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Medical Coding Outsourcing Services - CPC-Credentialed Team

Accurate Coding. Faster Reimbursements. Fewer Denials.

Coding errors are one of the leading causes of claim denials, resulting in delayed payments and lost revenue. Svizzera’s CPC-credentialed coding team delivers accurate, guidelines based coding across 30+ medical specialties, helping improve claim accuracy and maximize reimbursement while working seamlessly within your existing HER

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CODING SERVICES

Complete Coding Services for Every Specialty

Our certified coding team delivers accurate, compliant, and timely coding across all major specialties and care settings to help maximize reimbursement and reduce claim denials.

ICD-10-CM Diagnosis Coding

Accurate diagnosis coding, including primary and secondary diagnoses, chronic conditions, and HCC documentation.

CPT Procedure Coding

Precise CPT coding for E&M services, surgeries, diagnostic procedures, preventive care, and other physician services.

HCPCS Level II Coding

Coding for medications, medical supplies, durable medical equipment (DME), and other Medicare and commercial payer requirements.

Modifier Application & Review

Correct application of coding modifiers to improve claim accuracy and reduce bundling and edit-related denials.

E&M Coding Review

Accurate Evaluation & Management (E&M) level selection based on current coding guidelines and provider documentation.

Coding Audits & Compliance

Routine coding audits to identify documentation gaps, improve coding accuracy, and support regulatory compliance.

MAJOR PAYERS WE SUBMIT TO

UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers
UnitedHealthcare
Aetna
Cigna
Humana
BCBS Plans
Medicare Advantage
Medicaid MCO
Molina
Centene / WellCare
Tricare
Regional Carriers

HOW IT WORKS

Medical Coding Process

1

Documentation Review

Provider documentation is reviewed to ensure completeness, accuracy, and coding readiness.

2

Code Assignment

Accurate ICD-10-CM, CPT, and HCPCS Level II codes are assigned based on current coding guidelines.

3

Coding Validation

Modifiers, NCCI edits, bundling rules, and payer-specific requirements are reviewed for compliance.

4

Claim Quality Review

Claims are scrubbed to identify coding errors, documentation gaps, and edit violations before submission.

5

Denial Analysis

Coding-related denials are analysed to identify root causes and support continuous improvement.

INDUSTRY INSIGHT

30โ€“40%

reduction in coding-related denial rates reported by organizations leveraging structured, outsourced RCM coding partnerships versus in-house coding models.

Source: Healthcare outsourcing RCM research, industry literature (2024โ€“2025). Outcomes vary by practice type, specialty, payer mix, and service scope.

WHY SVIZZERA

Six Reasons Our Coding Team Outperforms In-House

Certified coders. Specialty expertise. Claim scrubbing before submission. Monthly reporting. No compromises.

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CPC-Credentialed Coders

Our CPC-credentialed medical coders deliver accurate, compliant coding across a wide range of medical specialties. With expertise in ICD-10-CM, CPT, and HCPCS Level II code sets, our team carefully reviews clinical documentation to assign the most appropriate codes while meeting payer and regulatory requirements.ย 

๐Ÿ“š

ICD-10 / CPT / HCPCS Expertise

We use electronic EDI 270/271 eligibility transactions and direct payer web portal access real-time verification methods, not phone-only verification that relies on individual representative accuracy.

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30+ Medical Specialties Covered

Specialty-specific coding expertise across primary care, surgical, and specialty practices, with every claim reviewed for coding accuracy, modifiers, NCCI edits, and payer requirements before submission.

๐Ÿงน

Claim Scrubbing Before Submission

All major commercial payers, Medicare Advantage plans, Medicaid MCOs, and 40+ regional carriers each with their own portal workflows, eligibility logic, and verification documentation requirements.

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HIPAA-Focused ยท BAA at Onboarding

Secure, HIPAA-compliant workflows with a Business Associate Agreement (BAA) executed before accessing protected health information (PHI).

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Coding Performance Reports

Monthly insights into coding accuracy, denial trends, and opportunities to improve documentation and reimbursement.

FAQ

Frequently Asked Questions

What practice administrators and physicians ask before outsourcing medical coding.

How do certified medical coders improve reimbursement?

Svizzera’s CPC-credentialed coding team assigns accurate ICD-10-CM, CPT, and HCPCS Level II codes based on clinical documentation and payer guidelines. Accurate coding helps reduce claim denials, improve first-pass claim acceptance, and maximize reimbursement.

Our certified coders are experienced across 30+ medical specialties and stay current with the latest coding regulations, payer policies, and industry guidelines. We combine coding expertise with rigorous quality reviews to deliver accurate, compliant, and timely coding services.

Most implementations are completed within 2โ€“4 weeks. Our onboarding team works with your practice to establish secure access, integrate with your existing workflow, and ensure a smooth transition with minimal disruption.

Yes. We provide professional medical coding services for primary care, specialty practices, ambulatory clinics, and a wide range of physician specialties, including surgical and diagnostic services.

Yes. We perform ongoing coding quality reviews, compliance audits, and documentation assessments to improve coding accuracy, reduce denials, and help your practice stay aligned with current coding standards and payer requirements.

Stop Losing Revenue to Preventable Coding Errors

Let’s discuss how Svizzera can reduce administrative burden and accelerate approvals.