Ms. Esguerra has over 20 years experience and special expertise in medical coding/billing, medical records auditing and HIPAA compliance. She is a Certified Professional Coder- American Academy of Professional Coders since 1998. In addition she is certified in Utilization and Case Management, and a Member of the American Association of Audit Specialist. Some of her expertise is in the independent healthcare contract analysis for Medicare, Medi-Cal, HMO, POS, EPO, PPO, benefit plan, interpretation, adjudication rule configuration, CPT, ICD-9CM, HCPCS code assignment, DOFR analysis and interpretation and system implementation. She developed and maintains audit tools to ensure accuracy of data and quality control. In addition she teaches about medical terminology, ICD-9CM, CPT, HCPCS, Modifiers, Fee Schedule, Claim types, Claim forms, Claims adjudication, Billing process, Referral authorization, and Provider types, Benefit Matrix, Division of Financial Responsibility and Other Insurance Coverage.
