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
 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
 Intake of patient's payments: co-payments, co-insurances, and deductibles
 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

05/05-04/06 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