CPC-Certified Coders Who Find Every Billable Dollar Without Crossing Any Compliance Line
Medical coding is simultaneously your single greatest revenue opportunity and your single greatest compliance risk. Our AAPC-certified professional coders maximize your reimbursement through optimal code selection — legally, compliantly, and defensibly.
What We Do
Choosing the correct CPT code is both an art and a science. Undercoding costs you reimbursement you've earned. Overcoding creates compliance liability. Our CPT coders select the most accurate and complete code set for every encounter — including primary procedures, secondary procedures, add-on codes, modifier application, and CCI edit compliance.
Accurate ICD-10-CM diagnosis coding establishes medical necessity and determines payer reimbursement levels. Our coders select diagnosis codes to the highest level of specificity — including laterality, episode of care, causal relationships, manifestation codes, and complication sequencing.
E&M codes are the most frequently billed and most frequently audited codes in medicine. Our coders apply the 2021 AMA E&M guidelines rigorously — selecting the correct level based on documented MDM complexity or total time.
For surgical specialties, our coders understand global periods, assistant surgeon billing, bilateral procedure rules, multiple procedure discounts, and modifier application (-51, -59, -22, -26, -TC). Incorrect modifier use is a leading cause of claim denial.
For practices billing Medicare Advantage and capitated plans, HCC coding directly impacts per-member-per-month payment rates. Our coders are trained in HCC capture optimization. We also conduct regular internal coding audits to identify patterns that may trigger payer scrutiny.
What's Included
CPT Code Optimization
Complete code sets with add-ons and modifiers
ICD-10-CM Coding
Highest specificity diagnosis coding
E&M Level Validation
2021 AMA guidelines compliance
Surgical Coding
Global periods, modifiers, bilateral rules
Modifier Application
Complete modifier library expertise
HCC Risk Adjustment
Medicare Advantage optimization
Why This Matters for Your Revenue
Frequently Asked Questions
Yes. All coders hold active AAPC certifications (CPC, CPC-H, COC, CPMA) requiring rigorous testing and continuous education to maintain.
Our team undergoes annual training on CPT, ICD-10, and HCPCS updates. We subscribe to CMS transmittals, AMA updates, and payer-specific policy changes.
We maintain a 98%+ coding accuracy rate, verified through regular internal and external audits against OIG and payer guidelines.
We follow official coding guidelines, AMA CPT Assistant guidance, and specialty society recommendations. When ambiguity exists, we document our rationale and choose the most defensible option.
Yes, we offer provider education sessions covering documentation requirements, common coding errors, and specialty-specific coding optimization opportunities.
We have specialty-trained coders for Primary Care, Cardiology, Orthopedics, Neurology, Mental Health, PT/OT, Chiropractic, OB/GYN, Oncology, Gastroenterology, Dermatology, Ophthalmology, Urgent Care, Radiology, and more.