Certified coders. Cleaner claims. Faster payments. No guesswork involved
Expert Medical Coding Services That Protect Every Claim
- 96% of claims accepted on first submission
- 23% average increase in collections within 90 days
- A/R over 30 days cut in half for most practices
- Onboarding done in just 10–14 business days
Why Inaccurate Coding Is Costing Practices More Than They Know
Despite how essential medical coding is to the revenue cycle, many practices still rely on overworked in-house staff, outdated templates, or generic coding tools. The result? Denials, delays, and underpayments that silently chip away at profitability.
Horizon Healthcare RCM offers fully managed, specialty-specific coding that addresses the problems before they become patterns. With certified coders, fast QA, and real-time visibility, we help practices prevent mistakes—not just react to them.
Common Coding Issues Practices Face:
- Missed codes during documentation.
- Delayed claims from vague entries.
- Denied claims from unsupported codes.
- Overused templates triggering audits.
- No reporting on coding trends.
How Horizon Healthcare RCM Makes Coding Work
We’ve worked with enough practices to know that coding is often the most overlooked part of the revenue cycle—but it’s also one of the most damaging when done wrong.
The difference between a clean claim and a costly delay often comes down to one code, one missed modifier, or one unsupported note. That’s why we don’t treat coding like an afterthought. Horizon Healthcare RCM builds structure, accuracy, and accountability into every encounter—before a claim is ever submitted.
We review every chart like auditors
Our coders spot gaps, unsupported codes, and risky patterns before they cost you
We respond fast when errors appear
Codes aren’t left in limbo—we correct, clarify, and recode immediately.
We become part of your workflow
We monitor code usage, payer edits, and specialty patterns to reduce denials.
We become part of your workflow
You’ll know your coding team by name—and they’ll know your specialty inside out.
Let’s Show You Where Coding Is Holding You Back
We’ll walk through your current process, flag coding blind spots, and outline how our team would improve accuracy, compliance, and claim performance—without disrupting your flow.
Coding Support That Fits How You Practice
From single-provider clinics to multi-location groups, our coding services scale with your structure, bringing consistency, accuracy, and insight at every level.
Independent Providers & New Practices
Fast, accurate coding without adding internal workload.Certified coding support tailored to your specialty, Quick turnaround with payer-compliant accuracy, Clear documentation guidance, no extra admin
High-Volume Clinics & Specialty Groups
More providers mean more encounters—and higher risk.Coders aligned to each provider or subspecialty, Consistent feedback loops to reduce denials, Structured QA and real-time code validation
Multi-Site Networks & Management Teams
One coding system that works across all locations.Coders dedicated by department, location, or role, Central visibility into code trends and accuracy, Uniform compliance across your organization
Where Coding Fails—and How We Bring It Back in Line
From incomplete documentation to frequent NCCI edits, many practices don’t realize their coding workflow is leaking revenue until it’s too late. Horizon Healthcare RCM steps in with structured processes, specialty coders, and payer-aligned coding that holds up under scrutiny.
Your Specialty Is Unique—We Code It with Accuracy and Depth
Each specialty comes with its own documentation standards, code pairings, and compliance risks. Our coders don’t just know CPT and ICD—they understand modifier logic, NCCI edits, MUE limits, and payer-specific nuances in your field.
Primary Care & Internal Medicine
• ICD-10 specificity for chronic conditions (e.g., diabetes with manifestations)
• Annual wellness visit G codes and preventive service exclusions
• Proper use of time-based E/M when counseling dominates
Mental & Behavioral Health
• CPT 90832–90838 session coding, based on session length and complexity
• DSM-5 alignment to ICD-10 codes with F code selection
• Place-of-service and telehealth modifier usage (95, GT)
Cardiology
• NCCI compliance for bundled procedures (e.g., EKG with stress testing)
• Global period management on interventional procedures
• Accurate use of modifiers -26/-TC and -59 across diagnostic services
Pain Management & Orthopedics
• CPT coding for nerve blocks, joint injections, and neurostim implants
• Compliance with CCI edits for fluoroscopy guidance
• Consistent linkage of diagnosis to staged procedural services (LT/RT, XS)
Gastroenterology
• Colonoscopy coding with appropriate use of modifiers (e.g., -PT, -33)
• Facility vs. professional component split billing accuracy
• Anesthesia code pairing (00810–00813) with procedure codes
Pediatrics
• Vaccine administration coding (90460–90461) with toxoid matching
• ICD-10 for developmental screenings, Z codes for well-child visits
• EPSDT documentation and age-specific coding compliance
How We Work Inside Your EHR and Technology Stack
Accurate coding depends on clean, consistent access to clinical data. That’s why we work directly inside your EHR—extracting encounter details, reviewing documentation in context, and applying codes based on your templates and workflows. No interruptions. No extra clicks. Just clean encounters coded the right way.
- Compatible with Epic, Cerner, athena, more
- Use your templates and charting styles
- Secure access via HIPAA-compliant methods
- No setup burden on your internal team
- Real-time coordination with billing platforms
We fit into your workflow—so coding just works better.
Why Our Medical Coding Services Stand Up Where Others Fall Short
Most coding services focus on pushing volume. The result? Generic code entry, poor documentation alignment, and a high chance of denials. At Horizon Healthcare RCM, we bring structure, specialty knowledge, and accountability into every coding workflow—so you’re not just submitting faster, but smarter.
Coders aligned by subspecialty and case type | AAPC- and AHIMA-certified coding teams only| Documentation reviewed against LCD and payer rules | HCC capture and linkage verified in real time | Denial patterns tracked and coding refined proactively
Comprehensive Support
24/7
Book a Consultation
Thank you for your interest in Horizon Healthcare RCM, a premier U.S. medical billing service provider. We are excited to connect with you. Let’s get in touch and explore how we can best meet your needs.