AAPC Certified

Medical Billing & Certified Coding Audits

AAPC & AHIMA Certified Precision to Protect Every CPT & ICD-10 Code

Coding errors cause both under-reimbursement (lost money) and audit liability (clawback risks). Our certified coders (CPC, COC, CPMA) review clinical charts to maximize legitimate revenue capture while ensuring strict OIG and CMS compliance.

Request Free 10-Claim Denial Audit (209) 671-6993

Performance Commitments

Coding Accuracy Rate

99.1%

Average E/M RVU Optimization

+14%

Audit Compliance

100% OIG Aligned

100% HIPAA CompliantMutual BAA Executed

AAPC & AHIMA CertifiedCPC, CPMA & CCS Coders

SOC-2 Type II AlignedEncrypted EDI Gateways

CMS & OIG StandardsCMS-1500 & UB-04 Audits

Zero Migration Needed • Direct In-EHR Operations:

AthenaHealthEpic SystemseClinicalWorksKareo / TebraAdvancedMDModMedNextGenDrChrono

Problems We Eliminate

Common Practice Bottlenecks Solved

Physicians under-coding out of fear of audits, leaving $20,000+ per provider annually on the table

Outdated CPT or ICD-10 coding templates that fail to capture 2021/2023 AMA E/M guideline updates

Misapplied surgical modifiers leading to unexpected global unbundling denials

Lack of clinical documentation improvement (CDI) training for mid-levels and new practitioners

Scope of Work

Key Deliverables & Standard Operating Procedures

Chart-by-chart CPT, ICD-10-CM, and HCPCS Level II code assignment by credentialed specialists

Baseline 30-encounter provider documentation compliance audits with bell curve benchmarking

Modifier optimization (-25, -59, -X{EPSU}, -26/TC, -78, -79) backed by clinical evidence

Hierarchical Condition Category (HCC) risk adjustment coding for Medicare Advantage patients

Tailored provider documentation feedback sessions to reduce administrative burden on clinicians

Systematic Execution

Our 4-Step Operational Workflow

Documentation Ingestion

Direct secure access to provider progress notes, operative reports, and discharge summaries in your EHR.

Certified Coder Review

AAPC-certified coder assigns precise codes reflecting full clinical complexity and medical decision making.

Dual-Layer Scrubbing

Automated NCCI bundling and LCD validation to verify payer-specific rules before claim dispatch.

Physician Education

Quarterly trend reports highlighting missed billing opportunities and clinical documentation enhancement tips.

Frequently Asked Questions

Are your coders certified in the United States?

Yes. Our senior coding leadership and team members hold certifications from AAPC (CPC, CPMA, specialty credentials) and AHIMA (CCS), with continuous education on annual AMA and CMS guideline revisions.

Will you audit our charts before we commit to full billing services?

Yes! We offer a Free 10-Claim Denial & Coding Audit so you can see exactly where your practice is leaving money on the table before making any operational changes.

Zero Risk • Mutual BAA Signed First

Ready to Upgrade Your Practice’s Coding & Auditing?

Take the risk-free first step with our Free 10-Claim Denial Audit. We pinpoint the exact leaks in your current billing workflow within 48 business hours.

Speak directly with an RCM Director:

(209) 671-6993

100% Risk-Free B2B Evaluation

Request Your Free 10-Claim Audit for Coding & Auditing

Zero upfront cost. We sign a HIPAA BAA before examining any documentation.