Accuracy before submission
The problem
Undercoding leaves money on the table. Overcoding invites takebacks and payer audits. Both usually come from rushed notes and coders who are not specialty-fluent.
Service
Medical coding
CPT, HCPCS, and ICD-10 assignment by certified coders — with provider queries when the note cannot support the code.
Discuss your coding workflowCoding review
Documentation readySigned encounter note
Code assignment
ICD-10
CPT
HCPCS
Medical necessity
Laterality
NCCI edits
Documentation match
Ready for claim scrub
Documented, queried, audited
How we work it
Four controlled checks
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01
Assign codes from the documentation, not from a superbill's habit.
-
02
Query the provider when medical necessity or laterality is unclear — before the claim goes out.
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03
Keep code sets and NCCI edits current; no stale cheat sheets.
-
04
Spot-audit a sample of encounters each month and send findings back to the practice.
Common questions
Questions
How certification, documentation, and provider-generated notes fit the coding workflow.
Yes. Coding work is assigned to certified coders, with specialty-relevant review and provider queries whenever the documentation cannot support a defensible code.
We code from the final, signed documentation in the EHR. Audio, scribe drafts, or AI-assisted notes may support the clinician's workflow, but they are not treated as the final coding source until reviewed and signed.