huguezbrian
Networker
BRIAN CHRISTOPHER HUGUEZ, CPC
OBJECTIVE
Seeking employment as a Certified Professional Coder where I may utilize my six plus years of healthcare experience and maximize my potentials for growth in the medical field as a coder.
EXPERIENCE
09/09–Present Vantage Oncology, Inc. Manhattan Beach, CA
Patient Account Services Representative-Collector
Medical records abstracting & review
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
Verify eligibility and retro-authorizations requests
Manage up to (4) facilities with a 2010 year to date collected amount of: $5,728,042.00
06/08-09/09 California Hospital Medical Center-CHW Los Angeles, CA
Health Information Management Clerk II
Analysis and assembly of in & out patient medical records
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
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
05/05-05/06 California Hospital Medical Center-CHW Los Angeles, CA
Health Information Management Clerk I
Analysis and assembly of in & out patient medical records
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
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
• DRG, OPPS, DOFR & HIPAA Compliant
• Excellent Billing, Collection, Reimbursement, and Customer Service Skills
• Knowledge of Medicare/Medi-Cal guidelines, Medical Terminology and Anatomy
• CMS-1500, UB04, TAR, RTD, MCR Redetermination, MCAL CIF, and Explanation of Benefit (EOB) forms expert.
• Knowledge of Third Party Payer: PPO, HMO, Medicare, Medi-Cal, Global Period/Case Rates, Technical and Professional Components
• MediSoft, EmergiSoft, MedWrite, Enterprise & Intergy, Microsoft Excel, Word, and PowerPoint
CREDENTIALS/CERTIFICATES
Certified Professional Coder, Phlebotomy & Blood Withdrawal Certificate, CPR & Fire Safety Cards, and Medical Billing/Insurance Coding Certificate
9319 COMPTON AVENUE APT. #9 • LOS ANGELES, CA 90002
HUGUEZBRIAN@YAHOO.COM – (323) 271-2397
OBJECTIVE
Seeking employment as a Certified Professional Coder where I may utilize my six plus years of healthcare experience and maximize my potentials for growth in the medical field as a coder.
EXPERIENCE
09/09–Present Vantage Oncology, Inc. Manhattan Beach, CA
Patient Account Services Representative-Collector
Medical records abstracting & review
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
Verify eligibility and retro-authorizations requests
Manage up to (4) facilities with a 2010 year to date collected amount of: $5,728,042.00
06/08-09/09 California Hospital Medical Center-CHW Los Angeles, CA
Health Information Management Clerk II
Analysis and assembly of in & out patient medical records
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
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
05/05-05/06 California Hospital Medical Center-CHW Los Angeles, CA
Health Information Management Clerk I
Analysis and assembly of in & out patient medical records
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
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
• DRG, OPPS, DOFR & HIPAA Compliant
• Excellent Billing, Collection, Reimbursement, and Customer Service Skills
• Knowledge of Medicare/Medi-Cal guidelines, Medical Terminology and Anatomy
• CMS-1500, UB04, TAR, RTD, MCR Redetermination, MCAL CIF, and Explanation of Benefit (EOB) forms expert.
• Knowledge of Third Party Payer: PPO, HMO, Medicare, Medi-Cal, Global Period/Case Rates, Technical and Professional Components
• MediSoft, EmergiSoft, MedWrite, Enterprise & Intergy, Microsoft Excel, Word, and PowerPoint
CREDENTIALS/CERTIFICATES
Certified Professional Coder, Phlebotomy & Blood Withdrawal Certificate, CPR & Fire Safety Cards, and Medical Billing/Insurance Coding Certificate
9319 COMPTON AVENUE APT. #9 • LOS ANGELES, CA 90002
HUGUEZBRIAN@YAHOO.COM – (323) 271-2397