CPC & CCS-Certified Auditors · AI-Assisted Sampling
The Best Time to Find a Coding Error Is Before the Payer Does
A coding audit measures your true coding accuracy against the documentation in the chart. Certified auditors find the hidden revenue and the compliance gaps, then give you a plan to fix both.
Undercoding Doesn't Trigger Denials. It Just Quietly Costs You Money.
Overcoding gets flagged. Undercoding gets ignored, by payers, by reports, by everyone except your bottom line. A coding audit is how you catch what no denial report ever will.
The Loss Hides in Plain Sight
When a provider documents a level 4 visit and it's coded as a level 3, no one sends a denial. The claim pays at the lower rate and everyone moves on. Multiply that across hundreds of visits per month and the annual revenue loss is real, and invisible on a denial report.
The OIG Recommends Auditing
The OIG recommends regular medical record audits for every Medicare-participating provider, and for good reason. Proactive audits surface the compliance gaps before a payer or an OIG inquiry does, when fixing them is still on your terms.
Certified Auditors Recover It
Our auditors recover revenue hiding in undercoded and miscoded claims: procedures documented but never billed, levels of service supported by the chart but coded below what was earned. People find the money and sign off on every finding.
Certified Auditors Sign Off, AI Speeds the Search
CPC and CCS-certified auditors own every audit. AI-assisted sampling reviews the coded claims and flags the ones at risk of undercoding, overcoding, or a documentation gap, handling the routine pass so our auditors spend their time on judgment, not hunting. Every flagged claim is reviewed and signed off by a certified auditor, and the findings feed back into your coding so the same error doesn't repeat. The technology accelerates the work. People stand behind the result.
Accuracy Audits
We review a statistically valid sample of coded claims against your documentation to measure your actual accuracy rate. No assumptions, just numbers you can act on.
Undercoding Detection
Undercoding is the silent revenue killer. Our auditors identify procedures and diagnoses that were documented but never coded, recovering revenue your practice earned but never billed.
Overcoding Prevention
Overcoding creates compliance risk and invites payer scrutiny. We flag patterns before they attract attention and help you correct them before a correction becomes a crisis.
OIG-Aligned Compliance Reviews
Our audit methodology follows the frameworks the OIG recommends. Statistically valid samples, documented findings, corrective action plans: audit-ready results that satisfy compliance requirements and keep your practice on solid ground.
25+
Years of Audit Experience
Our auditors know where the money hides because they've been finding it across every major specialty since 2000.
OIG
Aligned Methodology
Our audits follow OIG-recommended frameworks: statistically valid samples, documented findings, and corrective action plans.
99%
Our Coding Accuracy Standard
We audit to the same standard we code to. Our auditors know what right looks like because they hold themselves to it every day.
Coding Audit FAQs
Who actually performs the audit, people or software?
People. CPC and CCS-certified auditors own every audit and sign off on every finding. AI-assisted sampling speeds the routine search by reviewing coded claims and flagging the ones at risk of undercoding, overcoding, or a documentation gap, but it never has the last word. A certified auditor reviews each flagged claim against the chart and stands behind the result.
How do you keep the same coding errors from coming back?
Findings feed back into coding. When an audit surfaces a recurring pattern, an undercoded level of service, a procedure documented but never billed, a code combination that invites payer scrutiny, we document it and route it back to the coding workflow as a correction, so the fix sticks instead of resurfacing on the next audit.
Does your audit methodology hold up for OIG compliance?
Yes. Our audits follow OIG-recommended frameworks: statistically valid samples, documented findings, and corrective action plans. The OIG recommends regular medical record audits for every Medicare-participating provider, and our results are built to be audit-ready if a payer or the OIG ever asks.
Do you only look for overcoding, or undercoding too?
Both. Overcoding gets flagged for compliance risk before it attracts payer scrutiny. Undercoding is the quieter problem: procedures documented but never billed, levels of service supported by the chart but coded below what was earned. Those claims pay at a lower rate and never trigger a denial, so they only surface in an audit. We find both and give you a plan to fix each.