Coding error
Most commonE/M level not supported by documentation
Typical payer result
Downcode, recoupment, or CO-50 necessity denial
How our coders prevent it
Certified E/M leveling tied to documented elements
Service · The coding umbrella
Medical Coding Services
Four code sets. One team. Because codes bought separately stop agreeing.
Accurate medical coding services turn the work your clinicians already document into clean, fully reimbursed claims — and 247 Medical Billing Services has run them for provider groups nationwide since 2005. Our AAPC- and AHIMA-certified coders handle every code set across every specialty, backed by a dedicated account manager, a free 360° reporting dashboard, and HIPAA and SOC 2 Type II safeguards, so the right code reaches the payer the first time.
HIPAACompliant
SOC 2Type II
AAPC / AHIMACertified coders
24 hoursCoded within
One claim
Code stack · Live
Four code setson the same claim
CPTwhat was performed — procedures and E/MICD-10-CMwhy it was necessary — the diagnosisHCPCS IIwhat was given — drugs, DME, suppliesHCCwhat it means for a risk-adjusted year
Held together by
Modifiers & NCCI edit logic
Source them from different vendors and they stop agreeing
One team touches all of it, so the codes support each other
Screened pre-billTraceable to the coder
What our medical coding services cover
CPT procedure & E/M coding
ICD-10-CM diagnosis coding
HCPCS Level II
HCC risk-adjustment coding
Modifier & NCCI edit review
01Not clerical work
Why coding accuracy decides how much you actually collect
Every dollar your practice earns starts with a code. A physician can document a complex visit perfectly, but if the code assigned to it is wrong, undercoded, unbundled, or missing a modifier, the payer either pays less than you earned or denies the claim outright. Small errors compound fast across thousands of encounters.
Above
Clinical care
What the clinician actually did, and what the documentation records about it.
The translation layer
Coding
The only place where care becomes a number a payer can price. Get it wrong here and nothing downstream can put it right.
Below
Revenue
What the payer pays, what gets denied, and what quietly never gets billed at all.
Fail low
Undercoding
Quietly leaves earned revenue on the table month after month. Nothing denies, so nothing flags it — and the loss compounds silently across every encounter.
Fail high
Overcoding
Invites payer audits, recoupments, and compliance penalties. Between those two failure modes sits a narrow, correct answer only a trained, credentialed coder consistently finds.
That is exactly the discipline our medical coding services are built to deliver: defensible, specific, revenue-complete codes on every claim. When you outsource this function to a professional coding team, you also remove single-person risk. In-house coding often rests on one or two staff members whose vacations, turnover, or backlog directly stall your cash flow. As an outsourcing partner, we bring bench depth, cross-coverage, and consistent throughput — coding submitted within 24 hours of receiving documentation, so charge lag never becomes cash lag.
02A coding umbrella, not a single code set
What our medical coding services cover — every code set, one team
Rather than force you to source diagnosis coding from one vendor and procedure coding from another, our certified coders own all four major code sets and the edit logic that ties them together. Each code set below links to a deeper component page if you want the specifics of that discipline.
| Code set | What it captures | Where accuracy matters most | Component page |
|---|---|---|---|
| CPT (procedures & E/M) | Surgical, procedural, and evaluation-and-management services | E/M level selection, modifier use, NCCI bundling edits | CPT procedure coding |
| ICD-10-CM (diagnoses) | The reason for the visit and medical necessity | Specificity, laterality, combination codes, CPT linkage | ICD-10 diagnosis coding |
| HCPCS Level II | Drugs and J-codes, DME, supplies, injectables | Correct units, NDC crosswalks, supply capture | HCPCS & J-code coding |
| HCC / risk adjustment | Chronic-condition capture for value-based contracts | RAF accuracy, annual recapture, RADV defensibility | HCC risk-adjustment coding |
| Modifiers & edits | Correct payment for distinct or reduced services | -25, -59, -26/-TC, NCCI and MUE compliance | Applied across all code sets |
Because one team touches all of it, the codes agree with each other. Your diagnosis supports your procedure, your modifier survives the payer's edit, and your risk score reflects the conditions your provider actually managed. That coherence is what a fragmented, single-code-set arrangement can never guarantee.
03Transparent, versioned, auditable
Outsource medical coding services without losing control
You keep the view
Handing off coding does not mean handing off oversight. When practices outsource to us, they keep full visibility while we absorb the operational load. You continue to see every claim, every accuracy score, and every trend through the free reporting dashboard, and your dedicated account manager gives you a single, accountable point of contact rather than a ticket queue.
When it makes sense
Outsourcing coding makes the most sense when any of these are true: your coders are chronically behind, your denial rate for coding-related reasons is climbing, you are adding providers or a new specialty faster than you can staff, or you simply want to convert a fixed payroll cost into a scalable, accuracy-guaranteed service. As a medical billing services company that has specialized in this since 2005, we make the transition boring on purpose — no disruption to your EHR, your clearinghouse, or your existing billing workflow.
Where coding ends
You stop paying for recruiting, credentialing exam fees, continuing-education hours, coding software seats, and the productivity dip every time a coder leaves. Control also means clarity about where coding ends and billing begins: some practices want us to code only and pass finished charges back to an internal biller; others want coding folded into full revenue-cycle handling. Either way, the coding layer stays transparent, versioned, and auditable — you can trace any code on any claim back to the documentation and the coder who assigned it.
Revenue review
What is coding accuracy costing you?
We review a sample of your recent coding and denials, quantify where accuracy is costing you revenue, and show you exactly what cleaner coding would recover.
- Coding-related denials separated from every other cause
- Undercoding measured, not just overcoding risk
- Every code set checked against the others on the same claim
HIPAA & SOC 2 Type II
Back within one business day
No long-term lock-in
Request a Revenue Review
Tell us about your practice.
A certified coding lead will reach out within one business day.
Thanks — we've got it.
A certified coding lead will reach out within one business day.
04A process, not a talent
How we keep your coding clean and audit-ready
Clean coding is a process, not a talent. Our workflow is designed so that accuracy is engineered in rather than hoped for.
- 01Intake
Documentation intake
We pull encounter documentation securely from your EHR or your billing team, with every handoff inside HIPAA-compliant, SOC 2 Type II-controlled systems.
- 02Code
Certified coding
An AAPC- or AHIMA-certified coder trained in your specialty assigns CPT, ICD-10-CM, and HCPCS codes with correct modifiers and the diagnosis-to-procedure linkage payers require.
- 03Screen
Edit and necessity check
Every code runs against NCCI, MUE, and medical-necessity logic before it becomes a charge — the same gate our pre-bill coding quality review applies as a dedicated service.
- 04QA
Pre-submission QA
A second-set-of-eyes sampling process scores accuracy and feeds any pattern back to the coder before claims leave the building.
- 05Teach
Feedback to the front
Recurring documentation gaps are routed back to your providers as concise, specific queries, so next month's charts code cleaner than this month's.
This is the same rigor that supports a 99% clean-claim rate, net collection near 99%, and denial recovery of roughly 90% across the practices we serve — coding is where those numbers begin. When a retrospective look-back is needed, our coding audit and chart review service closes the loop with provider education.
05The highest-leverage place to fix revenue
Where medical coding goes wrong — and how we stop it
Most coding-driven revenue loss traces back to a short list of repeatable errors. We instrument our process specifically against them.
Coding error
Missing or misapplied modifier (-25, -59)
Typical payer result
CO-97 bundling denial, lost distinct-service pay
How our coders prevent it
NCCI-aware modifier review on every eligible line
Coding error
Unspecified ICD-10 code where specificity exists
Typical payer result
CO-11 / medical-necessity denial
How our coders prevent it
Highest-specificity diagnosis coding, laterality checked
Coding error
Diagnosis does not support the procedure
Typical payer result
Medical-necessity denial
How our coders prevent it
Enforced CPT-to-ICD-10 linkage before billing
Coding error
Wrong HCPCS units or NDC on a drug claim
Typical payer result
Underpayment or line denial
How our coders prevent it
Unit and NDC crosswalk verification
Coding error
Chronic conditions not recaptured annually (HCC)
Typical payer result
Understated RAF, lost risk-adjusted revenue
How our coders prevent it
Annual recapture review with RADV-defensible support
Coding error
Unbundling / NCCI edit violations
Typical payer result
Denials plus compliance audit exposure
How our coders prevent it
Automated NCCI and MUE edit screening pre-submission
Catching these before submission is what separates a clean claim from a 30-day appeal. It is also why coding accuracy, not just billing follow-up, is the highest-leverage place to fix a revenue problem. Request a revenue review
06Prove accuracy, protect compliance, scale
Why practices choose 247MBS for medical coding
Choosing a coding partner comes down to whether they can prove accuracy, protect compliance, and scale with you. We built our offering around all three:
- Only credentialed codersEvery coder holds an active AAPC or AHIMA credential and codes within the specialties they are trained for — never generalists guessing across unfamiliar charts.
- Every specialty, every code setFrom behavioral health and anesthesia to nephrology, urgent care, primary care, and pain management, we code the way each specialty actually documents.
- Measurable, reported accuracyYour dashboard shows coding accuracy, denial trends, and turnaround in real time — no black box.
- Compliance built inHIPAA, SOC 2 Type II, and HBMA membership mean your PHI and your coding compliance are handled to audited standards.
- Proven retentionA 98% client retention rate and 20+ years in business since 2005 reflect partners who stay because the coding stays correct.
- A real partner, not a portalA dedicated account manager owns your account, so escalations reach a person who knows your practice.
07Credentials are the floor, not the ceiling
Certified coders, accuracy you can measure
Manage the function by numbers, not anecdotes.
Our AAPC- and AHIMA-certified coders complete ongoing education against each year's CPT, ICD-10-CM, and HCPCS revisions so your claims never carry a deleted or superseded code — the same currency discipline available as our dedicated annual coding updates service. Accuracy is then verified, not assumed: sampled QA scoring, pre-bill edit gating, and denial-trend analysis together drive the up-to-40% reduction in denials that practices see after moving their coding to us. That measurability is the point. When you outsource coding to a professional team that reports its own accuracy, you finally get to manage the function by numbers instead of anecdotes — and to hold your partner to those numbers month over month.
- SAMPLESampled QA scoringA second set of eyes before claims leave.
- GATEPre-bill edit gatingNCCI, MUE and necessity logic before a charge exists.
- TRENDDenial-trend analysisCoding-driven denials separated from every other cause.
- YEAROngoing revision educationAcross all four code sets, every year.
Coding is where these numbers begin
What accuracy across every code set produces:
0%
Clean-claim rate
~0%
Net collection
~0%
Denial recovery
up to 0%
Fewer denials after moving coding to us
0
Code sets under one team
0%
Client retention
08Coders assigned by specialty
Who we code for
Our coders support solo physicians, multi-provider groups, hospital-affiliated practices, and specialty clinics across the United States. Whether you run a single-specialty office that needs deep expertise in one code family or a multi-specialty group that needs consistent quality across many, we staff your account with coders who match your case mix.
Anesthesia
A claim priced on time units rather than on services — a formula a generalist coder rarely handles correctly. See our anesthesia billing services.
What decides the moneyThe unit formula
Nephrology
A dialysis month coded as a period rather than a visit, with capitation rules a per-encounter instinct gets wrong.
What decides the moneyThe month, not the visit
Behavioral & mental health
Sessions with place-of-service nuance and time-based codes, where authorisation rules drive most denials.
What decides the moneyTime bands and POS
Medicare Advantage panels
Risk-adjusted populations where chronic-condition capture matters as much as claim-level accuracy.
What decides the moneyAnnual recapture
Primary care, urgent care & telehealth
High-volume E/M where small per-encounter errors compound into large annual losses.
What decides the moneyConsistency at scale
A generalist who codes them all the same way leaves money and compliance on the table. We assign coders by specialty precisely so the person reading your chart already understands how your work is documented and reimbursed, and as your case mix grows or shifts we scale the team with it rather than asking you to hire.
09Coding within days
Getting started is simple
Onboarding begins with the revenue review — before you commit to anything.
We quantify first
We review a sample of your recent coding and denials, quantify where accuracy is costing you revenue, and show you exactly what cleaner coding would recover.
We connect securely
We build your dedicated coding team, connect securely to your systems, and agree on turnaround and accuracy targets.
Coding within days
Your account manager stays with you through the transition and beyond, and your dashboard goes live from the start.
You can watch the numbers improve from week one, rather than take them on trust.
Yes. Every coder holds an active AAPC or AHIMA credential and is assigned to specialties they are trained and experienced in. Coding compliance is reinforced with pre-bill QA and ongoing education against current code sets.
Almost certainly. We code across primary care, urgent care, behavioral and mental health, psychiatric care, anesthesia, nephrology, pain management, telehealth, dental, and many more. Your account is staffed with coders who match your documentation patterns.
All of them — CPT and E/M, ICD-10-CM diagnosis coding, HCPCS Level II, and HCC risk adjustment, plus full modifier and NCCI edit review. Each has a dedicated component page linked above if you want the detail.
No. We work inside your existing EHR and clearinghouse and adapt to your process. Most practices see cleaner claims and faster turnaround with zero change to how their providers document.
All coding runs inside HIPAA-compliant, SOC 2 Type II-controlled systems, and we are an HBMA member. Your PHI is handled to audited security standards at every step.
Pricing scales with your volume and specialty mix. The revenue review gives us what we need to quote transparently — no long-term lock-in required to start.
CPT·ICD-10-CM·HCPCS II·HCC
Stop losing revenue to coding errors.
Coding is the translation layer between clinical care and revenue — and between undercoding and audit risk sits a narrow correct answer only a credentialed coder consistently finds. Our professional coding team is ready to prove the difference on your own claims, with every code set under one roof so the codes actually agree with each other.
Component services: CPT coding · ICD-10 coding · HCPCS coding · HCC coding