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Medical Coding

Medical Coding Services

Every miscode is a revenue event. We treat coding like the control point it is.

A miscoded J-code can erase a $25K infusion claim. An undercoded chronic-care panel quietly costs six figures a year. Our certified coders run specialty-specific accuracy at 98%+ — audited, and with full visibility into what was changed and why.

On your dashboard Live
Coding Accuracy98%+
Clean Claim Rate99%
Specialty Rule SetsPer claim
The dashboards we work from are the dashboards you see. No black box.
The Stakes

What Invisible Coding Errors Cost

Coding failures rarely announce themselves. They hide in volume and surface as “payer behavior”:

Downcoding spread across high visit volume
A steady percentage of earned revenue, gone without a denial
HCC, CCM, and TCM codes never billed
Six figures of chronic-care and risk-adjustment revenue unrealized
Modifier and bundling errors
Audit exposure and recoupment risk that accumulates silently
Coding drift across providers and shifts
The same denials, every month, with no root cause attached
The Operation

How We Run It — In the Open

Accuracy is a system, not a promise:

1

Certified specialty coders

AAPC-certified coders assigned by specialty — J-codes and units for infusion, HCC and E/M for internal medicine, modifiers and bundling for procedures.

2

Rules-engine scrubbing before submission

Every claim runs through specialty-specific rules — CPT/ICD cross-checks, drug-code validation, modifier logic — so errors are caught before they become denials.

3

Provider-level audits & feedback

Coding accuracy is audited per provider, and findings go back as education — errors get fixed at the source, not just corrected downstream.

4

Documentation gap review

Where documentation won’t support the code, we flag it before a payer does — protecting both the revenue and the audit posture.

No Black Box

The Numbers We Put in Front of You

You see exactly how coding performs — and what it changes:

Reported live, not monthly
  • Coding accuracy by provider, audited monthly
  • Denial rate attributable to coding, trending
  • Downcoding and undercoding findings, with dollar impact
  • HCC / chronic-care capture rate vs. eligible
  • Every code change logged — what changed, and why
Proof

Accuracy You Can Audit

These are company-wide operating numbers, measured continuously — not a launch-week claim. The audit trail behind them is part of what you buy.

98%+
Coding Accuracy
certified coders, audited
99%
Clean Claim Rate
90%
Claims Posted <60 Days
TBD
Recovered Undercoding Revenue
Pending sign-off
Unpublished figures stay TBD until they clear sign-off — we don't project.See coding rules cut denials in half
Outcomes

What Changes When We Run Your Coding

High-dollar claims that clear payer edits the first time
Chronic-care and risk-adjustment revenue actually captured
Audit exposure surfaced and fixed proactively
Coding consistency across every provider
A documented trail for every coding decision
Related Solutions

What Runs Alongside It

These work as one operation — most engagements combine several rather than running them in isolation.

No Claim Left Behind.

Start with a coding audit — find out what your current accuracy is really costing.