Medical Coding Services for Healthcare Providers

Precision Medical Coding That Ensures Clean Claims & Maximum Reimbursements - Scriptem Healthcare Billing Company

Accurate Medical Coding forms the foundation of every successful medical practice’s revenue cycle. One wrong CPT code, missing ICD-10 specificity, or improper modifier can trigger claim denials that cost practices thousands monthly. Scriptem delivers expert Medical Coding services performed by certified CPC, CCS-P, and specialty coders who ensure 97% first-pass claim acceptance across primary care, surgical specialties, behavioral health, and institutional billing.

As the leading Healthcare Billing Company for Medical Coding, Scriptem bridges the gap between clinical documentation and payer reimbursement rules. Whether you’re a family practice coding E/M levels (99213-99215) in Texas, orthopedic surgeon documenting joint replacements (27130) in California, or psychiatrist billing psychotherapy sessions (90834) in New York, our coders maximize revenue while minimizing compliance risk.

Why Scriptem Medical Coding Services Excel

Certified Coders by Specialty

✓ CPC, CCS-P, CPC-H, CCC (Cardiology), CANPC (Anesthesia)
✓ Annual AAPC/ AHIMA certification maintenance
✓ 100+ CPE credits per coder annually
✓ 16+ years average coding experience
✓ HIPAA compliance training quarterly
 

Complete Code Set Mastery

  • CPT® 2026 Updates – All Category I, II, III codes current

  • ICD-10-CM 2026 – 70K+ diagnosis codes with specificity

  • HCPCS Level II – DMEPOS, drugs, supplies, transports

  • Modifiers -25, -59, -XS, -TC/PC, -RT/LT precision

Common Medical Coding Challenges Scriptem Solves

1. E/M Level Selection Errors (99202-99215)

The Challenge: 28% denial rate because documentation supports lower level than billed. Time vs. medical decision making confusion. New vs. established patient errors. Primary care, internal medicine, and pediatrics hit hardest.

Scriptem Coding Solution: Dual review process using 2021 E/M guidelines—MDM table and time tracking. We query providers for clarification when documentation lacks specificity. Texas family practice corrected systematic overcoding, reducing denials 92% while maintaining appropriate charge levels.

2. Surgical Package & Modifier Denials

The Challenge: Orthopedic (27130 total hip), general surgery, and plastics face 30% bundling rejections. Missing -25 significant separate procedure modifier, incorrect -59 distinct service usage, global surgery period violations (0, 10, 90 days).

Scriptem Coding Solution: NCCI edit validation pre-submission with surgical hierarchy expertise. California ortho group recovered $110K from modifier -25 appeals on post-op injections during global periods.

3. ICD-10 Specificity & Medical Necessity Failures

The Challenge: Payers reject without 4th/5th/7th character specificity (M54.31 sciatica right vs. M54.9 back pain). HCC capture gaps for risk adjustment. Behavioral health F-codes lack psychotherapy medical necessity.

Scriptem Coding Solution: Dual coding—ICD-10-CM specificity + HCC/Risk Adjustment. New York psychiatry practice captured $45K additional revenue from proper HCC documentation on depression panels.

4. Evaluation & Management + Procedure Bundling

The Challenge: Office visit (99214) + injection (J3301 cortisone) or lesion destruction denied as inclusive services. Interventional procedures require modifier expertise across specialties.

Scriptem Coding Solution: Pre-submission bundling analysis ensures appropriate modifier usage and documentation supports separate billing. 98% clean claims across E/M + procedure combinations.

5. MIPS Quality & Category II Code Capture

The Challenge: Missing 0001F-7025F Category II codes for registry reporting and MIPS scoring. Practices risk 9% payment penalty despite treating quality conditions.

Scriptem Coding Solution: Automated Category II code abstraction from EHR notes ensures complete MIPS reporting and 80th+ percentile performance scores.

Advanced Medical Coding Features

✅ HCC/Risk Adjustment Coding – Maximize Medicare Advantage revenue
✅ Anesthesia Crosswalk Coding – CANPC certified time units + base units
✅ Radiology TC/PC Splits – Facility vs. professional component accuracy
✅ Multi-System Coding – Complex comorbidities properly sequenced
✅ Quarterly Code Updates – Never miss CPT/HCPCS/ICD-10 revisions

Frequently Asked Questions About Scriptem Medical Coding

1. Are your coders certified and current?

All coders maintain active CPC/CCS-P certification with 40+ annual CEUs. We employ specialty credentials (CCC cardiology, CANPC anesthesia, CPCD dental) for complex coding.

2. How do you handle 2026 CPT/HCPCS/ICD-10 updates?

Quarterly code updates with mandatory coder retraining. Beta testing of new codes ensures compliance from implementation date. Zero audit risk.

3. Can you query providers for documentation clarification?

Yes—compliant provider queries resolve 92% of coding ambiguities while improving documentation quality. No charge capture gaps.

4. What makes your E/M coding more accurate?

Dual review using 2021 E/M guidelines (MDM tables + time). Eliminates systematic over/under coding across all E/M levels 99202-99215.

5. Do you support remote coding from provider EHRs?

Full remote coding capability with secure VPN access to Epic, Cerner, Athenahealth, eClinicalWorks, and 50+ EHR platforms. Real-time charge reconciliation.

Ready to Grow Your Revenue?

Let’s simplify your billing, reduce claim denials, and improve your cash flow.

Whether you’re a medical, dental, orthopedic, or mental health practice, our healthcare billing experts are here to support you with accurate coding, timely submissions, and proactive follow-ups—so you can focus on patient care while we handle the revenue cycle.

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