Documentation review
We read the note for what was assessed and performed, and flag gaps that would leave a code unsupported.
We assign diagnosis and procedure codes from your documentation, raise a query when the note doesn't support the code, and hand off submission-ready work. Coding-related denials get caught before the claim goes out.
Available on its own, or bundled with Medical Billing or full Revenue Cycle Management.
Clinical note
Office visit
Established patient, follow-up visit.
Assessment: type 2 diabetes mellitus without complications, stable on current plan.
Also managing essential hypertension.
Moderate medical decision making, two chronic conditions reviewed.
Billed with modifier 25.
Problems we solve
Diagnosis–procedure mismatch, unsupported codes or missing modifiers that should have been caught before submission.
Codes that match the note cut the denials that come from mismatch, unsupported diagnoses or missing procedure detail.
Codes that don't match the note create exposure when a payer or auditor asks you to prove medical necessity.
Documentation-backed assignment makes medical necessity easier to defend when a payer or auditor asks.
Annual and mid-year ICD-10 and CPT changes leave practices coding against retired or incomplete sets.
Annual and mid-year updates are tracked and applied in assignment and review, inside one consistent process.
How accuracy is maintained
We read the note for what was assessed and performed, and flag gaps that would leave a code unsupported.
ICD-10 and CPT codes assigned from the documentation, with specialty context and modifiers where supported.
A second pass checks diagnosis–procedure alignment and whether the documentation actually backs each code.
Coded work goes to your billing team or to Torix billing and RCM, ready to move without rework.
What's included
ICD-10 diagnosis coding
A00–Z99
Diagnosis codes assigned from the clinical documentation, with a query raised when the note doesn't support the code the claim needs.
Informed by how your specialty documents, not a one-size-fits-all shortcut.
Engage coding on its own, or with Billing or RCM so one team owns everything from code assignment to claim follow-up.
CPT procedure coding
00100–99499
Procedure and service codes matched to what was performed, including modifiers and place of service where the documentation supports them.
Why choose us
Assignment informed by how your specialty documents, not a generic checklist applied the same way to every practice.
A signed BAA before any PHI moves, with access control and audit logging for the documentation we code from.
Staffed in the United States, with a representative who can work through documentation questions with your clinicians when needed.
FAQ
Not seeing your question? A billing specialist will answer it directly, not a ticket queue.
Ask us directlyYes. Medical Coding can stand alone, or it can be bundled with Medical Billing or full Revenue Cycle Management. Scope is confirmed in writing before work starts.
We track annual and mid-year ICD-10 and CPT updates and apply them in assignment and review so claims aren't built on retired or incomplete code sets.
We assign codes from the documentation and raise queries when the note doesn't support the code. That reduces unsupported coding, which is a common driver of payer and compliance scrutiny.
Medical Coding assigns ICD-10 and CPT codes for claims, with documentation queries when needed. Medical Billing Audit is an independent review of documentation, coding and compliance, written to be useful whether or not you hire us for ongoing work afterwards.
We code across a wide range of specialties. During consultation we confirm specialty fit, documentation patterns and volume so the engagement matches how your practice actually works.
Next step
Bring a sample of recent documentation and denials. We'll show you where coding is costing you, whether or not you engage us.