Medical Billing & Coding
AAPC- and AHIMA-certified coders, end-to-end claim submission, and a quality program built to push your first-pass clean-claim rate above 99% — so revenue lands in days, not weeks.
99.2%
First-pass clean claim rate
vs. ~85% industry avg
< 24h
Coding turnaround
From documentation to submission
12–18%
Average revenue lift
Within 90 days of onboarding
A disciplined approach to medical billing & coding
Medical billing and coding is the engine of your revenue cycle — and the place where the most money is silently lost. Under-coding leaves money on the table; over-coding triggers audits. Our certified team applies ICD-10-CM, CPT, HCPCS Level II, and modifier logic with the precision your specialty and payer mix demand.
We don't just translate notes into codes. We pair coders with claim scrubbers and a quality-review layer that catches NCCI edits, LCD/NCD mismatches, payer-specific rules, and documentation gaps before claims ever leave the door. The result is fewer denials, faster A/R, and a complete audit trail you can defend.
What makes our medical billing & coding different
Six advantages your team feels in the first 30 days.
Certified, US-trained coders
AAPC (CPC, COC, CIC) and AHIMA (CCS) credentials with continuous QA scoring.
Specialty-tuned coding
Tailored playbooks for primary care, surgery, behavioral health, home health, and more.
Pre-submission scrubbing
NCCI, LCD/NCD, and payer-specific edits applied before every claim is released.
Code-level analytics
See which CPTs are most denied, by which payer, and why — every month.
HIPAA-secure workflow
BAA-backed access, encrypted file transfer, and role-based controls on every chart.
Direct provider feedback
Documentation tips delivered to your clinicians so coding gets easier over time.
Everything inside the Medical Billing & Coding engagement
One flat scope. No surprises. No nickel-and-diming for the work that actually moves revenue.
Backed by our service guarantee
If our work doesn't move the metric in 90 days, we don't charge for the next month. Simple.
- Charge capture validation and missing-charge alerts
- ICD-10-CM, CPT, HCPCS, and modifier assignment
- Specialty-specific E/M leveling with documentation support
- NCCI edit, LCD/NCD, and payer-rule scrubbing
- Electronic claim submission via your clearinghouse
- Coding compliance audits — internal monthly and on-demand
- Coder-to-provider documentation feedback loop
- Real-time dashboards: clean-claim rate, denial reasons, coder QA
Our process, end-to-end
Five repeatable steps. No black-box. You see every handoff.
Documentation intake
Encounters are pulled from your EHR daily, with missing-note alerts to providers.
Code assignment
Certified coders apply ICD-10, CPT, HCPCS, and the right modifier set per encounter.
QA & scrubbing
A senior coder reviews high-risk encounters; automated scrubbers catch payer edits.
Submission
Clean claims released through your clearinghouse with electronic acknowledgments tracked.
Feedback loop
Denial root-causes are coded back to providers each month to lift future accuracy.
Specialties & systems we code for
Our coders rotate by specialty, not by volume — so the person coding your charts has done thousands like yours, inside the same EHR your team already uses.
30+ specialties supported
EHRs & practice-management systems we work in
“Within two months our clean-claim rate jumped from 84% to 99%. Denials we used to write off are now getting paid the first time — it's a different business.”
Dr. Karen W.
Practice Owner · Multi-specialty group, TX
HIPAA
Compliant workflow with BAA
US-Based
Operations and oversight
Encrypted
End-to-end data handling
Audit Trail
Every action logged
Everything you wanted to ask about Medical Billing & Coding
Can't find what you need? Ask a specialist.
Pair this service with
AR Recovery
Aging A/R is unpaid work. Our recovery specialists chase down 30+, 60+, and 90+ day claims with aggressive payer follow-up, structured appeals, and weekly cash-flow reporting — until your money is in the bank.
Learn more →
Denial Management
Denials aren't an ending — they're a starting point. We work every denial within 24 hours, file structured appeals, root-cause the trend, and rewire your front-end so the same denial doesn't happen again next month.
Learn more →
Eligibility Verification
Eligibility is the #1 reason claims get denied. We verify every patient before they walk in — active coverage, deductible, co-insurance, and benefit limits — so front desk knows what to collect and billing knows the claim will pay.
Learn more →
See what medical billing & coding
should be doing for you.
30 minutes with a specialist. We'll review your current performance, surface the top three opportunities, and tell you exactly what we'd change. No sales pitch.