247 Medical Billing

Accurate. Compliant. Revenue-Focused.

Expert Medical Coding Services That Maximize Reimbursements & Minimize Claim Denials

Your practice loses an average of $125,000 annually due to coding errors and claim denials. 247 Medical Billing’s certified medical coding specialists eliminate that revenue leakage — delivering precise ICD-10, CPT, and HCPCS coding across 25+ specialties with a 98.6% client satisfaction rate.

What Are Medical Coding Services — and Why Your Revenue Depends on Them

Medical coding services are the systematic process of translating clinical documentation — physician notes, diagnoses, procedures, and treatments — into universally standardized alphanumeric codes used by insurance payers to process reimbursement claims.

These codes fall under three primary classification systems:

  • ICD-10-CM/PCS — International Classification of Diseases (diagnosis and procedure codes)
  • CPT — Current Procedural Terminology (outpatient services and procedures)
  • HCPCS Level II — Healthcare Common Procedure Coding System (supplies, equipment, drugs)

When medical coding is accurate, your claims clear payer review on the first submission, reducing days in accounts receivable and increasing net collections. When coding is inaccurate — even by a single digit — the result is claim denial, delayed payment, compliance risk, or audit exposure.

According to the American Academy of Professional Coders (AAPC), coding errors are responsible for up to 80% of medical billing claim denials. The Centers for Medicare & Medicaid Services (CMS) reports that improper payments in the Medicare program alone exceeded $31 billion in FY 2023, much of it tied to incorrect coding.

Healthcare providers — from solo practitioners to large group practices and hospital systems — need professional medical coding services to:

  • Protect revenue integrity

  • Stay compliant with CMS and HIPAA regulations

  • Reduce administrative burden on clinical staff

  • Accelerate reimbursement cycles

  • Minimize audit risk

247 Medical Billing delivers all of this and more through a team of AAPC-certified, HIPAA-compliant medical coders with deep expertise across multi-specialty healthcare environments.

group-of-doctors-standing-in-corridor-on-medical-conference-e1623252293962.jpg

OUR MEDICAL CODING SERVICES

Comprehensive Medical Coding Solutions for Every Practice Type

ICD-10-CM / ICD-10-PCS Coding

ICD-10-CM / ICD-10-PCS Coding

Our certified coders apply the correct ICD-10-CM diagnosis codes and ICD-10-PCS procedure codes with precision — capturing the full specificity that payers require for clean claim adjudication. What we deliver:

  • Accurate principal and secondary diagnosis coding
  • Comorbidity and complication capture for RAF optimization
  • Compliance with Official Coding Guidelines
  • Reduction of unspecified code usage (a top audit trigger)
  • Pain point solved: Many practices leave revenue on the table by using unspecified or truncated ICD-10 codes. Our team ensures maximum code specificity — which directly increases reimbursement accuracy.

    CPT Coding Services

    CPT Coding Services

    Current Procedural Terminology (CPT) codes drive your outpatient and physician service reimbursements. Incorrect CPT selection — including unbundling, upcoding, or undercoding — creates serious compliance exposure. What we deliver:

  • Procedure-specific CPT assignment aligned to documentation
  • Modifier application (25, 59, 51, 76, and more)
  • Bundling and unbundling compliance checks
  • Surgery and procedure coding with proper laterality
  • Pain point solved: Modifier errors alone cause thousands in annual revenue loss. Our coders are trained to apply the right modifiers that maximize payer acceptance without triggering audits.

    HCPCS Level II Coding

    HCPCS Level II Coding

    Healthcare Common Procedure Coding System (HCPCS) Level II codes cover durable medical equipment (DME), supplies, injections, infusions, and non-physician services. Errors here frequently result in Medicare and Medicaid denials. What we deliver:

  • Accurate DME and supply coding
  • Drug and infusion administration codes
  • Ambulance and transport codes
  • Alignment with Medicare Local and
  • National Coverage Determinations (LCDs/NCDs)

  • Risk Adjustment Coding (HCC Coding)

    Risk Adjustment Coding (HCC Coding)

    Hierarchical Condition Category (HCC) coding directly impacts capitation payments in Medicare Advantage and ACO models. Under-documented HCCs mean your practice absorbs patient risk without appropriate payment. What we deliver:

  • Comprehensive HCC gap analysis
  • Chronic condition capture and recapture
  • Risk Adjustment Factor (RAF) score optimization
  • Retrospective and prospective coding reviews
  • Pain point solved: Missed HCC codes in Medicare Advantage plans cost practices an average of $2,000+ per patient annually. Our risk adjustment coding service closes that gap.

    Specialty-Specific Medical Coding

    Specialty-Specific Medical Coding

    Generic coding firms apply one-size-fits-all approaches that fail specialty practices. Our coders are specialty-trained with current knowledge of payer-specific policies, specialty-specific CPT code sets, and documentation requirements. Specialties include: cardiology, orthopedics, neurology, dermatology, gastroenterology, psychiatry, OB/GYN, pain management, surgery, and 15+ others.

    Evaluation & Management (E/M) Coding

    Evaluation & Management (E/M) Coding

    The 2021 and 2023 E/M guideline revisions (CMS) fundamentally changed how office visit levels are determined — shifting from time-based to Medical Decision Making (MDM) complexity. Many practices are still incorrectly coding under outdated guidelines. What we deliver:

  • MDM-based level selection per current AMA guidelines
  • Time-based coding when applicable
  • Split/shared visit coding for hospital settings
  • Documentation feedback to improve E/M level capture

  • Inpatient & Outpatient Facility Coding

    Inpatient & Outpatient Facility Coding

    Hospital and facility-based coding requires dual expertise — clinical knowledge and payer-specific policy awareness across DRG (Diagnosis Related Group) systems and APC (Ambulatory Payment Classification) structures. What we deliver:

  • UB-04 inpatient facility coding
  • CMS-1500 outpatient professional fee coding
  • DRG optimization and MS-DRG assignment validation
  • APC coding for hospital outpatient services
  • Denial Analysis & Coding Correction

    Denial Analysis & Coding Correction

    Received a denial? Our denial analysis team identifies the root coding cause — whether it's a diagnosis-procedure mismatch, missing modifier, or LCD non-compliance — and corrects it for successful resubmission. What we deliver:

  • Line-item denial root cause analysis
  • Corrected claim preparation and resubmission
  • Pattern identification to prevent recurring denials
  • Appeals support with clinical documentation
  • 💬 Ready to Discover What Your Practice Is Missing?

    Our coding audit specialists are available to discuss your practice's specific needs.

    WHY OUTSOURCE MEDICAL CODING?

    7 Data-Driven Reasons Practices Outsource Medical Coding to Specialists

    Healthcare providers across the United States are making the strategic shift from in-house coding to outsourced medical coding services — and the financial data backs the decision.

    🎯 Reduce Claim Denials by Up to 30%

    In-house coders managing high patient volumes make errors under pressure. Specialized outsourced coders focus exclusively on coding accuracy, reducing first-pass denial rates by an industry-average of 20–30% according to HFMA studies.

    💬 Ready to Discover What Your Practice Is Missing?

    Our billing audit specialists are available to discuss your practice's specific needs.

    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.

    98.6% Client Satisfaction Rate

    Our client retention and satisfaction data speaks louder than any marketing claim. Nearly every client who partners with 247 Medical Billing stays — because results are measurable, consistent, and significant.

    Advanced Billing Software Proficiency

    Our coders are trained on 15+ industry-leading platforms including Epic, Athenahealth, eClinicalWorks, Kareo, DrChrono, Medisoft, NextGen, and more — ensuring seamless integration with your existing workflow.

    📋 Request a Coding Audit Assessment

    HIPAA-Certified Operations

    Every process, system, tool, and team member at 247 Medical Billing operates under strict HIPAA compliance protocols. Patient data is handled with military-grade security standards — encrypted in transit and at rest.

    Certified Professional Coders (CPC / CCS)

    All coding staff hold current certifications from AAPC (CPC) or AHIMA (CCS/CCS-P) — the two most recognized credentialing bodies in medical coding. Continuous education is mandatory to maintain certification and stay current with annual code changes.

    5+ Years of Proven Experience

    With over five years of dedicated healthcare billing and coding experience, our team has navigated major regulatory transitions including ICD-10 expansion, E/M guideline revisions, and COVID-era billing policy changes.

    Multi-Specialty Coding Expertise

    From high-complexity cardiology procedures to behavioral health sessions and outpatient surgical coding — our team covers 25+ clinical specialties with specialty-specific payer knowledge.

    Transparent Reporting & Real-Time Visibility

    You're never left wondering about your revenue cycle. Our clients receive real-time dashboards, monthly performance reports, denial trend analyses, and coder productivity metrics — full visibility, zero surprises.

    OUR MEDICAL CODING PROCESS

    How 247 Medical Billing Delivers Accurate Codes — Every Time

    Our coding workflow is engineered for precision, compliance, and speed. Every chart processed follows a 6-step quality-controlled methodology:

    Step 1: Chart & Documentation Review

    Our coders begin with a comprehensive review of the clinical documentation — physician notes, operative reports, diagnostic results, and discharge summaries — to understand the full clinical picture before assigning a single code. What we look for: Documented diagnoses, procedures performed, clinical indicators, and documentation completeness.

    Step 2: Code Assignment

    Using specialty-specific knowledge and current code sets, our coders assign:

  • Primary and secondary ICD-10-CM diagnosis codes
  • CPT procedure codes with appropriate modifiers
  • HCPCS Level II codes for supplies and services
  • DRG/APC codes for facility claims
  • Compliance reference: AHA Coding Clinic, CPT Assistant, CMS Transmittals

    Step 3: Compliance & Accuracy Review

    Every coded chart undergoes an internal compliance review against:

  • CMS National and Local Coverage
  • Determinations (NCDs/LCDs)
  • AMA CPT bundling edits
  • Official ICD-10 Coding Guidelines
  • Payer-specific coding policies
  • Step 4: Claim Scrubbing

    Before submission, claims pass through our automated and manual scrubbing process — catching diagnosis-procedure mismatches, missing modifiers, invalid code combinations, and demographic errors that cause denials.

    diverse-medical-team-of-doctors-looking-at-camera-while-holding-clipboard-and-medical-files.jpg

    Step 5: Submission Support & Coordination

    Our coding team coordinates directly with your billing department or handles submission end-to-end — ensuring clean claims reach payers through the correct clearinghouse pathways within your required timelines.

    Step 6: Audit, Reporting & Feedback Loop

    Post-submission, we track claim adjudication outcomes, document denial patterns, and provide your team with actionable coder performance reports and documentation improvement recommendations — creating a continuous improvement cycle.

    HIPAA-Compliant Medical Coding You Can Trust

    COMPLIANCE & DATA SECURITY

    In healthcare, data security is non-negotiable. A single breach of Protected Health Information (PHI) carries fines ranging from $100 to $50,000 per violation under HIPAA — with criminal exposure for willful neglect.

    247 Medical Billing operates a fully HIPAA-compliant coding environment with:

    🔒 End-to-End Encryption

    All patient data is encrypted using AES-256 encryption during transmission and storage — meeting and exceeding HIPAA Technical Safeguard requirements.

    👤 Role-Based Access Controls

    PHI access is strictly limited to authorized personnel with documented need-to-know — enforced through role-based permission systems and access logging.

    📋 Business Associate Agreements (BAAs)

    We execute HIPAA-compliant BAAs with every client practice before any data exchange — protecting both parties legally and operationally.

    🔄 Regular Security Audits

    Our systems undergo quarterly internal audits and annual third-party security assessments to ensure continuous compliance with HIPAA Privacy Rule, Security Rule, and Breach Notification Rule requirements.

    📚 Staff HIPAA Training

    Every team member completes mandatory HIPAA training at onboarding and annually — documented and verifiable.

    ⚡ Breach Response Protocol

    In the unlikely event of a security incident, our documented Breach Response Plan ensures notification, containment, and remediation within HIPAA's required 60-day window.

    Help & FAQ

    Frequently Asked Questions About Medical Coding Service

    Medical coding services involve the translation of clinical documentation — diagnoses, procedures, and medical services — into standardized alphanumeric codes (ICD-10, CPT, HCPCS) used by insurance payers to process and reimburse healthcare claims. Professional medical coding services ensure accuracy, compliance, and maximum reimbursement for healthcare providers.

    Medical coding service costs typically range from $0.50 to $7.00 per chart depending on specialty complexity, volume, and service scope. Many providers charge a percentage of collections (4–9%) for full revenue cycle services that include coding. 247 Medical Billing offers customized pricing based on your practice's specific needs — contact us for a free quote.

    Outsourcing medical coding offers significant advantages over in-house staffing:

    • Lower cost (30–40% operational savings vs. in-house)
    • Immediate access to certified coders with specialty expertise
    • Automatic compliance updates with annual code changes
    • No turnover risk or training costs
    • Scalability without hiring delays
    • Higher accuracy rates from specialized focus

    Medical coders should hold recognized credentials from:

    • AAPC: CPC (Certified Professional Coder), CPC-H, COC, or specialty credentials (CCC, COSC, CEDC, etc.)
    • AHIMA: CCS (Certified Coding Specialist), CCS-P, RHIA, RHIT

    All coders at 247 Medical Billing hold current AAPC or AHIMA certifications with specialty endorsements.

    Medical coding accuracy directly determines reimbursement rates. Incorrect codes lead to:

    • Claim denials (requiring costly rework)
    • Underpayments (from undercoded procedures)
    • Audit flags (from upcoded or unbundled claims)
    • Compliance penalties (from systematic errors)

    Accurate coding on first submission results in faster payment, higher net collections, and reduced administrative overhead.

    Yes — provided the coding company operates under a signed Business Associate Agreement (BAA) and maintains documented HIPAA compliance protocols. 247 Medical Billing is fully HIPAA certified, executes BAAs with all clients, and maintains encrypted, audited data environments that meet all HIPAA Privacy and Security Rule requirements.

    247 Medical Billing's standard turnaround time is 24–48 hours from chart receipt to completed coded claim — with expedited options available for urgent submissions. Complex cases (multi-procedure surgery, inpatient DRG coding) may require up to 72 hours for accuracy assurance.

    247 Medical Billing provides specialty-specific medical coding for 25+ clinical specialties including cardiology, orthopedics, internal medicine, OB/GYN, psychiatry, pain management, radiology, surgery, pediatrics, dermatology, oncology, neurology, and more. Contact us if you don't see your specialty listed.

    group-of-doctors-standing-in-corridor-on-medical-conference-e1623252293962.jpg

    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:

    1. 📞 Free 15-Minute Consultation — We learn your practice's specific coding challenges
    2. 🔍 Free Coding Audit — We review a sample of your recent claims for accuracy and compliance
    3. 📊 Custom Proposal — You receive a transparent, no-obligation service proposal
    4. 🚀 Onboarding in 48 Hours — We integrate with your existing systems and get to work

    No long-term contracts. No setup fees. Just results.