Coding Validation & CDI

Catch the coding gap before the claim drops

Our AAPC-certified coders review charts before billing and coach providers on what to document, so the E/M level, the diagnosis specificity and the modifiers still hold up when a payer or an auditor looks.

Pre-bill validation plus the documentation feedback that keeps it fixed
Most coding errors start in the note, not at the billing desk. We work on both ends: the chart before it bills, and the habits that produced it.

Pre-Bill Coding Validation

We review encounters before release, all of them for high-risk services and a sample for the rest, and correct codes, modifiers and units while the claim is still yours to fix.

E/M Level and Modifier Review

Level selection, modifier 25, 59 and the X modifiers, 24 and 57. We check that the note supports the level and the modifier, not just that the code is valid.

Diagnosis Specificity and Medical Necessity

We link each service to the most specific diagnosis the record supports and check it against the payer policy that decides whether the claim pays.

Provider Documentation Feedback

Short, specialty-specific feedback built from your own notes. No lectures. Each provider sees two or three real examples and a simple template change.

AI-Assisted Chart Screening

Software reads charts first and flags gaps for review. A certified coder makes every final call, and nothing is auto-submitted on a machine suggestion.

Audit-Ready Reporting

Error rates by provider and code family, trends over time, and dated follow-up audits, so you can show a payer or a compliance officer what you checked and when.

From baseline audit to steady pre-bill review
1
Week 1

Baseline audit

We pull a sample of recent charts per provider and score them for level, modifiers, diagnosis specificity and medical necessity.

2
Week 2

Findings review

We walk each provider through their own results, privately and with examples from their notes.

3
Weeks 3 to 4

Pre-bill validation goes live

Charts route through review before release, with rules tuned to your specialty and top payers.

4
Monthly

Feedback and template updates

Providers get a short summary, and we update templates and prompts where the same gap keeps showing up.

5
Quarterly

Re-audit

A fresh sample shows what changed, and the results stay on file.

Where this service pays for itself first

Related reading and services: Compliance & Auditing · Under-coding revenue loss · Medical coding audit guide · E/M coding 2026.

Want a baseline coding audit of your own charts?

We'll review a sample, show you what the record supports, and tell you honestly whether pre-bill validation is worth it for your practice.

Start With a Free Assessment →