Bianca Guzman
Glendora,CA
Summary
Driven by a relentless pursuit of knowledge and excellence, my career aspiration is to continuously expand my skills and become a top performer in my field. With an unwavering commitment to personal growth, I am determined to stay ahead of the curve, embracing new challenges and opportunities that come my way. By fostering a mindset of continuous learning, I aim to consistently deliver exceptional results and make a significant impact in the work that I do.
Overview
12
12
years of professional experience
Work History
Health Information Coder 3
UCLA Health
05.2017 - Current
- Lead coder for ophthalmology and oculoplastic
- Developed coding aid for OPHTH
- Lead coding meetings and monitor production of employees
- Auditing & educating providers on correct/current coding guidelines
- Correcting/responding to insurance denials-medicare, medi-cal, all PPO, all HMO
- Meeting with providers to explain denial trends and provide documentation feedback
- Involved in full revenue cycle
- Oculoplastic research
- Knowledge and understanding of HIPAA, CCI, MS-DRG
- 10 years EPIC/3M experience
- Multispecialty hospital with experience coding for URO, PEDS, ORTHO, OBGYN, ENT
- Maintained high coding standards by adhering to industry best practices and staying current with emerging technologies.
- Delivered consistent results under pressure by prioritizing tasks effectively during periods of high workload or tight deadlines.
- Expedited project completion timelines with strong time management skills and adherence to deadlines.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Performed on-site coding audits to determine accuracy and compliance with coding guidelines.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Generated reports to identify coding trends and discrepancies.
Health Information Coder 3
Vanderbilt Health
05.2023 - 12.2023
- Lead coder/biller surgical/E&M OPHTH
- QR/auditing
- Correcting/responding to insurance denials- all PPO, all HMO, medicare appeals
- 3M experience
Biller
UCLA Health
12.2015 - 05.2017
- Ophthalmology, OBGYN, Neuro collections
- Surgical and E&M collections experience
- Correcting/responding to insurance denials-medicare, medi-cal, all PPO, all HMO, medi-cal assigns, Govt medicare payer
- Appeals
- Guiding providers on LMN
- Running reports to identify denial trends
- Working special projects and training new billers
- Meeting with providers to explain denial trends and provide documentation feedback
- Communicated with insurance companies to research and resolved coding discrepancies
Ophthalmology Front/Back Office
Dr. Kurwa’s Office
05.2013 - 11.2015
- Coding, billing, and collections
- Answering phones
- Scheduling patient exams/surgeries
- Verifying patient coverage
- Correcting/responding to insurance denials-medicare, medi-cal, all PPO, all HMO, medi-cal assigns, Govt medicare payer
Education
CPMA -
AAPC
04-2025
certified ophth coder specialty -
AAPC
04.2017
CPC -
AAPC
02.2013
Associate of Science -
Citrus College
09.2012
Coding/billing/anatomy Course -
Concorde Career College
01.2012
high school diploma -
Glendora High School
Glendora, CA06.2009
Skills
- Team work
- Efficiency
- 97-100% coding accuracy
- Adaptability
- Conflict resolution
- Efficient in word/excel
- 10 years epic experience
- Research
Timeline
Health Information Coder 3
Vanderbilt Health
05.2023 - 12.2023
Health Information Coder 3
UCLA Health
05.2017 - Current
Biller
UCLA Health
12.2015 - 05.2017
Ophthalmology Front/Back Office
Dr. Kurwa’s Office
05.2013 - 11.2015
CPMA -
AAPC
certified ophth coder specialty -
AAPC
CPC -
AAPC
Associate of Science -
Citrus College
Coding/billing/anatomy Course -
Concorde Career College
high school diploma -
Glendora High School
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