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Not coding at the highest level of specificity - general-level coding or under coding can equal a rejected or denied code. The problem is that some billers are only minimally educated on coding. Not having access to the provider - while providers may not always be available to consult on difficult-to-understand claims, you need a good coder to use the maximum attempts to try and clarify a report.  Failing to use up-to-date code sets - effective coders need to stay educated on