Medical Coding Services
Medical Coding Services
Our certified coders deliver specialty-aligned ICD-10-CM, CPT and HCPCS Level II coding supported by dual-level quality assurance, provider documentation feedback loops and ongoing monitoring of CMS guidance, LCDs and payer medical-necessity policies.
Coding Disciplines We Cover
Coders are assigned by specialty rather than rotated through a generic queue, which preserves contextual judgement on documentation patterns, common modifiers and payer policy edge cases for each practice we support.
- Professional fee (Pro-Fee) coding for office, inpatient and outpatient encounters
- Facility coding including outpatient surgical and emergency department
- Evaluation and Management (E/M) leveling under 2021 and 2023 AMA guidelines
- Surgical coding with NCCI edit and modifier 25, 59, 24, 78 and 79 application
- HCC and risk adjustment coding for Medicare Advantage and ACO arrangements
- Specialty coding for cardiology, orthopedics, OB/GYN, behavioral health, radiology, pain management and more
Quality Assurance and Audit Defensibility
Every coder works under a documented QA structure. New accounts and new coders are placed at 100% pre-bill audit until target accuracy is reached, then transitioned to sampled audit with monthly accuracy reporting back to the practice. Documentation queries are routed to providers through agreed channels rather than guessed in chart.
- Dual-level pre-bill QA on a defined sample rate
- Provider documentation feedback with measurable query response tracking
- Quarterly coder education on CMS updates, AMA changes and payer policy bulletins
- Audit-ready coding rationale captured against each encounter
Compliance Posture
Coding decisions are aligned to CMS guidance, Official Coding Guidelines, NCCI edits and payer-specific medical necessity policy. Our compliance program treats coding as a documented, defensible activity — not an interpretive one — to protect providers from takebacks and external audit exposure.
Measurable Outcomes Our Clients Track
Coding accuracy at or above 95%
Reduced coding-driven denial categories
Lower takeback exposure on Medicare and commercial audits
Improved provider documentation quality over time
Stronger E/M leveling consistency across providers
Audit-ready coding documentation
Care Settings We Deliver This For
This service is delivered with workflows tuned to each care setting's payer rules and documentation requirements.
- Physician Practices Medical Coding Services
- Multi-Specialty Clinics Medical Coding Services
- Hospital Medical Coding Services
- Behavioral Health Providers Medical Coding Services
- Home Health Agencies Medical Coding Services
- Skilled Nursing Facilities Medical Coding Services
- Urgent Care Centers Medical Coding Services
Discuss Your Revenue Cycle Goals
Speak with our team about how medical coding services can be structured around your specialty, payer mix and current performance benchmarks.