Medical Coding

Expert Medical Coding Services That Maximize Reimbursements

Health and Billing's medical coding services bridge the critical gap between clinical care and financial success through precise, compliant coding that captures the full value of your services. Our HIPAA-certified medical coders combine extensive clinical knowledge with deep understanding of coding guidelines to ensure every procedure, diagnosis, and service is accurately translated into optimal reimbursement.

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    We Ensure: ACCURACY. COMPLIANCE. MAXIMUM REIMBURSEMENT. 

    Medical coding is the backbone of the billing process

    Our accurate coding can:

    Prevents denials | Increases Revenue | Reduces the risk of audits or penalties

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    Why Choose Our Medical Coding Services?

    Expertise Across All Specialties


    Our certified coders are proficient in all medical specialties.

    Advanced Technology


    We utilize top-tier coding software like 3M CodeFinder and Optum360 to ensure accuracy and efficiency.

    Compliance Guaranteed


    Adherence to HIPAA, CMS, and payer-specific regulations is at the core of our operations.

    Proven Track Record


    Our certified coders are proficient in all medical specialties.

    Transparent Pricing


    No hidden fees; clear and competitive pricing models.

    24/7 Support


    Our dedicated team is always available to assist you.

    HEALTH & BILLING

    Schedule a Free Discussion!

     We Ensure: ACCURACY. COMPLIANCE. MAXIMUM REIMBURSEMENT. 

    AI-Powered Accuracy Checks | Proven ROI | Dedicated Account Managers | Transparent Reporting | Custom Solutions 

    Regular Audits & Quality Checks | Client-Centric Approach | 24/7 Support | Faster Reimbursements

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    WHO WE SERVE?

    • Solo and multi-provider practices
    • Small clinics through large hospitals
    • Specialty centers (e.g., imaging, ambulatory surgery)
    • Labs, FQHCs, and DME providers
    • Practices across more than 50 medical disciplines.
      • See the main specialities we serve, here

    Did you know the average denial rate in healthcare is 10%?

    At Health and Billing, we help practices dramatically reduce denials.

    And every 1% drop in denials translates into THOUSANDS of dollars in recovered revenue each year.

    Streamline your revenue cycle with precision coding for every claim.

    healthcare denial rate healthandbilling.com

    What More Will You Get With Our Medical Billing Services?

    Stay ahead of ever-changing payer rules with our expert coders trained to adapt instantly!

    Denial Management


    We proactively monitor claims for coding-related denials, using denial tracking tools and root-cause analysis to identify patterns and prevent future rejections. Our team handles resubmissions, appeals, and payer communications, ensuring denials are resolved quickly and efficiently. By combining analytics-driven insights with industry best practices, we help your practice reduce financial leakage and maintain a healthy cash flow.

    ICD-10, CPT, and HCPCS Coding


    We provide precise coding for every diagnosis, procedure, and medical service using the latest ICD-10, CPT, and HCPCS standards. Our certified coders ensure that every patient encounter is translated into accurate, compliant codes that reflect payer guidelines. This minimizes claim rejections, reduces the risk of audits, and ensures optimal reimbursement. We also stay updated with annual and quarterly code updates, payer-specific edits, and specialty-focused coding rules to keep your practice fully compliant.

    Charge Entry & Superbill Review


    Our Certified coders (CPC, CCS-P) review each patient’s superbill and charge entry to guarantee that all billable services are captured and accurately coded ( CPT, ICD-10, and HCPCS accuracy). This includes cross-referencing documentation, verifying modifiers, and ensuring proper linking of diagnoses to procedures for compliance with payer rules. By leveraging advanced EHR integration and automated charge capture tools, we reduce manual errors and ensure no revenue is left unclaimed.

    Coding Audits & Compliance Checks


    We conduct regular internal coding audits to verify accuracy, consistency, and compliance with federal regulations (HIPAA, CMS) and payer-specific policies. Our audit process identifies under- and over-coding risks, documentation gaps, and areas of non-compliance, allowing your practice to proactively correct issues before they impact revenue. These audits help maintain high-quality coding standards and protect your practice from penalties or denials.

    LCD-First Approach


    Our coders prioritize reading and applying the official Medicare LCDs (Local Coverage Determinations) for each service before using tools like EncoderPro or Codify. This ensures claims are billed strictly according to CMS rules, reducing denials and keeping your practice compliant.

    Reporting & Analytics


    Gain actionable insights with our comprehensive coding and revenue cycle reports. We provide detailed dashboards that track claim status, coding accuracy, denial trends, and revenue performance. These analytics allow your practice to identify areas for improvement, optimize workflows, and make data-driven decisions. Our reporting integrates with EHRs and billing systems, giving you real-time visibility into your coding and reimbursement performance.

    Why Outsource Medical Billing Services?

    Medical billing is the bridge between patient care and provider reimbursement. Accurate billing transforms medical billing from a time-consuming task into a strategic advantage! 

    By partnering with our trusted medical billing services, you can ensures you receive timely and fair payment for your services, while reducing errors that can cause costly delays or denials.

    Complex coding rules shouldn’t slow down your practice. We handle the details, so you can focus on patients.

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    FAQs

    Can outsourcing medical coding improve my practice’s revenue?

    Yes. Practices that outsource medical coding to certified professionals often see faster reimbursements, fewer denials, and increased collections. Accurate coding ensures every billable service is captured, reducing revenue loss due to undercoding or errors.

    Can Health & Billing medical coding handle multiple specialties?

    Absolutely. Our certified coders are trained across a wide range of specialties, including cardiology, mental health and psychiatry, neurology, urgent care, pain management, and more. We understand the nuances and payer-specific rules for each specialty, ensuring maximum accuracy and reimbursement.

    Why is accurate medical coding important for my practice?

    Medical coding is the backbone of your revenue cycle. Medical coding is the process of translating patient diagnoses, procedures, and services into standardized codes such as ICD-10, CPT, and HCPCS. Accurate coding ensures timely and correct reimbursement, reduces claim denials, maintains compliance with HIPAA and payer regulations, and minimizes audit risks.

    How do you ensure coding accuracy?

    We combine certified coders, advanced coding software like 3M CodeFinder and Optum360, and regular internal audits to ensure every claim is accurate. Additionally, we stay updated with quarterly ICD-10 and CPT changes and payer-specific rules to reduce errors and denials

    What happens if a claim is denied due to coding errors?

    Our denial management process identifies the root cause, corrects coding issues, and resubmits claims for approval. We track patterns to prevent future denials, helping your practice maintain steady cash flow and reduce revenue leakage.

    Do you integrate with our existing EHR or billing system?

    Absolutely. We provide seamless integration with your EHR or billing software to ensure smooth charge entry, coding, and reporting without disrupting your workflow.

    How do you maintain compliance with HIPAA and payer regulations?

    Compliance is at the core of our services. We follow HIPAA regulations, CMS guidelines, and payer-specific rules, conduct regular coding audits, and implement secure, encrypted data handling to protect patient information.

    How quickly can we start using your medical coding services?

    Onboarding is quick and smooth. Our team assesses your practice needs, reviews your documentation, and starts coding efficiently, often within a few days, without disrupting your revenue cycle.

    Health & Billing Brings

    Hope, Health & Harmony

    To Your Healthcare Practice
    So, You can focus on what’s more important: Patient Care!

    Reduced Administrative Burden | Improved Cash Flow | 100% HIPAA-compliance
    Cost Efficiency | Certified medical coders and credentialing specialists | Scalable Solution