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I’m a medical coder having 4 years of experience in E/M, Denials coding I'm also CCS certified Have a fair knowledge in CPT/ICD coding and denial management in RCM

🏆 𝗖𝗣𝗖 𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 𝗣𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹 𝗖𝗼𝗱𝗲𝗿 | 𝗠𝗲𝗱𝗶𝗰𝗮𝗹 𝗖𝗼𝗱𝗶𝗻𝗴 & 𝗕𝗶𝗹𝗹𝗶𝗻𝗴 𝗦𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁 | 𝗲𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹𝗪𝗼𝗿𝗸𝘀 𝗘𝘅𝗽𝗲𝗿𝘁 🟢 𝐀𝐯𝐚𝐢𝐥𝐚𝐛𝐥𝐞 𝐅𝐮𝐥𝐥-𝐓𝐢𝐦𝐞 | 𝐇𝐈𝐏𝐀𝐀 𝐂𝐞𝐫𝐭𝐢𝐟𝐢𝐞𝐝 | 𝗘/𝗠 𝗦𝗽𝗲𝗰𝗶𝗮𝗹𝗶𝘀𝘁 | 𝗖𝗣𝗖 𝗖𝗲𝗿𝘁𝗶𝗳𝗶𝗲𝗱 𝗣𝗿𝗼𝗳𝗲𝘀𝘀𝗶𝗼𝗻𝗮𝗹 𝗖𝗼𝗱𝗲𝗿 𝗥𝗖𝗠 𝗖𝗼𝗻𝘀𝘂𝗹𝘁𝗮𝗻𝘁 & 𝗖𝗣𝗖 𝗖𝗼𝗱𝗲𝗿 | 𝗪𝗼𝗿𝗸𝗳𝗹𝗼𝘄 𝗢𝗽𝘁𝗶𝗺𝗶𝘇𝗮𝘁𝗶𝗼𝗻 | 𝗜𝗻𝗰𝗿𝗲𝗮𝘀𝗲 𝗖𝗼𝗹𝗹𝗲𝗰𝘁𝗶𝗼𝗻𝘀 & 𝗥𝗲𝗱𝘂𝗰𝗲 𝗗𝗲𝗻𝗶𝗮𝗹𝘀 𝗦𝘁𝗿𝘂𝗴𝗴𝗹𝗶𝗻𝗴 𝘄𝗶𝘁𝗵 𝗱𝗲𝗻𝗶𝗮𝗹𝘀, 𝗱𝗲𝗹𝗮𝘆𝗲𝗱 𝗿𝗲𝗶𝗺𝗯𝘂𝗿𝘀𝗲𝗺𝗲𝗻𝘁𝘀, 𝗼𝗿 𝗿𝗲𝘃𝗲𝗻𝘂𝗲 𝗹𝗲𝗮𝗸𝗮𝗴𝗲? Your practice deserves clean claims, faster payments, and compliance-driven workflows. That’s where support comes in — helping you collect more, stress less, and stay compliant. 📌 𝗛𝗼𝘄 𝗬𝗼𝘂𝗿 𝗣𝗿𝗼𝗯𝗹𝗲𝗺𝘀 𝗚𝗲𝘁 𝗦𝗼𝗹𝘃𝗲𝗱 • Higher clean-claim rates — fewer rejections. • Faster AR turnaround — payments come in quicker. • Audit-ready coding — compliance built into every claim. • Workflow optimization — smoother processes, less manual work. • Reliable support — no babysitting required. Think of this as adding a consultant to your team, not just another freelancer. 👨‍⚕️ 𝗖𝗿𝗲𝗱𝗲𝗻𝘁𝗶𝗮𝗹𝘀 & 𝗘𝘅𝗽𝗲𝗿𝗶𝗲𝗻𝗰𝗲 • CPC Certified Professional Coder (AAPC) • HIPAA Certified Virtual Assistant - complete RCM • 9+ years in Medical Coding, Billing, & Revenue Cycle Management • Hands-on expertise across Primary Care, Family Medicine, Mental Health, Cardiology, Pain Management, Pediatrics, Gastroenterology, FQHC, and more • Deep knowledge of payer-specific rules, Medicaid guidelines, and compliance across multiple U.S. states 🎯 𝗦𝗸𝗶𝗹𝗹𝘀 & 𝗘𝘅𝗽𝗲𝗿𝘁𝗶𝘀𝗲 • Medical Coding: ICD-10, CPT, HCPCS, Modifiers, NCCI edits, E/M coding • Revenue Cycle Services: Eligibility verification, prior authorizations, charge entry, AR follow-up, denial management, appeals, payment posting, reporting • Software Tools: eClinicalWorks, Athenahealth, AdvancedMD, NextGen, EPIC, Kareo, Allscripts, IMS, Trizetto, ChangeHealthcare, Waystar • Compliance: HIPAA, CMS guidelines, audit-ready documentation • Analytics & Reporting: Custom dashboards, Excel, PowerPoint, EBO Query Studio, BI Tools 📊 𝗖𝗮𝘀𝗲 𝗦𝘁𝘂𝗱𝗶𝗲𝘀 & 𝗔𝗰𝗵𝗶𝗲𝘃𝗲𝗺𝗲𝗻𝘁𝘀 — Workflow Optimization (FQHC Primary Care) Reduced denials by 30% through custom claim scrubbing rules and improved coding accuracy. — Custom Reporting (eCW EBO Query Studio) Built proactive audit tools that identified coding deviations before submission, saving thousands in lost revenue. 📣 𝗧𝗲𝘀𝘁𝗶𝗺𝗼𝗻𝗶𝗮𝗹𝘀 "𝘖𝘶𝘳 𝘥𝘦𝘯𝘪𝘢𝘭 𝘳𝘢𝘵𝘦 𝘥𝘳𝘰𝘱𝘱𝘦𝘥 𝘥𝘳𝘢𝘮𝘢𝘵𝘪𝘤𝘢𝘭𝘭𝘺 𝘢𝘧𝘵𝘦𝘳 𝘸𝘰𝘳𝘬𝘪𝘯𝘨 𝘸𝘪𝘵𝘩 𝘵𝘩𝘪𝘴 𝘤𝘰𝘯𝘴𝘶𝘭𝘵𝘢𝘯𝘵. 𝘛𝘩𝘦 𝘸𝘰𝘳𝘬𝘧𝘭𝘰𝘸 𝘤𝘩𝘢𝘯𝘨𝘦𝘴 𝘮𝘢𝘥𝘦 𝘢 𝘩𝘶𝘨𝘦 𝘪𝘮𝘱𝘢𝘤𝘵." — Practice Manager, Primary Care "𝘙𝘦𝘭𝘪𝘢𝘣𝘭𝘦, 𝘬𝘯𝘰𝘸𝘭𝘦𝘥𝘨𝘦𝘢𝘣𝘭𝘦, 𝘢𝘯𝘥 𝘱𝘳𝘰𝘢𝘤𝘵𝘪𝘷𝘦. 𝘞𝘦 𝘳𝘦𝘤𝘰𝘷𝘦𝘳𝘦𝘥 𝘴𝘪𝘨𝘯𝘪𝘧𝘪𝘤𝘢𝘯𝘵 𝘳𝘦𝘷𝘦𝘯𝘶𝘦 𝘵𝘩𝘢𝘯𝘬𝘴 𝘵𝘰 𝘢𝘤𝘤𝘶𝘳𝘢𝘵𝘦 𝘤𝘰𝘥𝘪𝘯𝘨 𝘢𝘯𝘥 𝘳𝘦𝘱𝘰𝘳𝘵𝘪𝘯𝘨." — Director of Operations, Multi-specialty Clinic Your revenue cycle doesn’t have to be a headache. Send a message today — let’s fix your billing workflow and maximize reimbursements. Best, Biplab D, CPC

I am a CPC-certified Medical Coder with over 3 years of experience specializing in Emergency Department (ED) ProFee and ED Facility coding. I have strong expertise in accurately assigning (ICD-10-CM, CPT, HCPCS ) codes while ensuring full HIIPA compliance with AAPC, CMS, and payer-specific guidelines. My technical expertise includes ICD-10-CM diagnosis coding CPT and HCPCS Level II procedure coding ED E/M coding (99281–99285) based on MDM guidelines ED Facility leveling methodologies Injection and Infusion coding Critical Care coding (99291–99292) Proper modifier usage (25, 59, 24, 57, etc.) NCCI edits review and compliance Denial analysis and correction Documentation review for coding accuracy and audit readiness I have experience working with high-volume ED charts, maintaining strong accuracy and productivity standards. I ensure correct code sequencing, adherence to NCCI bundling rules, and proper reimbursement optimization while minimizing denials and compliance risk. I have worked extensively with different specialties such as Mental Health, Chiropractic, radiology,E/M and Physical Therapy,etc. My hands-on experience with Codify, Optum Encoder, MCD coding coverage, Google Docs, Google sheets and numerous software platforms like Office Ally, ECW, Practice Fusion, Care Cloud, EZ Claim, Availity, TriZetto, and Kario allows me to navigate various systems efficiently and effectively • Areas of Expertise 1- Outpatient Coding 2- Inpatient Coding 3- Emergency Department (ED) Coding 4- Same-Day Surgery Coding 5- Trauma Center Coding 6- Wound Care Management My objective is to provide accurate, compliant, and timely coding services that help healthcare providers maximize revenue and maintain audit-ready documentation. If you are seeking a dependable and detail-oriented ED medical coder with strong knowledge of ICD-10-CM, CPT, HCPCS, and NCCI guidelines, I am ready to support your organization. MEDICAL CODING medical biller medical submission medical process icd-10-cm cpt,cpc HIM E/M radiology

Hi there! I'm Krishna, a highly skilled and passionate certified medical coder with almost 8+ years of experience in medical coding. I specialize in delivering top-notch medical coding services mostly for outpatient accounts (E/M, ED, SDS, etc.), with a strong focus on quality, timely delivery, and customer satisfaction. Whether you’re looking for a medical coder, need help with medical transcription, medical billing charge entry or claims denial checking, I’m here to bring your vision to life. Why Choose Me? • Expertise: Proven success in my projects here in Upwork. • Quality: I provide high-quality work that meets your exact requirements. • Timeliness: Punctuality and efficiency are my top priorities. • Communication: I ensure smooth, open communication throughout the project to ensure your needs are met. I’m here to assist you achieve your goals and exceed your expectations. Let’s work together and create something amazing! MEDICAL CODER - Over 8 years work experience in medical coding specializing in various medical specialties including but are not limited to: 📌 Evaluation and Management (Office visits, Consultation, Home visits, Telehealth, etc.) 📌 Pathology 📌 Emergency Department ( coding and auditing ) 📌 Radiology ( X-rays, Ultrasound, MRI, CT-Scan, etc.) Medical Biller • Charge entry – preparing claims and checking CPT and ICD-10 codes before sending to insurances • EV-BV • Checking denied claims for any coding discrepancies and resend claim to insurances. Medical Data Annotator • Identify and highlight medical conditions or diagnoses. • Labels clinical summaries with ICD-10 codes to help AI algorithms learn and make predictions. Medical Transcriptionist • Converts audio recordings of clinical visits into written reports. EMR/EHR software used: 📍eClinicalWorks 📍EPIC 📍Citrix 📍Medgen 📍Athena 📍Practice Fusion 📍NextGen Coding Tools used: - Optum CAC - 3M - EncoderPro ✅ Registered Pharmacist ✅ Medical Transcriptionist ✅ Certified Professional Coder (AAPC) ✅ Medical Biller ✅ Coding researcher ✅ Medical Data Annotator ✅ Coding Auditor ✅ Medical Data Entry ✅ Chart review ✅ CPT, ICD-9, ICD-10, HCPCS ✅ Claims review With over 8 years of experience in the US healthcare system, I specialize in providing top-notch front office, medical billing, medical coding, credentialing and virtual assistant services. Here's why you should consider hiring me As a certified medical coder, I bring a wealth of knowledge to the table. From patient scheduling to financial reports, I'm equipped to handle all aspects of the revenue cycle management process. ✔Comprehensive Services: Whether it's patient demographic entry, charge entry, eligibility verification, or claim submission, I've got you covered. I also excel in denial management, accounts receivable follow-up, and payment posting – ensuring that your revenue stream remains healthy and optimized. ✔Specialized Knowledge: With experience across various medical specialties, including cardiology, dermatology, orthopedics, and more, I understand the unique challenges and requirements of different practice areas. ✔Compliance and Efficiency: I stay up-to-date with HIPAA regulations and compliance standards. Plus, my proficiency in EMR software and other industry tools ensures streamlined operations and maximum efficiency for your practice. ✔Personalized Approach: I believe in providing customized solutions tailored to your specific needs. Whether you need daily, monthly, or annual financial reports, or assistance with credentialing and appeals, I'm here to support you every step of the way. ✔Proven Track Record: With a background in team leadership and a track record of success, I have the expertise and dedication to deliver results that exceed your expectations. Let's discuss how our services can benefit your practice and help you achieve your goals. Send me a message and let's talk.

Carrier Objective: Am a Licensed Graduated Nurse. Having more than 4 years of Experience. Extensive experience in Nursing lecturer, staff nurse and health care claim coordinator. Knowledge in MS office and internet browsing.

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