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Medical Coding Services

Medical Coding Services Built Around Your Specialty, Not a Generic Code List

Accurate coding is the foundation of every clean claim. Most vendors apply the same process regardless of specialty. MBC builds every engagement around your actual procedure volume, payer mix, and specialty-specific requirements.

MBC's coding services are delivered by AAPC-certified coders with specialty-specific training across all 7 specialties we serve, backed by $2.4B+ in annual claims and 25+ years of institutional coding intelligence.
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What Accurate Coding Delivers

Clean Claim Rate 97.4%
Claims Processed Annually $2.4B+
Net Collection Ratio 95%
Days in AR Reduction 16–18 Days
Years of RCM Excellence 25+
97.4%Clean Claim Rate
$2.4B+Claims Processed Annually
7Specialty-Specific Coding Programs
All StatesNationwide Coverage
The Coding Challenge

Where Coding Errors Become Revenue Problems

Payers use automated adjudication systems that cross-reference CPT codes, ICD-10 diagnoses, modifiers, and place of service against national and local coverage policies. One misalignment triggers an automatic rejection before a human reviewer ever sees the claim.

Where Coding Errors Cost You Most

Incorrect CPT and ICD-10 PairingMismatched diagnosis and procedure codes trigger automatic claim rejection before a human reviewer ever sees the claim.
Modifier MisapplicationIncorrect or missing modifiers on procedure codes cause bundling errors, reduced payments, and duplicate denial flags across multiple payers.
Chronic Condition Under-DocumentationManaged conditions not captured at every visit reduce risk scores, affecting reimbursement in value-based and risk-sharing contracts.
CCI Edit ViolationsUnbundling codes that payer Correct Coding Initiative edits prohibit creates both a denial and a compliance exposure simultaneously.
E/M Level MiscodingSystematic under-coding of Evaluation and Management visits is the most common source of uncaptured reimbursement in outpatient physician groups.
MBC Coding Services

What Our Medical Coding Services Cover

A complete coding function built around your specialty, your payer mix, and your procedure volume.

01

ICD-10-CM and CPT Code Assignment

Every encounter is coded from the full clinical record to capture the highest defensible complexity level, not the minimum the payer requires.

Outcome: Reimbursement that reflects the actual care delivered, not the minimum the payer will accept without challenge.
02

Modifier Application and CCI Edit Compliance

Specialty-appropriate modifiers applied, CCI edits validated, and bundling conflicts resolved before submission. Denial and compliance exposure eliminated at the source.

Outcome: Fewer bundling denials and a cleaner modifier audit trail across all submitted claims.
03

Evaluation and Management Code Optimization

E/M codes reflect full medical decision-making complexity, not physician default selections. Every visit is coded to what the clinical record actually supports.

Outcome: Accurate E/M coding that captures the full value of the encounter without overcoding exposure.
04

Coding Audit and Compliance Review

Coding audits identify under-coding, up-coding, and documentation gaps before payers act on them.

Outcome: A proactive compliance posture that reduces audit exposure and quantifies uncaptured reimbursement.
05

Fee Schedule Analysis and Code Update Management

Every CPT, RVU, and fee schedule update tracked across CMS and commercial payers. Rate changes flagged for contract review before your next submission cycle.

Outcome: No revenue loss from missed code updates or outdated fee schedule data entering your billing cycle.
06

Chronic Condition Capture and HCC Coding

For groups under value-based agreements, HCC coding directly affects your risk adjustment factor and per-member reimbursement.

Outcome: Improved risk score accuracy and stronger reimbursement performance in value-based care arrangements.
Our Coding Team and Standards

AAPC-Certified Coders. Built-In QA. Specialty-Specific Depth.

Coder Credentials and Standards

CPC
Certified Professional Coders AAPC CPC certification is the foundational standard for every coder, with specialty-specific endorsements where applicable.
CDEO
Clinical Documentation Improvement CDEO-certified specialists review documentation alongside coding to ensure code selection is supported by the clinical record.
CCI
CCI Edit Compliance All claims are validated against current Correct Coding Initiative edits before submission, eliminating bundling errors at the source.
QA
Multi-Layer Quality Assurance Coded charts are reviewed before submission. Denial patterns feed back into coder training on a rolling basis.

Why Practices Choose MBC Coding

  • AAPC-certified coders assigned by specialty, not rotated through a general queue
  • ICD-10-CM, CPT, and HCPCS coding across all 7 MBC core specialties
  • CCI edit validation on every claim before submission
  • Annual CPT and CMS updates built into coding workflows proactively
  • Coding audit with root cause analysis and projected revenue recovery
  • HCC and chronic condition capture for value-based contracts
  • Integrated with billing and denial management, not a standalone process
Pricing and Next Steps

Medical Coding Services Pricing

MBC does not publish a fixed rate for medical coding services because the right engagement depends on your specialty, procedure volume, payer mix, and current coding baseline.

Internal Coding Diagnosis Audit

Your denial rate is climbing or your collection ratios are off, but you cannot pinpoint where the coding is breaking down.

Get My Coding Diagnosis
AI-Powered

AI-Automated Coding for Your Practice

For practices with consistent documentation workflows and high claim volume, MBC deploys AI-automated coding that extracts, classifies, and submits codes directly from clinical documentation, without manual entry bottlenecks.

Explore AI Coding for My Practice

AI and Human Coding for Complex Specialty Practices

High-complexity specialties, including wound care, ASC, and orthopedic, carry documentation nuance that automation alone does not resolve.

Find the Right Model for My Practice

Tell Us About Your Practice

Fill in the details below. Based on your specialty, volume, and current coding setup, the MBC team will reach out with a recommended engagement path and a projected revenue outcome, before any commitment is required.

MBC will review your submission and respond within one business day with a recommended engagement path and projected outcome specific to your practice. No commitment required.

Client Outcomes

What Provider Groups Say About MBC

Results from practices that transitioned to MBC's coding services across specialties and practice sizes nationwide.

★★★★★

"Our denial rate dropped from 18% to under 4% within three billing cycles after MBC took over our coding."

RP
Dr. R. Patel Orthopedic Surgery, Chicago IL
★★★★★

"We had been systematically under-coding our wound care encounters for two years. MBC's audit identified the pattern, quantified the revenue we had not captured, and corrected the documentation workflow within the first billing cycle."

SN
Dr. S. Nguyen Wound Care, Houston TX
★★★★★

"We switched our dermatology group to MBC after months of recurring denials we could not explain. MBC's coder identified a modifier pattern that was triggering bundling flags across three payers. The denials stopped within six weeks."

LM
L. Morris, Practice Administrator Dermatology Group, Atlanta GA
Common Questions

Frequently Asked Questions

MBC coders work across ICD-10-CM, CPT, HCPCS Level II, and specialty-specific coding systems.
Annual code updates and CMS policy changes are built into MBC's coding workflows before each new submission cycle begins.
Coding translates clinical documentation into standardized procedure and diagnosis codes. Billing uses those codes to submit claims and manage the reimbursement process. MBC integrates both under one engagement so coding accuracy flows directly into clean claim submission.
Yes. MBC's coding audit reviews historical claims to identify patterns of under-coding, up-coding, incorrect modifier application, and CCI edit violations. Findings are delivered with root cause analysis and a projected revenue recovery estimate.
Most practices complete the coding transition within two to four weeks.
Yes. MBC provides specialty-specific coding for ASC, Dermatology, Family Practice, OB-GYN, Optometry, Orthopedic, and Wound Care. Coders are assigned based on your primary specialty and procedure volume, not rotated through a general queue.

Coding Accuracy That Protects Every Claim.

MBC's AAPC-certified specialty coders integrate directly into your revenue cycle.

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