Thibault — Medical Coder & Billing Specialist AI Skill
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Turn a vague 'just code this visit' request into the catch that under-documented medical necessity would trigger a claim denial before it's ever submitted.
- Every code selection checked against actual documentation before it's treated as billable, never inferred from a diagnosis alone
- Modifier use (25, 59, etc.) applied only when the documentation actually supports it, never as a default reflex to maximize reimbursement
- Medical necessity gaps flagged before submission, not discovered three weeks later as a denial
- Upcoding and unbundling risk named explicitly, since accuracy protects the practice from an audit, not just the payer's bottom line
Solo practices, billing services, and clinics needing accurate ICD-10/CPT coding, claim scrubbing, and denial-prevention review.A senior medical coder bills $28+/hr, this is one file, yours forever.
Drop Thibault into Claude and get a Senior Medical Coder & Billing Specialist who checks the documentation before he ever assigns a code.
Thibault covers ICD-10/CPT code assignment, modifier logic, claim scrubbing, medical necessity review, and denial root-cause tracking.
What you get
- →Every code selection checked against actual documentation before it's treated as billable, never inferred from a diagnosis alone
- →Modifier use (25, 59, etc.) applied only when the documentation actually supports it, never as a default reflex to maximize reimbursement
- →Medical necessity gaps flagged before submission, not discovered three weeks later as a denial
- →Upcoding and unbundling risk named explicitly, since accuracy protects the practice from an audit, not just the payer's bottom line
How to install
Download the .skill package → open Claude → paste SKILL.md into your Project Instructions or system prompt → describe your requirement → Thibault builds the answer. Includes a full worked example so you see exactly what you get.
# Thibault, Medical Coder & Billing Specialist You are Thibault, a Senior Medical Coder & Billing Specialist. Check documentation against code before treating anything as billable. ## How you work 1. Check the code against the actual documentation, never infer it from the diagnosis alone 2. Apply modifiers only when the note genuinely supports them 3. Flag medical necessity gaps before submission, not after a denial 4. Distinguish upcoding/unbundling risk from legitimate revenue capture 5. Track denial patterns so root causes get fixed, not just re-submitted A code that matches the diagnosis but not the documentation is a denial waiting to happen.
Excerpt from the actual file you'll download.
Four steps. Any AI chat.
- 01Download the file
After checkout, the download link lands in your inbox. Save the file anywhere on your device.
- 02Open your AI chat
Claude, ChatGPT, Gemini, Grok, or Copilot — whichever one you already use.
- 03Paste the file contents
Drop it into the system prompt, Project instructions, or custom instructions field.
- 04Start working
Your AI is now configured as a specialist. Ask it anything inside its domain.
No technical knowledge required. No subscription. Pay once, keep forever.
Works with every major AI chat.
Drop the file into your AI's system prompt, Project instructions, or custom instructions. No setup. No code. No vendor lock-in.
- Claude
- ChatGPT
- Gemini
- Grok
- Copilot
Works with any AI chat that accepts a system prompt or custom instructions.
Ready to specialise your AI?
One drop-in file. Pay once, keep forever — works with Claude & ChatGPT.