What our medical coding services cover
Medical coding translates what a provider documented into the alphanumeric codes a payer processes. A diagnosis becomes an ICD-10-CM code, a procedure becomes a CPT or HCPCS Level II code, and the two have to support each other on the claim.
ICD-10-CM holds more than 70,000 diagnosis codes, and the AMA's CPT set has more than 11,000 codes. Most coding errors come from picking a code that is close but not exact. Claimstone coders work from the full note and record the reason behind every code.
Coded from the note
Every code traces to the provider's signed note. A superbill can suggest a code, but the documentation has to support it.
Works in your EHR
Coders log in under named accounts and code inside your EHR or PM. You buy no software and migrate no data.
Written coding rules
Your specialty conventions, payer rules, and query preferences are written down and applied the same way on every chart.
Coder-level accuracy
Audit scores are tracked per coder, so feedback reaches the person who made the error.
Coding that holds up in an audit
Payers audit coding after the claim is paid. Our coders record why each code was chosen, so the answer to a records request exists before the letter arrives.
What our coders handle on every chart
Each service below is a separate step in the coding review, with the reason it affects payment.
Where coding usually goes wrong
Most calls to us start with one of the six problems below, usually after a denial report or a payer audit letter comes in.
One review path from signed note to coded chart
Each chart follows the same eight stages, and a named coder owns it from intake to release.
Chart intake
Signed notes, orders, and results are pulled from your EHR.
Documentation review
The coder confirms the note supports the service, date, and rendering provider.
Diagnosis coding
ICD-10-CM codes are assigned to the highest specificity documented.
Procedure and E/M coding
CPT, HCPCS, and E/M level are selected from the documented work.
Modifiers and edits
Modifiers are applied and NCCI edits checked.
Provider query
Unclear notes go back as written queries, and the chart waits.
Second review
Flagged charts get a second coder's review before release.
Release to billing
Coded charts move to billing with the code rationale attached.
From first call to daily coding
The switch takes five steps and uses the EHR you already have. Claims keep going out the whole time.
Review your practice
We look at your specialty, provider mix, EHR, and coding-related denials before proposing anything. If the numbers show your coding is sound, we say so.
Write the coding rules
Specialty conventions, payer rules, query format, and turnaround times are agreed in writing, then set up in your existing system.
Run in parallel
Our coders code live charts next to your team, and we compare the results code by code before taking over the queue.
Code every day
Charts are coded from the note, queries go out as gaps appear, and coded charts are released on the agreed schedule.
Audit and report
Accuracy scores, query trends, and coding-related denials are reported, then reviewed with your account lead on a standing call.
What changes when coding has an owner
Cleaner first-pass claims
Diagnosis and procedure codes support each other before filing, so fewer claims come back for medical necessity or bundling.
Consistent E/M levels
Every provider's visits are leveled by the same MDM and time rules, and the distribution is reported by provider.
Lower audit exposure
Each code carries a recorded reason and audits are scored against a 95% standard, so a records request finds answers ready.
Coverage when a coder leaves
Vacations, turnover, and volume spikes do not stall coding, because charts are assigned to a coding team.
Feedback providers can use
Providers receive short notes that name the exact documentation gap on a specific chart, with the code it would support.
The same coding standard at every size
We take on full-chart coding and narrower work such as E/M review or risk adjustment coding. Volume and reporting differ by practice size. The coding rules stay the same.
Solo and small practices
Coding coverage without an in-house coder, and without charts piling up when one person is out.
Group practices
One set of coding rules across every provider, with E/M distribution reported provider by provider.
Specialty practices
Coders matched to your specialty, who handle global periods, time-based codes, and specialty payer policies daily.
Clinics and healthcare organizations
Multi-site volume coded to one standard, with reports split by location and by service line.
Coding rules change by specialty
Each specialty leans on a different slice of CPT and ICD-10-CM, with its own modifiers and common denials.
Eight coding reports you can pull at any time
Each report comes with a reference point from CMS or the coding industry, so a number can be read against something.
Reference figures are published industry and CMS numbers, not client results.
Coding to the published rules, with PHI protected
Coders read full clinical notes, so PHI protection comes first. Codes follow the ICD-10-CM Official Guidelines for Coding and Reporting, AMA CPT rules, and CMS policy.
Business associate agreement
A signed BAA is in place before any coder gets access to your system or sees a note.
Named-user access
Accounts are named, scoped to the coder's role, and revoked the day a coder leaves your engagement.
Patient data stays put
PHI stays in your EHR or PM. It does not move to personal devices or unencrypted email.
Recorded rationale
Each coded chart carries the reason for every code and any query sent, the same record an appeal draws on.
Common questions about medical coding services
Anything not covered here can go on the list for the assessment call, and we would rather answer it before you sign.
Ask a certified coder →Find out where your coding stands.
A 30-minute call with a certified coder to go over your coding-related denials, E/M level distribution, and modifier use. You get a written summary of what we found, whether or not you work with us.
