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optimusprime19

Medical Billing Coder

by optimusprime19 · GitHub ↗ · v1.0.3 · MIT-0
cross-platform ✓ Security Clean
152
Downloads
1
Stars
1
Active Installs
4
Versions
Install in OpenClaw
/install medical-billing-coder
Description
Use this skill when a clinician, biller, or practice manager needs to look up ICD-10 diagnosis codes, CPT procedure codes, or E&M visit level codes. Takes a...
Usage Guidance
This skill appears coherent for advising on codes, but keep these practical cautions before installing or using it: 1) Never paste patient-identifiable PHI into queries — the SKILL.md warns to de-identify, but the runtime must enforce that; confirm your agent/runtime will not transmit PHI. 2) If you set CMS_API_KEY, verify what is actually transmitted (the skill claims only code pairs are sent) and that the API key has appropriate, limited scope; monitor network traffic or review logs if possible. 3) CPT text is proprietary — the skill says it references CPT numbers and common descriptions for advisory use only; do not rely on this for production claim submission without a proper licensed CPT dataset and review by a certified coder. 4) Because this is instruction-only with no code, behavior depends on the agent correctly implementing the steps in SKILL.md — test thoroughly with de-identified examples and cross-check outputs with an experienced coder before using it for billing. 5) The repository/homepage is provided; if you require higher assurance, review that GitHub repo and the author before using in a production environment.
Capability Analysis
Type: OpenClaw Skill Name: medical-billing-coder Version: 1.0.3 The medical-billing-coder skill is a purely informational tool designed to assist with ICD-10, CPT, and E&M coding. The SKILL.md file contains clear instructions, appropriate disclaimers regarding professional review, and explicit warnings against providing Protected Health Information (PHI). It optionally utilizes a legitimate government API (api.cms.gov) for code validation and lacks any indicators of malicious intent, data exfiltration, or unauthorized execution.
Capability Assessment
Purpose & Capability
Name/description match the instructions: suggesting ICD-10/CPT/E&M codes, validating combinations, and checking denials. The optional CMS_API_KEY aligns with the declared purpose (NCCI/fee-schedule validation). No unrelated credentials, binaries, or installs are requested.
Instruction Scope
SKILL.md confines actions to analyzing clinical text and suggesting codes. It warns users not to include PHI and states that when CMS_API_KEY is used only code pairs (not clinical text) are sent. Because this is instruction-only, correct handling of PHI and the CMS API depends on the agent following the prose; consider whether you trust the agent/runtime to enforce de-identification and the 'code-pairs only' behavior.
Install Mechanism
No install spec and no code files — lowest-risk delivery (instructions only). Nothing is downloaded or written to disk by the skill itself.
Credentials
No required environment variables; CMS_API_KEY is optional and appropriate for the stated optional feature. The skill does not request unrelated secrets or system config paths.
Persistence & Privilege
Skill is not always-enabled and has no special persistence or system-wide configuration changes. It is user-invocable and may be invoked autonomously by the agent (platform default), which is expected for skills of this type.
How to Use
  1. Make sure OpenClaw is installed (local or Docker)
  2. Run the install command in chat: /install medical-billing-coder
  3. After installation, invoke the skill by name or use /medical-billing-coder
  4. Provide required inputs per the skill's parameter spec and get structured output
Version History
v1.0.3
Fixed CPT licensing claim, added PHI warning, clarified CMS API endpoint and data scope
v1.0.2
Fixed inaccurate formulary claim; added explicit PHI/privacy warning
v1.0.1
Added GitHub repository link, homepage, and MIT LICENSE file
v1.0.0
Initial release of the Medical Billing Coder skill. - Suggests ICD-10, CPT, and E&M codes from clinical notes or plain-language descriptions with confidence scores and audit trail. - Validates code combinations for payer compliance and flags upcoding, undercoding, and common denial triggers. - Supports lookups and superbill generation for diagnosis, procedures, and visit levels. - Provides reimbursement estimates and coding tips. - Includes quick references for frequently used ICD-10 and CPT codes. - All code suggestions require review by a qualified medical coder or clinician before claim submission.
Metadata
Slug medical-billing-coder
Version 1.0.3
License MIT-0
All-time Installs 1
Active Installs 1
Total Versions 4
Frequently Asked Questions

What is Medical Billing Coder?

Use this skill when a clinician, biller, or practice manager needs to look up ICD-10 diagnosis codes, CPT procedure codes, or E&M visit level codes. Takes a... It is an AI Agent Skill for Claude Code / OpenClaw, with 152 downloads so far.

How do I install Medical Billing Coder?

Run "/install medical-billing-coder" in the OpenClaw or Claude Code chat to install it in one step — no extra setup required.

Is Medical Billing Coder free?

Yes, Medical Billing Coder is completely free, licensed under MIT-0. You can download, install and use it at no cost.

Which platforms does Medical Billing Coder support?

Medical Billing Coder is cross-platform and runs anywhere OpenClaw / Claude Code is available (cross-platform).

Who created Medical Billing Coder?

It is built and maintained by optimusprime19 (@optimusprime19); the current version is v1.0.3.

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