Service

Medical coding

Coding sits between what you documented and what you get paid. Code too conservatively and you leave money on the table; code past your documentation and you have created an audit exposure.

Coded from your documentation

Certified coders assign CPT, ICD-10-CM and HCPCS Level II codes from what is actually in the note. Where the documentation does not support the level of service the encounter appears to be, the question comes back to the provider before the claim goes out rather than after a payer asks.

Modifiers and edit pairs

Modifier use is reviewed against NCCI procedure-to-procedure edits and unit limits. Modifier 25 and 59 are the two that attract the most payer scrutiny and the most bundling denials, so their use is deliberate and supportable rather than routine.

Feedback that reaches the provider

Patterns get reported back in plain language — which documentation elements are routinely missing, which service lines are consistently under-coded relative to the note. This is the part that changes next quarter, rather than just cleaning up last quarter.

What is included

  • CPT, ICD-10-CM, HCPCS
  • Modifier and NCCI review
  • E/M level audits
  • Documentation feedback for providers
Medical coding — referencelast verified 2026-08-15
Edit standard appliedNCCI procedure-to-procedure pairs and medically unlikely editssource: CMS, National Correct Coding Initiative

Common questions

Are your coders certified?
Yes. Coding is done by certified coders rather than by billers assigning codes as part of data entry.
What happens when documentation does not support the code?
It comes back to you as a query before billing. We will not code past what the note supports, and we will not silently down-code work you actually did.
Can you code for our specialty?
Billing and coding rules are specialty-specific, so tell us your specialty and payer mix and we will tell you honestly whether it is one we handle well.

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Next step

Start with the free A/R review.

Send an aging summary and a handful of denials. You get a written read on what is recoverable — no fee, no obligation to sign anything.