Evaluation and Management Coding Services

Evaluation and Management Coding Services: Precision and Expertise for Healthcare Organizations


Our Evaluation and Management (E&M) coding services are led by a nationally recognized expert with dual certification in coding and instruction, bringing over 25 years of experience in enhancing documentation and coding compliance. We have trained thousands of physicians and coders, ensuring improved medical record documentation and accurate E&M code selection.

The Need for Specialized E&M Coding

E&M coding is critical across all clinical specialties and subspecialties, presenting unique challenges due to its complexity, especially in Medical Decision Making. The need for specialty-specific training and experience is paramount, as the requirements vary significantly across different areas of medicine.

Finding experienced E&M coders, especially those with certified procedural coder designation, is challenging. These professionals are in high demand due to the intricate and frequently changing coding guidelines for E&M services. Errors in coding can lead to significant financial losses or compliance issues, making experienced coders invaluable.

Our Solution

We offer comprehensive E&M coding services tailored to both inpatient and outpatient settings, covering a wide range of medical specialties. Our team consists of certified coders with extensive experience in specific medical fields, ensuring accurate and compliant coding.

Specialties Covered

Our coders have specialty experience in the following areas:

  • Allergy and Immunology
  • Cardiology
  • Cardiothoracic Surgery
  • Colorectal Surgery
  • Dermatology
  • Endocrinology
  • Family Practice
  • Gastroenterology
  • General Surgery
  • Geriatrics
  • Gynecology
  • Hematology-Oncology
  • Hospitalist
  • Infectious Disease
  • Internal Medicine
  • Neonatology
  • Nephrology
  • Neurology
  • Neurosurgery
  • Ophthalmology
  • Orthopaedic
  • Otolaryngology
  • Pain Management
  • Pediatrics
  • Pediatric Surgery
  • Physical Medicine
  • Podiatry
  • Pulmonology
  • Radiation Oncology
  • Rheumatology
  • Surgery
  • Surgical Oncology
  • Trauma and Burn
  • Urology
  • Vascular / Endovascular Surgery
  • Wound Care


  • Quick Turnaround: Services are coded within 2-to-3 workdays, ensuring timely billing and reimbursement.
  • Documentation Improvement: We identify and address documentation deficiencies to enhance medical record quality and maximize reimbursement.
  • Cost-Effective: Our pricing model is designed to be affordable, helping stabilize cash flow.
  • Compliance Assurance: Reduce the risk of audits and penalties with our accurate coding practices.

Services Offered

  • Coding Coverage: Temporary or ongoing coding support for all or part of your caseload.
  • Backlog Resolution: Efficiently address coding backlogs to maintain operational continuity.
  • Compliance Audits: Identify missed revenue opportunities and ensure compliance.
  • Superbill Updates: Keep your charge tickets current with the latest coding changes.
  • Physician Training: Improve documentation and code selection with targeted training.
  • Coding Helpline: Access to expert advice for coding questions and challenges.
  • Audit Defense: Support for defending against OIG and RAC audits.

Commitment to Excellence

We are committed to providing high-quality E&M coding services that meet the specific needs of hospitals, clinics, and revenue managers in large to mid-size U.S. healthcare organizations. Our goal is to ensure accurate coding, compliance, and optimized revenue for our clients, backed by our expertise and experience in the field.

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Coding Compliance Audits: Uncovering Deficiencies and Solutions

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December 1st, 2023|Comments Off on Medical Coding Audits: Ensure Accurate Clinical Documentation

Why Conduct a Medical Coding Audit Medical coding audits ensure accurate clinical documentation, improve revenue cycle management, minimize revenue loss and coding liability, and maintain compliance with industry regulations. Improved Accuracy of Clinical Documentation Accurate clinical documentation [...]