You will get I will audit medical claims before submission to reduce denials
Project details
Submitting claims without a proper review often leads to denials, delays, and lost revenue. I provide a medical billing pre-submission claim audit to ensure claims are accurate before they are transmitted to the clearinghouse.
I review patient demographics, insurance information, CPT/HCPCS codes, ICD-10 diagnosis codes, modifiers, and supporting documentation to confirm the claim meets payer requirements. This process helps identify errors that commonly cause claim rejections or denials.
With over a decade of experience in healthcare administration and medical billing workflows, I understand the importance of clean claims and proper documentation. My audit helps clinics improve first-pass acceptance rates, reduce rework, and accelerate reimbursement.
Deliverables include a clear summary of findings and recommended corrections so your team can submit claims with greater confidence.
I review patient demographics, insurance information, CPT/HCPCS codes, ICD-10 diagnosis codes, modifiers, and supporting documentation to confirm the claim meets payer requirements. This process helps identify errors that commonly cause claim rejections or denials.
With over a decade of experience in healthcare administration and medical billing workflows, I understand the importance of clean claims and proper documentation. My audit helps clinics improve first-pass acceptance rates, reduce rework, and accelerate reimbursement.
Deliverables include a clear summary of findings and recommended corrections so your team can submit claims with greater confidence.
Data Entry Type
Data Cleansing, Error Detection, Online ResearchData Entry Tool
Google Sheets, Medical Records Software, Microsoft Excel, Microsoft OfficeWhat's included
| Service Tiers |
Starter
$75
|
Standard
$150
|
Advanced
$300
|
|---|---|---|---|
| Delivery Time | 2 days | 3 days | 4 days |
Number of Revisions | 1 | 1 | 2 |
Number of Hours of Work | 2 | 3 | 3 |
Formatting & Clean Up | - | - | - |
Graph & Table Creation | - | - | - |
Optional add-ons
You can add these on the next page.
Additional Claim Audit
+$15Frequently asked questions
About M
Medical Billing & Insurance Verification Specialist | RCM
North Las Vegas, United States - 7:48 am local time
I’m M. Williams, a healthcare billing and administrative specialist with 15+ years of experience supporting medical practices with Medicare compliance, claim accuracy, and operational workflow management.
My background includes working inside orthotic and prosthetic clinics, managing both the front-end intake process and back-end billing operations. I’ve handled insurance authorizations, claim corrections, denial resolution, A/R follow-up, and provider communication while ensuring documentation meets payer and regulatory requirements.
Because I have worked directly inside clinical systems such as OPIE, Nymbl, and Waystar, I understand how claims move from patient intake → documentation → claim submission → payment resolution. This allows me to catch issues early, reduce denials, and help clinics keep their revenue cycle running smoothly.
In addition to billing support, I also help practices improve workflows and reduce manual work by implementing simple automation and process improvements using modern no-code tools.
I also design patient education materials and waiting room presentation slides that help clinics communicate key information clearly to patients.
Services I Provide
✔ Claim preparation and pre-submission review (CMS-1500, ERA/EDI)
✔ Insurance verification and authorization management
✔ Medicare, Medicaid, and payer compliance review
✔ Denial tracking, appeals, and A/R follow-up
✔ Documentation review and billing corrections
✔ EMR support, scheduling, and patient intake coordination
✔ Workflow automation and process improvement
Systems & Tools
OPIE | Nymbl | Waystar | Microsoft Office | Google Workspace | DocuSign | Slack | CRM / EMR Systems | Lovable | Automation tools
If you're looking for someone who understands both the clinical workflow and the billing side of healthcare operations, I can help keep your claims clean, compliant, and moving toward payment.
Steps for completing your project
After purchasing the project, send requirements so M can start the project.
Delivery time starts when M receives requirements from you.
M works on your project following the steps below.
Revisions may occur after the delivery date.
Review Claim Information
Review patient demographics, insurance information, and claim details to ensure accuracy before submission.
Validate Coding & Modifiers
Check CPT, HCPCS, ICD-10 codes and modifiers to confirm correct coding and payer requirements.