Medical Coding Services in Arizona, Done by Certified Coders Who Know Your Specialty
Your charts get coded by an AAPC-certified coder assigned to your specialty, checked against NCCI edits and payer policy, and returned within 24 hours. You get paid for the level of care you actually documented, and your claims hold up if Noridian or an AHCCCS plan ever asks for records.
- AAPC-certifiedSpecialty-assigned coders
- QuarterlyCoding audits with provider feedback
- AAPC-Certified Coders
- Specialty-Assigned Charts
- HIPAA Compliant
- Arizona-Focused Team
- Month-to-Month, No Long-Term Contract
- Turnaround on complete charts
- 24 hours
- Coding accuracy standard on internal audits
- 95%+
- Coding audits with provider feedback
- Quarterly
- Specialties coded
- 30+
Coding Mistakes Cost You Twice: Once on the Claim, Again in the Audit
Most practices we audit are not losing money to one big error. They lose it a few dollars at a time, on hundreds of visits a month.
Undercoding
Providers default to 99213 because it feels safe, even when the note supports 99214. Across a year, that gap adds up to real money.
Missed add-ons and modifiers
G2211, prolonged service codes, modifier 25 on a same-day procedure, or -59 and the X modifiers on distinct services. Leave them off and the work goes unpaid.
Diagnosis codes that don't support the procedure
A CPT code paired with the wrong ICD-10-CM code is one of the fastest ways to a medical necessity denial.
Overcoding risk
Levels pushed higher than the documentation supports invite a Noridian Targeted Probe and Educate (TPE) review, RAC audits and paybacks.
Code set changes nobody caught
ICD-10-CM updates every October 1. CPT and HCPCS update every January 1. One missed deletion can stall a whole category of claims.
Coder turnover
Certified coders are hard to hire in Arizona, and every vacancy turns into a chart backlog and a dip in cash flow.
We fix these at the chart level and then show your providers what to change, so the same errors stop coming back.
Coding Built Around Arizona Payers and Your Specialty
Plenty of companies can assign a CPT code. What you are paying for is a coder who knows your specialty's rules, your payers' edits, and what an auditor will look for in your notes.
A coder assigned to your specialty
Your cardiology charts do not go to whoever is free. They go to a coder who codes cardiology every day and knows your providers' documentation habits.
AAPC-certified, and current
Our coders hold CPC, COC, CRC or specialty credentials and keep up their CEUs. We load the October ICD-10-CM and January CPT updates before they take effect.
Arizona payer rules in the logic
Noridian JF LCDs for Medicare Part B, AHCCCS Complete Care plan rules for Mercy Care, Banner University Family Care, Arizona Complete Health and UnitedHealthcare Community Plan, and the edits the big commercial carriers apply.
Coding that matches the note
We code what is documented, nothing more and nothing less. When a note is unclear, we send a short query to the provider instead of guessing.
Feedback your providers will actually read
Quarterly audits come with one page per provider: what they did well, what they missed, and the dollar impact.
One named account manager
An Arizona-focused contact who knows your practice, answers the phone and owns your coding numbers.
Find out what your charts support.
Our Medical Coding Services
Professional Fee Coding
CPT, ICD-10-CM and HCPCS Level II coding for office visits, procedures, injections, diagnostics and in-office tests, with modifiers applied correctly the first time.
E/M Level Coding and Validation
Office and outpatient visits leveled on medical decision making (MDM) or total time under the 2021 AMA guidelines, plus hospital, ED, nursing facility and home visits under the 2023 rules. We capture G2211, prolonged services and split or shared visits where the note supports them.
Surgical and Procedure Coding
Operative report coding with global period tracking and the modifiers payers check most: 24, 25, 57, 58, 59, 76, 78, 79, LT and RT, and the XE, XS, XP and XU subset.
Facility and Hospital Outpatient Coding
ASC, hospital outpatient and ED facility coding with revenue codes, OPPS and APC logic, and UB-04 claim support.
Inpatient Coding
ICD-10-PCS procedure coding and MS-DRG or APR-DRG assignment for hospitals and Critical Access Hospitals, with CDI queries when documentation is unclear.
HCC Risk Adjustment Coding
Hierarchical Condition Category coding for Medicare Advantage and value-based contracts under the CMS-HCC V28 model. Every chronic condition is checked against MEAT criteria, so the RAF score you report is one you can defend.
Care Management and Preventive Services
Chronic Care Management (99490, 99439, 99487, 99491), Remote Patient Monitoring, Transitional Care Management, Annual Wellness Visits and telehealth with the right POS codes and modifiers 95, 93 and FQ.
Coding Audits and Provider Education
Pre-bill and retrospective audits, E/M level distribution reviews, and one-on-one feedback sessions for your providers.
Backlog and Overflow Coding
Extra coders when you have a chart backlog, a coder on leave, or a new provider ramping up.
Every Code Checked Against the Rules Payers Actually Apply
| Code set or rule | What we use it for |
|---|---|
| ICD-10-CM | Diagnosis coding to the highest specificity the note supports, including laterality, episode of care and Z codes for social determinants |
| CPT (Category I, II and III) | Procedures, services and E/M, plus Category II quality codes for MIPS and HEDIS reporting |
| HCPCS Level II | Drugs (J codes and units), supplies, DME, G codes and AHCCCS behavioral health H codes |
| ICD-10-PCS | Inpatient hospital procedures |
| NCCI PTP edits and MUEs | Catching unbundled pairs and units over the limit before the claim goes out |
| LCDs and NCDs | Matching diagnoses to Noridian JF and national coverage policies, with an ABN flag when coverage is unlikely |
| ICD-10-CM Official Guidelines and AMA CPT guidelines | Sequencing, combination codes and E/M leveling rules |
| Payer policies | AHCCCS plan, Medicare Advantage and commercial carrier coding and modifier rules |
Specialty Coders, Not Generalists
Each specialty has its own traps. Here is what our coders watch for in the ones Arizona practices ask about most.
| Specialty | What we get right |
|---|---|
| Mental and behavioral health | Psychotherapy time codes 90832 to 90838, add-ons with E/M, interactive complexity 90785, and AHCCCS H codes with the right modifiers |
| Cardiology | Diagnostic cath and PCI coding, echo and stress test components, and the -26 and -TC split |
| Orthopedics | 90-day global periods, fracture care, joint injections and modifiers 24, 57, 58, 78 and 79 |
| Dermatology | Biopsy codes by technique, excisions sized with margins, Mohs surgery and destruction codes |
| Radiology | Professional and technical components, contrast reporting and LCD-driven diagnosis matching |
| Oncology | Chemo and infusion hierarchy, J code units, and the JW and JZ drug waste modifiers |
| Wound care | Debridement by depth, skin substitute application and product units |
| Urgent care | E/M leveling, in-house labs with CLIA waiver modifier QW, and S code rules by payer |
| Primary care and internal medicine | E/M with G2211, AWV, CCM, preventive visits billed with a problem visit, and HCC capture |
| Optometry and ophthalmology | Eye exam codes 92002 to 92014 versus E/M, and medical versus routine vision coverage |
| Chiropractic | CMT levels 98940 to 98942, AT modifier for active treatment, and exam rules |
| Anesthesia | ASA codes, base and time units, and AA, QK, QX, QZ and P1 to P6 modifiers |
We also code for gastroenterology, OB/GYN, neurology, pain management, pulmonology, urology, podiatry, physical therapy, pediatrics, nephrology and general surgery.
Care Settings
Solo and group practices, multi-specialty groups, urgent care, ambulatory surgery centers, hospital outpatient departments, Critical Access Hospitals, Rural Health Clinics, FQHCs, behavioral health agencies and telehealth practices across Phoenix, Tucson, Mesa, Scottsdale, Chandler, Gilbert, Glendale and Flagstaff.
From Signed Note to Clean Claim in 6 Steps
Free coding audit
We pull a sample of your recent charts and claims, recode them, and show you where revenue and risk are sitting.
Setup in your system
We get secure access to your EHR and practice management system, map your fee schedule and payer mix, and assign your specialty coder.
Chart review
Your coder reads each signed note, including the HPI, exam, assessment and plan, orders and any operative or procedure report.
Code assignment
ICD-10-CM, CPT, HCPCS and modifiers are assigned and linked, then checked against NCCI edits, MUEs, LCDs and payer rules.
Provider query when needed
If the note does not support a code, or a better code is possible with one missing detail, we ask the provider before the claim goes out.
Release and report
Coded charts move to billing within 24 hours. You get weekly numbers and a quarterly audit with provider feedback.
Coding You Can Defend in an Audit
Accurate coding is not about getting the highest level. It is about getting the right one and having the note to back it up.
Second-level review
A senior coder checks a sample of every coder's work each month. Anything under our 95% accuracy standard triggers retraining before it shows up on your claims.
E/M distribution checks
We compare your providers' E/M level mix to CMS specialty data, so you spot outliers before Noridian or a commercial payer does.
Audit-ready documentation
We flag cloned notes, missing signatures, unsupported time statements and diagnoses without MEAT support.
Help when an audit lands
If you get a TPE, RAC, UPIC or payer records request, we pull the charts, review the codes and help you prepare the response.
HIPAA and data security
We sign a Business Associate Agreement, work inside your systems with role-based access, and follow SOC 2 aligned processes. PHI never leaves the systems you control.
OIG-aligned practices
Our coding policies follow the OIG compliance guidance for physician practices and its annual Work Plan priorities.
Why Practices Outsource Medical Coding to Us
| Comparison | In-house coder | Arizona Billing Services |
|---|---|---|
| Hiring | Months to find a certified coder | Coder assigned during onboarding |
| Coverage | Backlog every time they take leave | Backup coders already trained on your account |
| Specialty depth | One person, one skill set | Coders matched to each specialty you offer |
| Code updates | Depends on one person's CEUs | Updates loaded and tested before they go live |
| Quality checks | Rarely audited | Monthly second-level review and quarterly audits |
| Overhead | Salary, benefits, encoder license, training | One agreement, month-to-month |
Ways to Work With Us
Coding only
We code, your team bills.
Coding with full billing
Coding plus claims, payment posting, denial management and A/R follow-up.
Audit only
A one-time or quarterly review of your coding and documentation.
Backlog and overflow
Short-term coders to clear a backlog or cover a vacancy.
Medical Coding Services: Questions Practices Ask Us
See What Your Charts Really Support
Send us a sample of recent charts and claims. Within 5 business days you get a written coding audit: accuracy by provider, missed codes and modifiers, E/M level patterns and any compliance risk. No cost, no contract.
Rather talk it through? Call (631) 652-3106, Monday to Friday, 8 a.m. to 5 p.m. MST.