MEDICAL CODING
Coding that reflects the documentation — and holds up to scrutiny.
Accurate coding is the foundation of a clean claim. Our coders translate clinical documentation into correct ICD-10-CM, CPT and HCPCS codes, with an eye toward compliance and payer requirements.
WHAT'S INCLUDED
A complete, hands-on service — not a checklist.
Diagnosis coding
ICD-10-CM codes assigned to the highest level of specificity supported by documentation.
Procedure coding
CPT and HCPCS codes reflecting the services actually performed and documented.
Compliance checks
Coding is checked against NCCI edits and payer-specific policy before claims go out.
Documentation review
Gaps between documentation and billable services are flagged back to providers.
Modifier accuracy
Modifiers are applied correctly to reflect bundling, laterality and other billing nuances.
Specialty-matched coders
Coders are matched to your specialty's conventions, not assigned generically.
OUR PROCESS
How we run this service day to day.
Documentation received
Clinical notes and encounter documentation are reviewed for the visit or procedure.
Code assignment
ICD-10-CM, CPT and HCPCS codes are assigned based on documented findings and services.
Compliance & edit checks
Codes are checked against NCCI edits, medical necessity policy and payer rules.
Provider query (if needed)
Ambiguous or incomplete documentation is flagged back to the provider for clarification.
Handoff to billing
Finalized codes move directly into the claims process.
WHY IT MATTERS
What this means for your practice.
- ✓Fewer denials caused by coding errors or mismatched documentation.
- ✓Codes that reflect the actual complexity of care provided.
- ✓Reduced compliance risk from over- or under-coding.
- ✓Faster turnaround between documentation and claim submission.
RELATED SERVICES
This service works closely with:
COMMON QUESTIONS
Medical Coding Services — FAQ
Coding work is performed by staff trained in ICD-10-CM, CPT and HCPCS coding conventions and current payer policy. We're glad to discuss specific credentialing as part of onboarding.
Yes, we work from the clinical documentation in your EHR or the records your practice provides.
We flag it back to the provider rather than coding to the highest reimbursable level regardless of documentation — that protects your practice from compliance risk.
Ready to put this to work for your practice?
Tell us about your practice and we'll show you where revenue is slipping through the cracks.