Medical Coding Services
Accurate Coding, Built for Compliance
Our certified coding team aligns ICD-10, CPT, and payer guidelines with clinical documentation—helping reduce denials, avoid compliance risk, and keep claims moving smoothly.
Coding Support That Strengthens the Revenue Cycle
Accurate coding is not just about reimbursement—it’s about stability and control. Our medical coding services are designed to support clean claims, reduce downstream billing issues, and maintain consistency across the revenue cycle.
We work with hospitals, outpatient clinics, and specialty practices, adapting our coding processes to each care setting while maintaining strict regulatory standards.
Coding Solutions Across Care Settings
Different healthcare environments require different coding approaches. We provide tailored coding support for:
- Hospitals and outpatient facilities
- Specialty practices with procedure-heavy workflows
- Home health agencies requiring plan-of-care alignment
Each workflow is handled with attention to setting-specific coding rules and documentation standards.
What Our Medical Coding Services Cover
Our coding services are structured to support accuracy at every stage:
Accurate ICD-10 and CPT Coding
We code diagnoses and procedures based on complete clinical documentation, following current coding guidelines and payer requirements.
Coding Audits and Quality Reviews
Routine audits help identify errors, improve consistency, and reduce repeat denials while supporting long-term compliance.
Clinical Documentation Review
We review patient charts to ensure documentation supports coded services, reducing risk and improving claim acceptance.
Coding for Complex Diagnoses and Procedures
Our team handles complex cases that require deeper clinical understanding, balancing accuracy with compliance.
Technology-Aligned, Workflow-Friendly Coding
Our coding processes integrate smoothly with practice management systems and EHR platforms. This alignment helps improve first-pass acceptance rates, reduce rework, and maintain consistency between documentation, coding, and claim submission.
Technology supports the process—but accuracy and human review remain central.
A Certified Coding Team You Can Rely On
Our coding team includes certified professionals who stay current with ongoing coding updates and regulatory changes. Continuous education and internal quality checks ensure coding accuracy remains consistent over time—not just during onboarding.
You work with experienced coders who understand both clinical documentation and billing impact.
Support Beyond Coding Alone
Medical coding does not operate in isolation. When needed, we also coordinate with billing, denial management, and credentialing workflows to ensure coding decisions align with broader revenue cycle goals.
This integrated approach helps reduce errors, prevent avoidable denials, and support steady financial performance.
Reliable Coding That Supports Long-Term Stability
Accurate medical coding reduces uncertainty across billing operations. By managing coding carefully and consistently, we help practices maintain compliance, improve claim outcomes, and protect revenue over time.
With Thrive Medical Billing handling medical coding, your team can focus on patient care—knowing that documentation and coding are handled correctly behind the scenes.
FAQs for Medical Coding Services
What is a medical coding service?
A medical coding service translates healthcare diagnoses, procedures, and treatments into standardized codes (ICD-10, CPT, HCPCS) for billing and insurance claims. Outsourcing this to experts ensures coding accuracy, reduces claim denials, and streamlines revenue cycle management for healthcare organizations.
How does your medical coding service ensure accuracy?
Our certified coders (AAPC/AHIMA credentials) follow strict audits, use AI-powered tools to flag errors, and maintain a 95% accuracy guarantee. Quarterly third-party reviews ensure compliance with CMS, HIPAA, and payer-specific guidelines.
Why should I outsource medical coding instead of hiring in-house?
Outsourcing eliminates costs like salaries, benefits, and training while providing 24/7 coding support for urgent cases, access to coders specialized in 30+ medical specialties, reduced risk of coding errors and compliance penalties and scalability during peak volumes or staff shortages.
Are your medical coding services HIPAA-compliant?
Yes. We adhere to HIPAA, HITECH, and SOC 2 standards. All data is encrypted, and coders sign strict confidentiality agreements. Regular audits ensure compliance with patient privacy regulations.
How do you handle coding for complex specialties like oncology or orthopedics?
We assign coders with 5+ years of experience in your specialty. For example: Oncology: Chemotherapy administration (CPT 96401-96549), radiation therapy coding. Orthopedics: Surgical coding for spinal fusions (CPT 22612, 22614) or joint replacements.
What happens if there’s a coding error?
Our proactive audit process catches 98% of errors pre-submission. For rare post-denial issues, we offer free rework and root-cause analysis to prevent recurrence.
Can you integrate with my existing EHR/EMR system?
Yes. We sync seamlessly with Epic, Cerner, Athenahealth, and other EHRs. Real-time data exchange ensures coding updates flow directly into your revenue cycle management system.
How much do medical coding services cost?
Pricing is tailored to your needs (e.g., per-charge, hourly, or monthly plans). Most clients save 20–40% compared to in-house costs while boosting revenue through fewer denials.
Do you support risk adjustment coding (HCC)?
Absolutely. Our coders are certified in HCC coding and ensure accurate documentation of chronic conditions (e.g., diabetes, COPD) to optimize RAF scores and Medicare reimbursements.
What’s your turnaround time for coding?
Standard cases: 24–48 hours. Urgent backlogs: Same-day coding with priority queues.
How do you stay updated with coding changes like ICD-11 or CPT updates?
Our coders complete annual AAPC/AHIMA training and attend monthly webinars on updates. We also use AI tools to auto-flag coding changes in your EHR.
Can you help with coding audits or compliance reviews?
Yes. We offer OIG-compliant audits to identify undercoding/overcoding, documentation gaps, and compliance risks. Reports include actionable steps to avoid penalties.