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I will audit denied claims and correct medical coding errors
AAPC Certified Medical Coder ICD 10 CPT and HCC Denials
AAPC-certified medical coder with a Doctor of Pharmacy (PharmD) - unusual for a coder, and it is why my code selection holds up under payer review.
I code ICD-10-CM, CPT and HCPCS Level II across fam...
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Informazioni su questo servizio
Denied claims are revenue you already earned. Most denials are not payer errors - they are missing modifiers, unspecified diagnosis codes, broken medical necessity links or bundling edits a coder can fix and resubmit.
Send me your denied claims and I will tell you exactly why each one failed and what to change.
WHAT YOU GET
Every denial reviewed line by line against the documentation.
Root cause in plain English, not just the payer code.
Corrected CPT, ICD-10-CM, HCPCS and modifier recommendations.
Appeal-ready rationale your biller can attach.
A pattern summary so the same denial stops repeating.
DENIALS I HANDLE
CO-4 and CO-16 modifier or missing information, CO-11 diagnosis mismatch, CO-50 medical necessity, CO-97 bundling and NCCI edits, CO-18 duplicates, unspecified-code rejections.
BACKGROUND
AAPC certified (CPC, CDEO) with a Doctor of Pharmacy, so medical necessity and drug logic is something I read, not guess at.
Specialties: family medicine, psychiatry, pain management, wound care, podiatry, OB/GYN, GI, urgent care, HCC.
EHRs: athenahealth, eClinicalWorks, Kareo, Office Ally, Practice Fusion, Epic, Cerner.
Start with 5-10 denials and audit my work.
Scopo:
Business
Modello di lavoro:
Basato sul progetto
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Daily
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Ingaggio mensile
Il mio portfolio
FAQ
How do I send you my denied claims?
Send the EOB or remittance advice plus the matching chart note and the claim form. Or add me as a read-only user in your EHR. Screenshots are fine too, as long as the denial code and the documentation are both visible.
Do you submit the corrected claim or just tell me the fix?
This gig delivers the audit and the corrected coding recommendation. If you want me to rebill or file the appeal inside your system, message me first so we scope it as billing work instead.
How do you protect patient data?
Minimum necessary data only, no patient identifiers stored outside your system, no third-party AI tools, and files removed after delivery. I will sign your BAA before you send anything.
What if the documentation does not support any billable code?
Then I tell you that instead of forcing a code. You get a query listing exactly what is missing so the provider can amend the note. Upcoding to win an appeal creates a bigger problem than the denial did.
Can you handle denials for a specialty not listed?
Usually yes. Message me with the specialty and one sample denial and I will tell you honestly whether it is in my range. I would rather decline than learn on your revenue.
