Expert Medical Coding Services That Maximize Reimbursements
Practices lose an average of $125,000/year to coding errors and claim denials. 247 Medical Billing’s AAPC-certified medical coders deliver precise ICD-10, CPT, and HCPCS coding across 25+ specialties, eliminating that revenue leakage from day one.
98.6% Client Satisfaction Rate
24–48 Hour Chart-to-Code Turnaround
Up to 30% Reduction in Claim Denials
Up to 30% Reduction in Claim Denials
Up to 30% Reduction in Claim Denials
Client Satisfaction Rate
Avg. Denial Reduction
Medical Specialties
Chart-to-Code Turnaround
Medical Coding Explained
What Are Medical Coding Services And Why Your Revenue Depends On Them
Medical coding is the process of translating clinical documentation, physician notes, diagnoses, procedures, and treatments into standardized alphanumeric codes used by payers to process reimbursement claims.
When coding is accurate, claims clear payer review on first submission. When inaccurate, even by a single digit, the result is claim denial, delayed payment, compliance risk, or audit exposure.
According to AAPC, coding errors cause up to 80% of medical billing claim denials. CMS reports that improper Medicare payments exceeded $31 billion in FY 2023, largely due to incorrect coding.
Three Primary Code Classification Systems
International Classification of Diseases
Diagnosis and inpatient procedure codes over 70,000 available codes. Updated annually by WHO and CMS.
Current Procedural Terminology
AMA-developed codes for outpatient services, physician procedures, and surgical encounters. 270 new codes added in 2025.
Healthcare Common Procedure Coding System
Covers DME, supplies, injections, infusions, ambulance transport, and non-physician services. Used by Medicare & Medicaid.
CDT®
Dental procedure codes (ADA)
NDC
National Drug Codes for prescriptions
Know The Difference
Medical Coding vs. Medical Billing: What's The Difference?
Medical Coding
- ✓Translates clinical documentation into standardized codes
- ✓Works with ICD-10, CPT, HCPCS, NDC code sets
- ✓Focuses on clinical accuracy and payer compliance
- ✓Requires CPC/CCS certification (AAPC / AHIMA)
- ✓Drives the accuracy of every downstream claim
Medical Billing
- ✓Submits coded claims to insurance payers
- ✓Manages accounts receivable and payment posting
- ✓Handles patient statements and collections
- ✓Processes denials, appeals, and resubmissions
- ✓Focuses on revenue capture and cash flow
At 247 Medical Billing, we offer both coding and billing under one roof, delivering a fully
integrated Revenue Cycle Management (RCM) solution.
Our Medical Coding Services
Comprehensive Medical Coding Solutions For Every Practice Type
Diagnosis & Procedure Codes
ICD-10-CM / ICD-10-PCS Coding
— Principal and secondary diagnosis coding
— Comorbidity and complication capture
— Full code specificity no unspecified codes
— Compliance with Official ICD-10 Coding Guidelines
— RAF score optimization for Medicare Advantage
Outpatient & Physician Services
CPT® Procedure Coding
— Procedure-specific CPT assignment
— Modifier application: 25, 59, 51, 76, GT, 95 & more
— Bundling/unbundling compliance (NCCI edits)
— Surgery coding with proper laterality
— Preventive care and wellness code optimization
💡 Modifier errors alone cause thousands in annual revenue loss.
DME, Supplies & Drug Codes
HCPCS Level II Coding
— Durable medical equipment (DME) codes
— Drug and infusion administration codes
— Ambulance and transport codes
— Alignment with Medicare LCDs and NCDs
— Medicaid fee schedule compliance
Medicare Advantage & ACO Models
HCC Risk Adjustment Coding
— HCC gap analysis and chronic condition capture
— RAF score calculation and optimization
— Prospective and retrospective coding reviews
— Medicare Advantage audit support
— MSSP / ACO risk model compliance
Evaluation & Management
E/M Coding (2021/2023 Guidelines)
—MDM-based level selection (AMA 2023 guidelines)
— Time-based coding when applicable
— Split/shared visit coding for hospital settings
— Telehealth and virtual E/M coding (GT, 95 modifiers)
— Documentation feedback to improve E/M capture
DRG, APC & UB-04
Inpatient & Facility Coding
—UB-04 inpatient facility coding
—MS-DRG assignment and optimization
— APC coding for hospital outpatient services
— Case Mix Index (CMI) improvement
— DNFB and DNFC rate reduction
💡 Every DRG point gained directly increases hospital reimbursement.
Revenue Recovery
Denial Analysis & Coding Correction
— Line-item denial root cause analysis
— Corrected claim preparation and resubmission
— Pattern identification to prevent recurring denials
— CARC/RARC code interpretation
— Payer-specific appeals support
Pre-Bill & Retrospective Audits
Coding Audits & Compliance Reviews
— Pre-bill coding audits to catch errors before submission
— Retrospective audits for compliance exposure
— OIG Work Plan compliance checks
— Payer-specific documentation review
— Coder performance benchmarking reports
25+ Clinical Specialties
Specialty-Specific Medical Coding
— Cardiology, Orthopedics, Neurology, Dermatology
— Gastroenterology, OB/GYN, Psychiatry, Oncology
— Pain Management, Surgery, Radiology, Urology
— Pediatrics, Emergency Medicine, Hospitalist
— Payer-specific policy knowledge per specialty
Why Outsource Medical Coding
7 Data-Driven Reasons To Outsource Your Medical Coding
Healthcare providers across the USA are moving from in-house to outsourced medical coding,
the financial data backs every reason.
Cut Claim Denials by Up to 30%
Specialized outsourced coders focus exclusively on accuracy. HFMA studies show a 20–30% reduction in first-pass denial rates vs. in-house teams.
Boost Net Collections by 15%+
Practices report up to 15% improvement in net collections within 90 days driven by higher clean claim rates and fewer write-offs.
Reduce Operating Costs 30–40%
A full-time certified coder costs $65K–$85K/year (salary + benefits + training). Outsourcing eliminates that overhead completely.
Eliminate Staffing Burden
No hiring, training, credentialing, or managing coders. No impact from vacation, turnover, or sick days. Zero staffing overhead.
Stay Current with Code Updates
ICD-10, CPT, and CMS policies change annually. In 2025 alone: 270 new CPT codes, 300+ ICD-10 changes. We handle all updates automatically.
24–48 Hour Turnaround
Our average chart-to-code turnaround is 24–48 hours faster than internal teams balancing competing administrative demands.
Scale Instantly with Your Volume
Seasonal surges, post-merger growth, or new specialty lines outsourced coding scales immediately without adding a single headcount.
WHY CHOOSE 247 MEDICAL BILLING?
The 247 Medical Billing Difference: Where Accuracy Meets Accountability
Not all medical coding companies are created equal. Here’s why healthcare providers across the United States trust 247 Medical Billing as their preferred coding and billing partner.
25+ Medical Specialties
Specialty-Specific Medical Coding You Can Trust
We don’t use one-size-fits-all coding. Each specialty has unique CPT code sets, payer
policies, and documentation requirements. Our coders are specialty-trained.
HIPAA-Compliant Medical Coding You Can Trust
The 247 Medical Billing Difference: Accuracy Meets Accountability
Not all medical coding companies deliver the same results. Here’s what makes us the
preferred medical coding partner for practices across the United States.
HIPAA-Compliant Medical Coding You Can Trust
In healthcare, data security is non-negotiable. A single PHI breach carries fines from $100 to $50,000 per violation under HIPAA with criminal exposure for willful neglect.
247 Medical Billing maintains compliance with HIPAA Privacy Rule, Security Rule, and Breach Notification Rule plus MACRA, MIPS, MSSP, CPC+, and the Quality Payment Program (QPP).
- HIPAA Privacy Rule ✓ Fully Compliant
- HIPAA Security Rule ✓ Fully Compliant
- MACRA / MIPS Compliance ✓ Active
- CMS Fraud, Waste & Abuse ✓ Annual Training
- GDPR Data Standards ✓ Adopted
- OIG Compliance Program ✓ Active
AES-256 Encryption
All PHI encrypted in transit and at rest meeting HIPAA Technical Safeguard requirements.
Role-Based Access
PHI access strictly limited to authorized personnel with documented need-to-know and access logging.
Signed BAAs
HIPAA-compliant Business Associate Agreements executed with every client before any data exchange.
Quarterly Security Audits
Internal quarterly audits and annual third-party assessments for continuous compliance validation.
Annual HIPAA Training
Mandatory HIPAA training for every team member at onboarding and annually fully documented.
60-Day Breach Protocol
Documented Breach Response Plan ensures notification, containment, and remediation within HIPAA's required window.
Technology & EHR Integration
Coding Technology That Improves Accuracy
We combine AI-assisted code suggestion tools with expert human review the best of
technology and expertise working together.
AI-Assisted Code Suggestion
Our coding platform uses intelligent code suggestion software that scans medical records and flags potential codes then certified coders validate every suggestion for accuracy.
Real-Time Claim Scrubbing
Automated edits catch diagnosis-procedure mismatches, NCCI bundling violations, missing modifiers, and LCD/NCD compliance issues before claims leave our system.
Performance Analytics Dashboard
Track clean claim rates, denial trends, coder accuracy, AR days, and RAF scores in real time giving you full visibility into your revenue cycle health.
INTEGRATED WITH 15+ LEADING EHR & PRACTICE MANAGEMENT PLATFORMS
Performance Metrics We Track
We Measure What Actually Matters to Your Revenue
Beyond basic accuracy, we actively manage the advanced revenue cycle metrics that
hospital and facility coders live and die by.
RAF Score
RISK ADJUSTMENT FACTOR
Optimized for Medicare Advantage. Every missed HCC = lost capitation revenue.
CMI
CASE MIX INDEX
Higher CMI = higher DRG weights = higher hospital reimbursement. We improve yours.
DNFB
DISCHARGED NOT FINAL BILLED
Every day a case sits uncoded costs your facility real money. We minimize DNFB.
DNFC
DISCHARGED NOT FINALLY CODED
We track days-to-code after discharge and keep your DNFC rate at industry-low levels.
Ready to Stop Losing Revenue to Coding Errors?
Every day your practice operates with inaccurate coding is a day you're leaving reimbursable revenue uncollected. 247 Medical Billing's certified medical coding specialists are ready to audit your current coding performance, identify your revenue gaps, and implement a precision coding strategy that delivers measurable results — fast.
Here's what happens when you contact us:
- Free 15-Minute Consultation — We learn your practice's specific coding challenges
- Free Coding Audit — We review a sample of your recent claims for accuracy and compliance
- Custom Proposal — You receive a transparent, no-obligation service proposal
- Onboarding in 48 Hours — We integrate with your existing systems and get to work
No long-term contracts. No setup fees. Just results.
Help & FAQ
Frequently Asked Questions About Medical Coding Service
