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Antonio B. Espiritu

Name : Antonio B. Espiritu
Experience : 8
Specialty : Family Practice, Neurology, Oncology, Orthopedic & Pediatrics
Location : Eastvale,CA
Description :

Antonio is a CPC, Certified Coding Specialist, and Nursing Assistant with special skills in Health Insurance Billing and Collections, Workers Compensation Coding, OMFS, Workers Comp/Specialist (Ortho/Surgery) Coding, Private Insurance Coding, Medicare In-Patient and Out-Patient, and HCC Coding and Audit. With 8+ years of experience, he has been responsible for educating clients and peers on compliance and correct coding methodology and reviewed coding related denial codes for correction, performed analysis on denied claims and provided resolution for accurate and faster reimbursement TAT.

His specialties include Orthopedic Surgery Coding, Oncology, Pediatrics, Neurology, Sports Medicine, Family Practice and Trauma.

Possessing excellent organizational and interpersonal skills, he has held the following key responsibilities:

  • Interpret PR2/SOAP Notes per encounter and ensuring correct assignment of ICD9CM, CPT, OMFS, DOL and HCPCS codes; translate diagnostic phrases utilized by healthcare providers into coded form at the highest level of specificity
  • Extract and capture radiology, invasive and non-invasive procedures, DME and other supplies charges from medical charts
  • Provide training and assistance in documentation according to 1995/1997 E/M documentation guidelines.
  • Perform both prospective and retrospective audits and provide feedback to physicians and management 
  • Maintain fluency with the continual changes in Federal and State regulations for prospective payment as well as in current modes of treatment and new medical procedures
  • Claim Edit functions; appending modifier, validating coded charges and determining other potential errors
  • Well-versed in Medical Manager/AS400/Medisoft/Microsoft, Centricity, Health Connect, In-Vision, WEBVS, CINTRIX, SoftMed, Meditech, CSlink, Epic