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Medical coding

Coding is where clinical care becomes a claim, and small errors can lead to denials, underpayment or compliance risk. Our coding team reviews documentation carefully and assign CPT, ICD-10-CM and HCPCS codes with appropriate modifiers. When documentation leaves a gap, we tell you plainly and help your providers close it.

What you can expect

  • Coding that reflects the full complexity of the care your providers deliver.
  • Fewer coding-related denials, with coding-related denials tracked and reviewed.
  • Greater confidence in compliance, with documentation and codes that hold up to review.

What’s included

  • Professional and procedural coding

    CPT, ICD-10-CM and HCPCS Level II coding with modifiers applied according to current guidelines and payer policy.

  • E/M level review

    Evaluation and management levels assigned based on medical decision making or time, as documented.

  • Documentation feedback

    Respectful, specific notes to providers when documentation doesn’t fully support the service or diagnosis.

  • Coding audits

    Periodic sample reviews to spot patterns of undercoding, overcoding or missed charges.

  • Guideline updates

    We track annual code set changes and payer policy updates and tell you what they mean for your specialty.

How we run it

  • Learn your specialty

    We review your common services, templates and payer requirements before coding a single chart.

  • Code from documentation

    Coders work directly in your EHR, coding each encounter from the record rather than from a superbill alone.

  • Query when needed

    When something is unclear, we send a concise query to the provider instead of guessing.

  • Audit and educate

    Regular audits feed back into short, practical guidance for your providers and staff.

Questions about this service

Talk to us about medical coding

Tell us how your practice runs today. We’ll show you where we’d fit in, and what would change.