Biplab D.

I am a Certified Professional Coder (CPC) and revenue cycle consultant specializing in medical billing, coding and denial management, who cut claim denials by 30% for a primary care practice in 3 months. I have 10+ years in US healthcare billing and coding, including several years leading coding and billing teams before moving into consulting. I have managed end-to-end revenue cycles across Primary Care, Family Medicine, Pediatrics, FQHC, Cardiology, Pain Management, Mental Health, Behavioral Health, PT, OT and Psychiatry. My goal is a high first-pass claim acceptance rate. I verify eligibility and benefits before claims go out and confirm that primary and secondary payers are linked correctly, which prevents delays from coordination of benefits (COB) issues. How I help your practice: • Higher clean-claim rates and fewer rejections • Faster A/R turnaround and quicker payments • Audit-ready, compliant coding on every claim • Monthly denial trend analysis using CARC and RARC codes, with fixes before problems repeat • Corrected claims, reconsiderations and appeals handled end to end • Clear trackers, account notes and concise status updates so you always know where accounts stand • Willing to sign a BAA and work inside your systems with no PHI stored locally Credentials • Certified Professional Coder (CPC), AAPC • HIPAA BA Privacy and Security certified (Live Compliance) • Data Analytics certification, ExcelR (2026) Skills and Expertise • Revenue Cycle Management: eligibility and benefits verification, prior authorizations, charge entry, payment posting (ERA/EOB), A/R follow-up, denial management, corrected claims, appeals • Medical Coding: ICD-10-CM, CPT, HCPCS, modifiers, NCCI edits, E/M coding • Payers: Medicare, Medicaid, BCBS, Cigna, Aetna, Humana, UnitedHealthcare • EHR/PM Systems: eClinicalWorks, Athenahealth, AdvancedMD, NextGen, IMS, EPIC, Kareo/Tebra, Allscripts • Clearinghouses: Trizetto Gateway EDI, Waystar, Change Healthcare • Reporting and Analytics: Power BI, SQL, Tableau, Excel, eCW EBO Query Studio Recent Results • Boomerang Healthcare (3-month contract, Medical Coding SME): Psychiatry and Pain Management, including OT/PT coding. Reduced the outstanding coding queue by 82%, mentored internal coding and A/R teams, and ensured CPT and diagnosis coding compliance. • FQHC Primary Care: Cut denials 30% through custom claim-scrubbing rules and coding accuracy improvements. • eClinicalWorks EBO Query Studio: Built pre-submission audit tools that caught coding deviations before claims went out and raised the clean-claim rate to 95%. Struggling with denials, delayed reimbursements or revenue leakage? Send me a message with your biggest A/R or denial problem and I will tell you where I would start. I typically reply within a few hours. Biplab D, CPC