Medical
Coding
Clinical documentation reviewed and translated into accurate CPT, ICD-10 and HCPCS codes.
Accurate coding protects both revenue and compliance.
Coding turns what the provider documented into the codes payers use to decide payment. We review documentation, assign codes and modifiers, query providers when documentation is unclear and keep coding consistent with current code sets and payer guidance.
- CPT, ICD-10-CM and HCPCS code assignment
- Modifier and medical-necessity review
- Provider queries for unclear documentation
- Coding accuracy audits and feedback
What to have ready
- Specialties and common procedures
- Sample encounter notes and superbills
- How providers prefer to receive queries
- Current coding turnaround expectations
Frequently asked questions
Do you code from the provider’s notes?
Yes. We code from documentation supplied through your EHR or agreed channel and query the provider when something is unclear.
How do you stay current?
Code sets update on a regular schedule and payers publish policy changes. We review updates and apply them to your coding rules.
Let’s make coding more consistent.
Share a few anonymized encounters and your specialties and we will outline an approach.