Medical Coding
AAPC-certified coders using ICD-10 and CPT to maximize reimbursement on every claim submitted.
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Core Service
Medical Coding
AAPC-certified coders applying the latest ICD-10 and CPT standards to maximize reimbursement on every claim.
HIPAA Compliant
97%+ Clean Claims
Dedicated Account Manager
Accurate medical coding is the foundation of a healthy revenue cycle. Our certified coders ensure every encounter is coded correctly the first time — reducing denials, preventing audits, and optimizing your reimbursement.
We keep pace with the ever-changing ICD-10-CM/PCS, CPT, and HCPCS code sets so you don't have to. Our coders undergo continuous education and specialize by practice type — so your specialty receives codes that reflect the true complexity and value of your services.
Key Benefits
ICD-10 & CPT Expertise
Certified coders current on all ICD-10-CM, CPT, and HCPCS updates — coding accuracy that directly increases your reimbursement rates.
Audit Protection
Compliant coding practices minimize your audit risk. We document every coding decision with supporting clinical rationale.
Specialty Coding
Coders who specialize in your practice type — from dermatology and orthopedics to behavioral health and general surgery.
Higher Reimbursement
Precise HCC coding and correct modifier usage captures the full value of every service — preventing under-coding and lost revenue.
Chart Review
Thorough review of clinical documentation to ensure coding reflects the level of service provided — no missed opportunities.
Denial Prevention
Pre-submission code scrubbing flags coding errors before claims are sent — dramatically reducing first-pass denial rates.
How Our Coding Process Works
Our coding workflow is designed for speed and accuracy. From chart receipt through coded claim delivery, every step is tracked and quality-checked by a senior coder before submission.
- ICD-10-CM/PCS, CPT, and HCPCS coding
- Modifier application and E&M level assignment
- HCC risk adjustment coding for value-based care
- Retrospective coding audits and coder education
- Real-time coding query resolution
- Specialty-specific code set management
Related Services
Denial Management
Proactive denial prevention and rapid appeals that recover revenue most practices don't know they're missing.
Learn MoreCredentialing
Full payer enrollment and re-credentialing to get your providers billing faster without revenue gaps.
Learn MoreStart Recovering Revenue Today
Our free billing audit takes less than 48 hours and shows you exactly where money is slipping through the cracks.
No contracts • No setup fees • HIPAA-compliant at every step
Frequently Asked Questions
Everything you need to know about working with Prime Medical Billing for your medical coding needs.
Most practices see measurable improvements within the first 30–60 days. Clean claim rates typically rise within the first billing cycle as we correct root-cause coding and documentation issues. Full revenue optimization — including recovered denials and reduced AR days — is usually evident within 90 days.
No. We integrate with all major EHR and practice management systems including Epic, eClinicalWorks, Athenahealth, Kareo, DrChrono, Practice Fusion, Greenway Health, and more. Our onboarding team handles the technical setup.
Before any data is shared, we execute a formal Business Associate Agreement (BAA) with your practice. All data transfers use encrypted channels, our staff are trained on HIPAA annually, and we conduct regular security risk assessments.
Our average first-pass clean claim rate is 97–98%. We measure this as the percentage of claims accepted by payers on first submission. Each client receives a monthly performance report tracking this and other key metrics.
No denied claim goes unaddressed. Our denial management team reviews every denial within 24 hours, determines the root cause, corrects the claim, and re-submits with supporting documentation before payer appeal deadlines.