Our Services
Medical Coding Service
Certified coders who translate clinical notes into accurate codes — every time, for every specialty.
Medical coding is the conversion of healthcare diagnoses, procedures, medical services, and equipment into universal alphanumeric codes. ClaimsXperts employs certified coders with specialty-specific expertise across ICD-10-CM, CPT, and HCPCS Level II coding systems. Accurate coding is the single biggest lever for reducing claim denials and capturing the full reimbursement your practice earns.
ICD-10-CM and CPT coding
Our coders are trained on the latest ICD-10-CM and CPT code sets, including annual updates from the AMA and CMS. Specialty-specific expertise means we understand the nuances of procedure documentation across Family Medicine, Nephrology, Cardiology, Gastroenterology, and behavioral health — including the modifier usage that payers require for those specialties.
HCC risk adjustment coding
For value-based care arrangements and Medicare Advantage plans, Hierarchical Condition Category (HCC) coding accuracy directly affects risk scores and capitation payments. Our coders identify all applicable HCC codes from clinical documentation, ensuring providers are appropriately compensated for the complexity of care they deliver.
Coding audits and compliance
Periodic coding audits catch documentation gaps before payers do. Our audit process reviews a sample of coded encounters, flags over-coding or under-coding patterns, and provides actionable feedback to clinical staff. This protects you from payer audits while also identifying missed reimbursement opportunities.
What's included
- ICD-10-CM Diagnosis Coding
- CPT Procedure Coding
- HCPCS Level II Coding
- HCC Risk Adjustment Coding
- Modifier Review & Application
- Coding Audits & Compliance Review
- Documentation Feedback to Providers
- Specialty-Specific Code Sets
Ready to get started?
Request a free billing audit and see where your revenue is being left on the table.
Why It Matters
Key benefits
Higher Accuracy
Certified coders with specialty training reduce coding errors and denials at the source.
Audit-Ready
Consistent documentation standards and periodic internal audits protect you from external payer audits.
Up-to-Date Codes
Annual ICD-10 and CPT updates are implemented immediately — no lag in your billing cycle.
Revenue Recovery
Coding audits routinely identify undercoded encounters — money you were leaving on the table.
Get Started
Ready to improve your revenue cycle?
Talk to our team about your practice's billing challenges. We'll show you a clear path to better cash flow within the first call.