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I will medical coding denials and identify root causes
CPC Medical Coder Ophthalmology, Audits, Denials and QA
CPC-certified medical coder with 20+ years of healthcare experience, including 15 years in clinical ophthalmology and 7+ years in professional physician coding. I specialize in ophthalmology coding, E...
About this Gig
Repeated claim denials can point to coding, documentation, modifier, medical necessity, or workflow problems.
I am a CPC-certified professional coder with 7+ years of physician coding experience and more than 20 years of healthcare experience.
I will review coding-related denials and help identify the likely reason they occurred.
Review may include:
CPT/HCPCS and ICD-10-CM concerns
Modifier issues
Documentation deficiencies
Diagnosis-to-procedure inconsistencies
Medical necessity concerns
Bundling or coding edit issues
Global-period concerns
Recurring denial patterns
Potential corrective actions
You will receive a clear written summary of my findings and recommended areas for correction or further investigation.
My strongest specialty is ophthalmology, with additional experience in rheumatology, wound care, general surgery, and physician E/M coding.
Please message me before ordering large denial reports or ongoing projects.
Final billing decisions should always be verified against current coding guidelines and applicable payer policies.
FAQ
Can I send patient charts?
Please send de-identified documentation for standard Fiverr projects. If PHI is involved, appropriate secure access and privacy safeguards must be established first.
Do you work with ophthalmology coding?
Yes. Ophthalmology is my strongest specialty, including E/M and eye codes, diagnostic testing, surgical coding, modifiers, documentation review, and denials.
Can you review coding denials?
Yes. I can review coding-related denials, identify likely root causes, and provide recommendations for correction or further review.
Do you offer ongoing monthly work?
Yes. I can provide recurring coding audits, QA, denial review, or documentation review. Message me first with the expected monthly volume and scope.
Can you work directly in my EHR?
For larger or ongoing projects, possibly. The client would need to provide secure access and appropriate privacy safeguards.
Do you provide full-time production coding?
My Fiverr services are focused on audits, QA, denials, and project-based coding review rather than full-time production coding.
Can you review healthcare or medical AI data?
Yes. I can review coding accuracy, medical terminology, structured healthcare data, and AI-generated medical content for consistency and accuracy.
Should I message you before ordering?
Yes, especially for larger, unusual, or ongoing projects. I can confirm scope, turnaround time, and pricing before you place the order.
