Medical coding services by certified coders
Accurate medical coding is the difference between a claim that pays and one that gets denied or downcoded. Our certified coders turn your documentation into CPT, ICD-10-CM, and HCPCS codes that match the care you delivered.
- CPT, ICD-10-CM, HCPCS
- Modifier accuracy
- Provider feedback
The problems we hear about most
Before practices come to us for medical coding, these are the issues that keep coming up.
Visits coded too low
When E/M levels are picked by habit instead of documentation, practices often under-code to play it safe and leave money behind.
Modifier denials
Missing or incorrect modifiers, like 25 or 59, are a common reason payers deny or bundle services.
Code sets keep changing
CPT, ICD-10-CM, and HCPCS change every year. Keeping up takes time that busy providers rarely have.
Everything included in our Medical Coding service
Certified billing and coding professionals handle every part of it, with HIPAA-compliant processes throughout.
E/M level selection
Visit levels are chosen from documented medical decision making or time, following current guidelines.
Procedure coding
CPT and HCPCS codes for in-office procedures, injections, supplies, and diagnostics.
Diagnosis coding
ICD-10-CM codes to the specificity the documentation supports, linked to the right procedures.
Modifier assignment
Modifiers applied correctly, so separately billable services get paid instead of bundled.
Documentation feedback
Regular, practical feedback to providers on documentation gaps that affect coding.
Annual code updates
Our coders track yearly code set and payer policy changes and apply them from day one.
How medical coding works with Optima
First, we set up a clear process from day one. That way, your claims keep moving while we get started.
Learn your specialty
We review your specialty, common procedures, and payer rules before coding a single chart.
Code from documentation
Coders review each encounter and assign the codes the documentation supports.
Check before billing
Codes are checked against payer edits and NCCI rules before the claim goes out.
Share feedback
Patterns and documentation tips go back to your providers so accuracy keeps improving.
Is medical coding right for your practice?
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Let's see if we're a fit
Select the statements that describe your practice to see whether Medical Coding would help.
What medical coding changes for your practice
Fewer coding denials
Correct codes and modifiers reduce the denials that start with coding.
Codes that match the care
Visits are billed at the level the documentation supports, no higher and no lower.
Less time on coding
Providers spend less time picking codes and more time with patients.
Medical coding for 30+ specialties
Our team works by specialty, so they know the codes, modifiers, and payer rules that apply to yours.
Services that work well together
Yes. Our coding team is made up of certified coding professionals who work by specialty, so they know the codes and payer rules your practice deals with.
Yes. Coders can work in your EHR or from documentation you share securely, whichever fits your workflow.
We don't guess. If the documentation doesn't support a code, we query the provider and hold the claim until it's clarified.
Yes. Our billing and coding audit reviews a sample of charts and shows where coding is costing you money or creating risk.
See what medical coding could change. Start with a free audit.
First, we'll review a sample of your claims, denials, and A/R. Then we'll show you where your revenue cycle needs attention.