Medical Billing Services
Submit and follow claims after coding handoffs are complete.
Explore service →
Remote coding support for US practices
Medical Coding Services for Healthcare Practices
Medical coding translates documented care into CPT, HCPCS, and ICD-10-CM codes that payers can adjudicate for US practice owners and administrators. MB Claims supports accurate code selection, modifiers, documentation queries, and coding audits—never inventing clinical content just to chase higher reimbursement.
Scope of support
Built around the needs of your practice
- CPT, HCPCS, and ICD-10-CM code review
- Modifier selection support
- Documentation queries when charts are incomplete
- Coding audits on agreed sample sets
- Feedback loops to providers and billers
- AAPC-credentialed coding support when coding is in scope
A practical, accountable workflow
Scope, system access, responsibilities, reporting and escalation paths are documented during onboarding. Services are tailored to specialty, payer mix, practice size and the condition of existing accounts receivable.
How medical coding work runs
1. Review documentation before codes are finalized
Codes must reflect the record. We review encounter notes, orders, and relevant reports against CPT, HCPCS, and ICD-10-CM requirements for the specialty mix you deliver. When the chart cannot support a code, we query rather than guess. This discipline feeds cleaner medical billing submissions and fewer coding-driven denials.
2. Apply modifiers and edit awareness carefully
Modifiers and bundling edits change payment pathways. We check common pitfall areas—such as same-day procedure and E/M combinations—using documentation, not target dollars. Guidance like modifier 25 and 59 pitfalls informs education feedback to clinicians and billers.
3. Issue documentation queries with clear questions
Queries ask for missing elements the record must contain; they do not coach clinicians toward higher-paying codes. Turnaround depends on practice responsiveness. Unanswered queries pause final coding on those encounters. Specialty examples appear in ICD-10 and CPT accuracy checklists.
4. Audit samples and share education themes
Agreed audit samples surface recurring documentation or code selection themes. Findings go to practice owners for education—not public scoreboards. AAPC-credentialed coding support when coding is in scope means credentialed reviewers participate as defined in the engagement letter. Denial patterns that remain after education may need denial management.
5. Hand off clean coding to claim operations
Finalized codes move into claim scrubbing and submission under billing or RCM ownership. Work stays inside your EHR. Review pricing after a free medical billing audit when you want coding scoped with billing.
Coding support that stays tied to the medical record
Clean coding is not a synonym for aggressive coding. Encounter notes, orders, and operative or therapy documentation define what can be billed. When elements are missing, queries protect both compliance and reimbursement integrity. Specialty differences matter: time-based psychotherapy, therapy timed units, and same-day E/M with procedures each create distinct traps. Education themes from audits help providers and billers share one definition of a supportable claim. AAPC-credentialed coding support when coding is in scope participates as written in the engagement—not as a vague badge on marketing pages.
Connecting coding findings to denials and claim operations
If the same modifier or diagnosis pairing returns as a denial category, coding education and denial inventory should use the same examples. Billing teams need finalized codes on a predictable cadence; unanswered queries should be visible to practice leadership. Coding can stand alone or sit inside medical billing and RCM scopes. Either way, the record remains the source of truth, and invented clinical content is never an acceptable shortcut to payment.
Practice inputs
What the practice provides
The practice provides complete encounter documentation, specialty protocols, query response owners, and access to coding work queues. Providers remain responsible for the clinical record. MB Claims does not create diagnoses or procedures that are not documented.
Process stages
Timeline: onboarding to steady-state
Onboarding confirms code sets in scope, query SLAs owned by the practice, and audit sampling rules. First work reviews current encounters or a defined backlog once access is live. Steady-state combines prospective review, queries, and periodic audits. We do not invent productivity percentages; free audit written reviews of summary reports arrive within 5 business days.
Reporting
What gets reported
Reporting can include query volumes and themes, audit finding categories, modifier education topics, and coding-related denial signals shared with billing. We do not publish sample accuracy-rate results.
Pricing: 2.99%–6% of collections, or a $1,000 per month minimum, whichever is higher. Your rate is set after a free medical billing audit. See pricing.
Security & privacy
BAA with every client and work inside your EHR
MB Claims signs a Business Associate Agreement with every client before protected health information is handled. Day-to-day claim and enrollment work runs inside the practice EHR and practice-management tools you already use—see supported systems on our EHR partners page. We do not market a privacy-rule certification badge; we operate under BAA obligations, access controls you approve, and documented escalation paths. Role-based access, audit-friendly notes, and least-privilege credentials are confirmed during onboarding so administrators know who can view what.
Common questions
Frequently asked questions
What code sets do you support?
Engagements center on CPT, HCPCS, and ICD-10-CM appropriate to the specialty services your practice documents.
Do you upcode to increase reimbursement?
No. Codes must be supported by documentation. We will not invent clinical content.
What does AAPC-credentialed coding support mean here?
When coding is in scope, AAPC-credentialed coding support participates as defined in the engagement—never as a blanket marketing claim disconnected from the work.
Can coding be purchased without full billing?
Yes. Coding review and audits can stand alone or connect to medical billing and denial workflows.
How are documentation queries delivered?
Through the EHR or agreed channel with a clear question and the encounter reference. Practices assign who must respond.
Do you code from superbills alone without notes?
Not when the engagement requires record-based coding. Superbill-only shortcuts create denial and compliance risk.
Will you train our providers?
Education themes from audits and queries can be shared with practice leadership. Formal CME programs are not implied.
Free medical billing audit
Find the revenue cycle gaps holding back your practice
Send summary reports (A/R aging by payer, denial summary, monthly collections). Within 5 business days, you'll get a written review of where your revenue is stuck, what to fix first, and your rate. No patient data is needed.
Related services and resources
Denial Management
Work coding-driven denials with root-cause categories.
Explore service →Revenue Cycle Management
Connect coding education to lifecycle KPI ownership.
Explore service →Blog
ICD-10 and CPT Coding Accuracy Checklist
Practical checks that keep codes tied to documentation.
Read guide →Blog
Modifier 25 and 59 Pitfalls
Common modifier mistakes that create payer edits.
Read guide →