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Coding accuracy that holds up on the claim and in an audit

Correct coding is what stands between the care you documented and the reimbursement you’re owed. We code to the encounter, not to a template.

Coding Accuracy

CPT, ICD-10, and HCPCS coding done with specialty knowledge

Coding errors show up two ways: claims that get denied outright, and claims that get paid at the wrong amount because they were under- or over-coded. Both cost your practice money, and the second kind is much harder to catch after the fact.

Claimora’s coding process is built around the documentation actually in the chart, matching CPT, ICD-10, and HCPCS codes to what was performed and diagnosed, with the modifiers a clean claim needs.

What’s Included

Coding services we provide

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CPT coding for procedures and evaluation & management visits
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ICD-10-CM diagnosis coding to the correct level of specificity
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HCPCS Level II coding for supplies, drugs, and durable medical equipment
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Modifier application to prevent avoidable denials
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Documentation review and coder queries back to the provider when needed
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Specialty-specific coding across the practice types we serve
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Coding audits to catch patterns before they become a payer audit

RCM Services

Medical Billing Services Credentialing & Enrollment Eligibility & Benefits Verification Medical Coding Claims Management Payment Posting Accounts Receivable Denial Management & Appeals

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Our Process

From documentation to a codeable, submittable claim

Documentation Review

Clinical notes are reviewed for completeness and clarity before coding begins.

Code Assignment

CPT, ICD-10, and HCPCS codes are assigned based on what was actually documented, with appropriate modifiers.

Internal Quality Check

Coded encounters are reviewed for consistency and payer-specific requirements before they move to billing.

Provider Queries

When documentation is unclear, we query the provider rather than guess, protecting both accuracy and compliance. Our coders never add services or diagnoses that are not supported in the record, and final documentation remains the provider’s responsibility.

Common Questions

Frequently asked questions

We code across a wide range of specialties. See our Specialties page for the full list, and reach out if yours isn’t listed.

We query the provider for clarification rather than assign a code based on assumption, which protects you in the event of an audit.

Yes. Periodic coding audits often surface patterns, like consistently under-coded visit levels, that are worth addressing at the source.