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Core Revenue Cycle

Medical Coding

AAPC- and AHIMA-certified coders delivering 95%+ accuracy across ICD-10, CPT, and HCPCS — with built-in audit protection.

Coding intelligence

Accuracy you can audit, capture you can measure

96

Audited coding accuracy

independent quarterly audit

48h

chart turnaround

review on every chart

E/M distribution vs. specialty benchmark

992128%
9921334%
9921446%
9921512%

Documentation now supports the 99214s that were being under-leveled to 99213 — captured compliantly, defended in audit.

AI coding assistance · live preview

chart: established pt · HTN + T2DM · med adjusted · labs reviewed…

suggested: 99214 · conf 0.94

MDM: moderate — 2 chronic, Rx management

+ I10, E11.9 · conf 0.98

⚠ specificity: document T2DM control status

→ routed to certified coder for final decision

Want this running on your practice's data? A live walkthrough takes 30 minutes.

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Business outcomes

What this changes for your organization

Medical Coding · performance standards

measured continuously

coding accuracy, independently audited

95%+

average lift from captured complexity

12%

standard chart turnaround

48 hrs

Performance standards we operate to. Actual results vary by specialty, payer mix, and starting position — your free assessment establishes your own baseline.

Accuracy that survives audits

AAPC/AHIMA-certified, specialty-matched coders with dual-review QA — 95%+ accuracy verified by independent audit, not self-graded.

Complexity fully captured

Clients typically gain 12% from complete, specific coding of work they were already doing — the accurate middle between leakage and risk.

AI-assisted, human-decided

AI coding assistance pre-reads every chart, suggests codes, and flags documentation gaps — certified coders make every final call.

Providers get smarter every quarter

Documentation scorecards and 15-minute education sessions raise specificity at the source — without adding a single click to the visit.

The stakes

The problem, in numbers

The honest diagnosis — what this challenge actually costs healthcare organizations that leave it unmanaged.

Both ways

coding errors cost you — under-coding and over-coding alike

Under-coding silently donates earned revenue back to payers. Over-coding invites audits, clawbacks, and compliance exposure. Most practices do some of each without knowing it.

Quarterly

CPT, ICD-10, and payer edit changes to absorb

Code sets, NCCI edits, and payer policies shift constantly. A part-time coder juggling updates between charts can't stay current — and the denials show it.

E/M

leveling is the most commonly missed revenue in medicine

Since the 2021 MDM guidelines, visit complexity is routinely documented but under-leveled — a few dollars per visit that compounds into five figures per provider per year.

Wondering what these numbers look like at your organization?

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Our solution

Under-coding leaves earned revenue on the table; over-coding invites audits and clawbacks. Our certified coding team hits the accurate middle: complete, compliant, and specific coding that reflects the full complexity of the care you deliver.

Every coder is AAPC or AHIMA certified with specialty-specific credentials, and every chart is subject to our dual-review quality program. We stay current on quarterly CPT and ICD-10 updates, payer policy changes, and NCCI edits so your team doesn't have to.

What's included

  • AAPC/AHIMA-certified, specialty-matched coders
  • ICD-10-CM, CPT, HCPCS Level II, and modifiers
  • Dual-review quality assurance on every chart
  • E/M leveling aligned to 2021+ guidelines
  • HCC and risk-adjustment coding
  • Quarterly coding education for your providers

In the field

How organizations like yours use it

USE CASE 01

An internal medicine group recovered its under-leveled E/M revenue

MDM-based audit showed 99214-eligible visits billed as 99213 nearly a third of the time. Documentation feedback and coder review lifted revenue 9% with zero change to care.

USE CASE 02

A cardiology practice passed a payer audit untouched

When a major carrier audited 18 months of claims, dual-reviewed coding and clean documentation trails meant zero repayment demanded — the audit closed in one round.

USE CASE 03

A multi-specialty group consolidated five coding vendors into one

Specialty-matched pods now code cardiology, ortho, GI, and behavioral health under one QA program — one standard, one report, no blind spots.

Scenarios drawn from typical engagement patterns; identifying details anonymized to protect client confidentiality.

Common questions

Medical Coding, answered

Related

More in Core Revenue Cycle

Ready to fix medical coding for good?

Start with a free consultation and billing health check. A senior consultant will look at your numbers and give you a straight answer about what we can improve — and by how much.