Coding Ops

Visits coded correctly, with feedback your providers can use

Coding Ops: experienced coders handle E/M, procedure, and diagnosis coding for your practice, and review coding patterns so problems get fixed before a payer finds them.

Run by our ops team and vetted partners

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What's included

Coding can run every day as part of billing, or as periodic review of the codes your team already assigns.

  • E/M coding

    Office and hospital visit levels coded from the provider's documentation.

  • Procedure coding

    Procedures and modifiers coded to match what was documented and performed.

  • ICD-10 diagnosis coding

    Diagnoses coded to the specificity the documentation supports.

  • Coding review and audits

    A sample of coded visits reviewed on a set schedule, with findings broken down by provider.

  • Feedback to providers

    Specific notes on what the documentation supported and what it didn't, written for the provider who signed it.

  • Documentation improvement

    Recurring documentation gaps flagged, with examples, so the fix happens at the note.

How it works

Coders work from your providers' signed documentation and send questions back instead of guessing. AI can flag likely documentation gaps for the coder to check, but the coder assigns every code.

  1. 01

    Learn your specialty and payers

    We review your visit types, common procedures, and payer rules before coding starts.

  2. 02

    Code from the signed note

    Each visit is coded from what the provider documented.

  3. 03

    Questions go to the provider

    When the note doesn't support a code clearly, the coder sends a query to the provider instead of picking one.

  4. 04

    Review and feedback

    Periodic audits and provider feedback show where coding and documentation can tighten up.

Where the line sits

Coders code what the provider documented. They don't add, change, or suggest clinical content to raise a code.

  • The note is the provider's

    Only the provider changes the clinical documentation. Coders ask; providers decide.

  • No upcoding

    Codes reflect the documentation. If a visit was coded higher than the note supports, we say so.

  • Unclear notes get a query

    Ambiguous documentation goes back to the provider as a question, with the specific gap named.

FAQ

Frequently Asked Questions

We confirm the credentials of the coders assigned to your practice during scoping, so you know who is coding your visits and what qualifications they hold before work starts.

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