Coding sits between the clinical note and the claim, and it is where the most expensive errors are cheapest to prevent. A code that overstates the record is a compliance exposure; a code that understates it is money the practice earned and did not ask for. Both come from the same cause — somebody guessing at what the documentation meant.
Every code on your claims is one a certified coder assigned from your own documentation, and one you can defend by pointing at the note.
At a glance
Step 1
Assign ICD-10-CM and CPT codes from the documentation you provide
Step 2
Apply modifiers where the record supports them, and only where it does
Step 3
Query the provider when the note is ambiguous rather than inferring intent
Step 4
Track code changes each year so a retired code never reaches a payer
What we actually do
- Assign ICD-10-CM and CPT codes from the documentation you provide
- Apply modifiers where the record supports them, and only where it does
- Query the provider when the note is ambiguous rather than inferring intent
- Track code changes each year so a retired code never reaches a payer
- Feed denial patterns back into coding so the same error stops repeating
What this fixes
- Notes coded by whoever had time, with no consistent standard behind them
- Modifier use that varies by who entered the charge
- Denials that recur monthly because nobody traced them back to the code
We work the claims. You practice medicine.
Coding, claim submission, denial management, and A/R follow-up — with nothing left for your front desk to chase.
View pricingHow It Works
Review
We look at how this runs today and where it leaks.
Scope
A written scope and price before any work starts.
Transition
We take it over without a gap in submission.
Report
The same six numbers every month, so you can see it working.
Medical Coding — Frequently Asked Questions
Are your coders certified?
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Yes. All coding is performed by certified coders credentialed through the AAPC or AHIMA. It is a hiring requirement, not a preference.
What happens when my note does not support a code?
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We query you. We do not code to what we think you meant, and we do not code to what pays better — a code reflects the record or it does not go out.
Do you change my documentation?
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Never. The clinical record is yours, and only a provider may alter it. We read it and we ask questions about it.
How is medical coding priced?
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It is included in ongoing revenue cycle management, which is priced as a percentage of collections banded by practice size — or as a flat monthly fee in states that do not permit percentage compensation of a billing company. Front-end services are also available on their own, per occurrence, without a billing contract.
Do you guarantee a result from medical coding?
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No, and nobody honestly can. Coverage, adjudication, payment amounts and appeal outcomes are decided by the payer. What we commit to is the process and the six numbers reported every month, all of which you can reproduce from your own practice management system rather than take on trust.
Can we buy medical coding without moving all of our billing?
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Front-end services are sold per occurrence and stand alone. The back-end work is harder to separate — denial management without control of coding and submission means inheriting problems created upstream — but we will say plainly which parts make sense on their own rather than sell a partial engagement that cannot succeed.
Ready for books you can actually trust?
Book a free consultation and we will tell you what your revenue cycle needs and what it costs.
- Done-for-you
- Solo or group
- Nationwide
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