ADRIAN C. GUZMAN

Brownsville, Texas *****

956-***-**** acyhlc@r.postjobfree.com

https://www.linkedin.com/in/adrian-c-guzman-6b4bab1b

PROFESSIONAL SUMMARY

Experienced healthcare information professional with advanced knowledge of coding regulatory requirements,

compliance standards, HIPAA, licensing, reimbursement & accreditation standards

Strong quantitative and analytical ability with meticulous attention to detail in relation to medical records

Committed to strengthening interdepartmental collaboration and promoting high documentation standards

Bilingual in English and Spanish; excellent interpersonal communication and organizational skills

SKILLS

Healthcare: Medical Terminology, State & Managed Care Regulations, HIPAA & JCAHO Guidelines

Technical: Expert in MS Word, Excel, Outlook, PowerPoint, FACS, 3M Encoder, Adobe Dreamweaver, Acrobat,

Photoshop, QuickBooks, Peachtree, Internet, Hub Spot, Qvidian, CMS, TDH Connect

HEALTHCARE INDUSTRY EXPERIENCE

Upwork (Remote) Mountain View,

California

Medical Coder/Auditor (Freelance) 03/2015

Present

Code ER charts, same day surgery charts, and inpatient charts using ICD-10-CM, ICD-10-PCS, CPT codes

Accurately complete ICD-10-CM, and CPT code assignments, and adhere to authorized coding procedures

Accurately examine physicians prescriptions and patients medical records to establish better line of treatment

Identify faulty practices and corrective actions

Park Manor Cypress Station

Houston, Texas

File/Medical Records Clerk 04/2006

04/2007

Maintained, incorporated, and accurately accounted all medical records information on each resident

Audited and thinned medical charts, closed and filed discharged medical charts, ensured that Physicians orders,

telephone orders and other records requiring signatures were received and filed within the required time frame

Assured personal and staff compliance to Residents Rights as well as to all State and Federal regulations

including blood borne pathogens, infection control, use of hazardous materials and fire safety

Attorney Healthcare Collections, Inc.

Houston, Texas

Team Lead, MVA/Liability & Problem Claims 04/2005

03/2006

Managed claim load of 550 accounts of Denial Management, Workers Compensation, Motor Vehicle Accident

(MVA)/Liability and Problem Claims Solution

Appealed underpayment and/or no pre-certificates and authorizations

Managed payment issues with insurance companies with intent of obtaining proper payment on medical claims

Performed quantitative and analytical review of medical records for appeals

Prepared correspondence and legal documents to contact consumers and hospitals regarding past due accounts

Assembled fair payment schedules, negotiated settlements and established promise to pay

Used knowledge of true technical denials, and coordinated EOB's

Worked reports for credit balances, refunds, bad debt, and IME billing. Re-billed Inpatient/Outpatient claims,

updated insurance information

Key Achievements:

Awarded Employee of the Month for 10 consecutive months

Selected as staff trainer, and collaborated with senior management to create new hire training manual

Increased productivity 95% by implementing new training program

Reduced aged A/R under 120 days in less than three months

Astrocare Community Living Assistance & Support Service, Inc . Houston,

Texas

Executive Assistant to Chief Operations Officer 06/1993

11/2004

Recruited, hired, trained, directed, evaluated and terminated medical personnel

Managed service level agreements between suppliers and subcontractors

Met program goals and increased independence/integration within community by utilizing community resources

Procured adaptive aids and minor home modifications; negotiated terms and conditions with vendors to ensure

optimum price, competitiveness and high quality products

Tactfully resolved conflict, discreetly handling confidential and non-routine medical information

Key Contributions:

Improved program compliance 98% by regularly auditing participant's medical record

Improved compliance procedures by regularly auditing time and attendance records

Prepared and submitted accurate monthly billing exceeding $45,000 to TDHS, as well as yearly cost reports

Member of Policy & Procedure Committee and Patient Advocate for companys Board of Directors

PROFESSIONAL WORK EXPERIENCE

Conduent (Xerox Corporation) (Remote)

Chicago, IL

Proposal Development Specialist 05/2014

Present

Facilitate proposal development process and track activities and RFP cycles; meet all project planning deadlines

Capture and manage external resources to support program and services of organization

Create, update and manage administrative record for proposal development activities

Prepare proposal graphics; outline RFPs to ensure thorough compliance with requirements

Xerox Corporation (Remote)

Chicago, IL

Senior Administrative Assistant 03/2010

05/2014

Ensured timely payments of vendor invoices, negotiated favorable terms and pricing agreements with vendors

Prepared and submitted billing and office expense reimbursements

Key Contributions & Achievements:

Mentored four new employees in Administrative Assistant roles, three of which were soon promoted

Awarded Employee of the Quarter four times

Created specialized travel itinerary template which was implemented throughout entire organization

Recognized for financial acumen, successfully managing AP/AR, invoicing and vendor accounts

Received praise for multi-tasking abilities and timely issue resolution from company President

Web editor for Buck Consultants intranet website, Community Champion for Buck Monterreys

Community intranet site, Xeroxs public US and UK site

Automation International, Ltd. (Remote) Stafford,

Texas

Purchasing Agent: Central & South America 04/2007

02/2010

Reviewed and approved purchasing requests; entered purchasing information in system and generated reports

Operated companys sites effectively by providing an uninterrupted flow of materials and supplies

Negotiated contracts and acceptable prices and terms with suppliers and vendors

Coordinated material planning and material flow. Prepared quotation files to include updates with current bids

Interfaced with Sales and Technical Support teams, tracked orders to ensure timely delivery and expedite orders

when required, and maintained expediting system for purchase orders in an efficient manner

EDUCATION AND AFFILIATIONS

University of Phoenix

Phoenix, Arizona

Bachelor of Science Health Administration

2017 -2019

DeVry University, College of Business & Management

Chicago, Illinois

Bachelor of Science, Technical Management w/concentration in HIM August 2016 December

2016

GPA: 3.84/4.00, Deans List

DeVry University, College of Health Sciences

Chicago, Illinois

Associate of Applied Science with Honors, Health Information Technology August

2016

Summa Cum Laude, GPA: 3.81/4.00, Deans List

Current Member: AHIMA ASAP Alpha Sigma Lambda Honor Society American Association of Notaries

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