Medical Coding
Outsource Coding Accuracy &
Documentation Services
Outsource your coding to the trusted experts at BillingNavigator. With a proven track record of helping healthcare practices overcome coding challenges, we streamline your documentation and billing process to ensure accuracy, compliance, and an optimized revenue cycle.
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Achieve Accurate Claims with Our Medical Coding Solutions
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
Why Choose BillingNavigator for Medical Coding Services
Looking for a comprehensive medical coding solution that ensures timely reimbursements and maximizes your practice’s revenue? You’re in the right place.
At BillingNavigator, our medical coding services are designed to support practices of all sizes and specialties. We help you achieve financial success while minimizing payment delays, claim denials, and coding errors.
Our approach is built on accuracy, efficiency, compliance, and transparency, ensuring precise coding, optimized workflows, and faster reimbursements for your practice.
Streamlined Efficiency
Our team is proficient in leading coding software, ensuring timely and efficient claim processing while streamlining the coding workflow for your healthcare practice.
Enhanced Revenue Cycle
We focus on optimizing your practice’s revenue cycle by ensuring accurate coding and adhering to payer-specific submission timelines, maximizing reimbursements.
HIPAA Compliance and Data Security
Our coding team prioritizes HIPAA compliance and the protection of patient data, implementing strict security measures to safeguard sensitive information.
Accuracy and Expertise
At BillingNavigator, we employ certified medical coders with industry-recognized credentials. Our experts stay up-to-date with current coding systems, including ICD, CPT, and HCPCS, to guarantee precise and compliant coding.
Reduced Delays and Denials
Through rigorous standard operating procedures, we ensure correct coding, proper use of modifiers, and a higher first-pass claim approval rate, minimizing delays and denials.
Peace of Mind and Transparency
We provide complete transparency through detailed performance reports and records, allowing you to focus on patient care while we manage your coding and documentation efficiently.
Why Practices Choose BillingNavigator for Coding Services
Up-to-Date Certifications
Staying current with state and federal coding regulations is essential. By outsourcing your medical coding to BillingNavigator, you gain access to coders certified by AHIMA and AAPC, ensuring compliance and accuracy in every claim.
Consistent Staffing Levels
In-house coding teams can struggle to adapt to fluctuating workloads. With outsourced medical coding services from BillingNavigator, your practice can scale staffing up or down based on claim volume, ensuring efficiency without overstaffing or shortages.
Cost-Effectiveness
Hiring and training certified coders in-house is expensive. Outsourcing to BillingNavigator provides access to professional coding expertise without the high costs of recruitment, salaries, and ongoing training.
Security and Compliance
Protecting patient information and adhering to regulatory standards is critical. BillingNavigator implements rigorous data security protocols and compliance measures, giving your practice peace of mind.
Reduced Administrative Burden
Managing coding internally diverts resources from patient care. Outsourcing to BillingNavigator allows your staff to focus on patients, improving service quality and enhancing overall practice reputation.
We Are Available Nationwide
Get your claims approved the first time! At BillingNavigator, our team consistently achieves a 95% first-pass clean claims rate. We identify and eliminate claim errors before submission, ensuring faster approvals and maximum reimbursements. Our proven process helps providers reduce rework, minimize denials, and maintain a smooth revenue cycle.
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Eliminate Medical Coding Errors with BillingNavigator
Medical coding errors can significantly impact a healthcare practice’s financial health and operational efficiency. On average, practices lose 3–5% of annual revenue due to coding inaccuracies.
Errors in coding not only affect reimbursements but can also result in compliance issues, financial penalties, and reputational damage for your practice.
At BillingNavigator, we identify and prevent common coding errors, ensuring accuracy, compliance, and optimized revenue cycles for your healthcare organization.
Common Medical Coding Errors
Inaccurate Diagnosis & Procedure Codes
Missing Information
Unbundling Services Leading to Duplicate Billing Errors
Coding for Non-covered Services
Missing Modifiers
BillingNavigator Solution
Our certified coding team stays up-to-date with the latest coding guidelines and utilizes advanced tools to minimize errors and ensure consistency.
We thoroughly review superbills and claims to ensure all details are accurate and complete before submission.
Our coders understand service bundling rules and only bill for services eligible for separate payments, preventing duplicates.
We verify patient eligibility and provide guidance on alternative covered services to prevent denials and payment delays.
Our team applies modifiers correctly and follows all reporting requirements to ensure accurate claims and faster reimbursements.
24/7 Expert Support Across All Specialties
From cardiology to dermatology, orthopedics to nephrology, BillingNavigator provides certified medical coding specialists with expertise in over 45 unique specialties. Our team is trained to handle the specific coding and documentation requirements of your practice. Have a question? Our dedicated support representatives are available around the clock to assist you with any concerns related to medical billing and coding for your specialty.
Cardiology
Gastroenterology
Oncology
OBGYN
Anesthesia
Neurology
Orthopedic
Radiology
Pediatric
Urology
Our Medical Coding Process
Curious about how BillingNavigator ensures precise and compliant medical coding? Our solution is designed to maximize accuracy and guarantee you receive the full reimbursements for your services. Our streamlined six-step process begins with comprehensive data collection and concludes with detailed reporting, ensuring every claim is thoroughly reviewed, coded, and submitted for optimal results.
1. Information Retrieval Analysis
Our medical coding process starts with collecting patient information, such as medical records, documentation healthcare facility initiate the coding process.
2. Assigning Coders
Once we have all the necessary data, we resign a medical coder best suited to handle a paricular specialality to ensure error-free diagnosis of procedure codes
3. Quality Assurance
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4. Documentation Feedback
Our team connects with the provider if there are informational gaps or inconsistencies in the documentation. This feedback loop facilllates seamless documentation workflow and accurate coding.
5. Code Submission
Once all the coding requirements are fulfilled and reviewed by the experts, the codes are submitted electronically to the relevant clearinghouses and insurance companies. Ws handle the submission process to expedite payment collection.
6. Reporting and Analysis
Another component of our medical coding services is providing regular updates and detailed reports to the coding pegarding or help them trake mala-driven decisions and improve the revenue cycle.
Affordable Medical Coding Solutions
At BillingNavigator, affordability is at the heart of our services. Our medical coding solutions are designed to help healthcare organizations reduce operational costs while maintaining accuracy and compliance. We take care of coder training, certifications, and software subscriptions so you can focus on patient care without the burden of investing in costly infrastructure.
Calculate Your Outsourcing Savings
Discover how much you can save by switching to BillingNavigator.
Using your annual collections, we’ll evaluate your current in-house billing costs and provide a clear comparison against our outsourced billing model. This transparent assessment reveals your true savings potential—helping you make a confident, cost-effective decision for your practice.
Let BillingNavigator show you how outsourcing can significantly reduce expenses and boost profitability.
Get in Touch with a Medical Coding Specialist
Looking for a medical coding specialist experienced in your specialty’s coding standards and revenue cycle management? BillingNavigator’s team of certified professional coders is ready to provide expert support tailored to your practice. Connect with us today to ensure accurate coding and optimized reimbursements for your services.
FAQs
1. What is medical coding?
Medical coding converts diagnoses, medical services, procedures, and equipment into standardized alphanumeric codes used universally in healthcare.
3. Why is medical coding important?
Medical coding is vital for the revenue cycle. It ensures patient diagnoses and treatments are properly documented for insurance claims, enabling timely and accurate reimbursement.
5. Is the coding process secure?
Absolutely. We follow HIPAA regulations, train staff on data security, and perform regular audits to safeguard patient information.
7. What is Evaluation & Management (E/M) coding?
E/M coding tracks physician services for patient evaluation and management. It includes CPT codes 99202–99499 and helps optimize facility productivity and efficiency.
9. How many codes exist in medical coding?
ICD-10-PCS has ~87,000 codes, and ICD-10-CM has ~68,000 codes, covering procedural and clinical documentation.
11. What are G-codes?
G-codes report functional status, discharge status, or projected goals. There are 42 functional G-codes and 14 functional code sets, each with three types.
13. What is a service code?
Place of Service (POS) codes identify the facility where care was provided on a claim.
15. What are status codes?
Status codes indicate whether HCPCS codes are eligible for separate payment, bundled with other services, or not separately payable by Medicare.
2. How does medical coding work?
A certified coder translates physician notes, prescriptions, and clinical documentation into universal codes, ensuring accurate billing and reporting.
4. Does BillingNavigator comply with coding regulations?
Yes. We employ certified professional coders (CPCs), follow industry best practices, and provide ongoing training to ensure full compliance and minimize claim denials.
6. What is HCC in healthcare coding?
HCC (Hierarchical Condition Category) is a risk-adjustment model that links specific diagnoses to medical codes, helping estimate healthcare costs for patients.
8. What is PCS in healthcare coding?
PCS (ICD-10 Procedure Coding System) codes are used for inpatient and hospital-based procedures, while ICD-10-CM codes cover outpatient and clinical settings.
10. What are clinical indicators?
Clinical indicators include documentation like test results, imaging, and treatment plans that support a diagnosis and confirm medical conditions.
12. What are Z-codes?
Z-codes identify preventive care needs and indicate current or past conditions affecting a patient’s health status.
14. What are modifiers?
Modifiers provide additional information about services rendered, supplementing CPT codes without changing their meaning.
