations, appeals, peer to peer reviews, refunds, claim inquiries, TAR, CIF, and Administrative Law Judge hearing requests Adjusting and resubmitting claims: adding modifiers, units, and procedure codes Manage up to (4) facilities with a an average year to date collected amount of: $5,728,042.00 06/08-09/09 California Hospital Medical Center-CHWLos Angeles, CA 05/05-05/06 Health Information Management Clerk Analysis and assembly of in & out patient medical records Charge capture & diagnosis coding for OB/GYN triage patients MedWrite & EmergiSoft dictation review Data entry (AS400) system Assist physicians & other healthcare professionals on accessing medical records Collect and create patient charts as they are discharged from the hospital PHI release forms, answering phones, and filing 05/06-06/08 California Hospital Medical Center-CHW Los Angeles, CA Surgery Attendant-Level II Trauma Center Charge capture & diagnosis coding for Post Anesthesia Care Unit patients 12 Lead EKG’s and Blood withdrawals Set up anesthesia/surgical equipment before and after each procedure Assist surgical team on positioning patient prior to procedure Check patients glucose and temperature after surgery Pick up and transfer specimen, PRBC, Platelets, and Thawed FFP’s for surgical patients Inform patient’s relatives on status, length of stay and bed assignment Respond to patient’s needs from neonatal to convalescent EDUCATION 2009 United Education Institute-College Huntington Park, CA Medical Billing & Insurance Coding Certified 2003 Youth Opportunities High School Los Angeles, CA High School Diploma SKILLS • Excellent ICD-9-CM, CPT-4, and HCPCS Level II Coding skills • Excellent Coding, Billing, Collection, and Reimbursement skills • MS-DRG, OPPS, DOFR & HIPAA Compliant • Knowledge of Medicare billing, coding & documentation guidelines • Strong knowledge of Medical Terminology, Physiology and advanced human Anatomy • Knowledge of Third Party Payer: PPO, HMO, Medicare, Medi-Cal, Global Period/Case Rates, Technical and Professional Components • Knowledge of the following softwares: IDX, Touchworks, Allscripts, Meditech, MediSoft, AS400, EmergiSoft, MedWrite, Enterprise Intergy, Microsoft Excel, Word, and PowerPoint • CMS-1500, UB04, TAR, RTD, MCR Redetermination, MCAL CIF, and Explanation of Benefit (EOB) forms expert CREDENTIALS/CERTIFICATES CPC, CPC-H, Medical Billing/Insurance Coding Certificate 2510 PALM PLACE • HUNTINGTON PARK, CA 90255 HUGUEZBRIAN@YAHOO.COM – (323) 271-2397 
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#2
08-08-2012, 09:03 PM
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You should check out AE & Associates in Corona. They are looking for coders, auditors, etc.
http://aeandassociatesllc.com/Careers/JobPostings.aspx
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#3
08-10-2012, 09:13 AM
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