Medical Billing & Coding
Medical Billing & Coding
Most claim denials trace back to eligibility that wasn't checked, or coding that wasn't right. ProEnrollment's medical coding staff code every encounter, scrub the claim against payer-specific edits before it leaves the building, and submit electronically for the fastest possible turnaround.
CPT, ICD-10 & HCPCS Coding
Every encounter is coded by coding staff with specialty-specific coding knowledge, covering CPT procedure codes, ICD-10-CM diagnosis codes, and HCPCS Level II codes for supplies and drugs.
Claim Scrubbing
Claims are checked against payer-specific edits, NCCI bundling rules, and modifier requirements before submission — catching errors before the payer does.
Electronic Claim Submission
Claims are submitted electronically for the fastest processing time, with clearinghouse rejections monitored and status tracked through to payment or denial.
Part of Complete RCM Medical Billing
Medical billing and coding can be engaged on its own or as part of ProEnrollment's complete RCM medical billing services, alongside eligibility verification & authorization, accounts receivable management, and CPT coding. Schedule a free consultation.
FAQ
How do you review coding accuracy?
Coding staff review documented services, procedure and diagnosis code selections, modifiers and applicable claim edits before submission.
What codes do you handle?
CPT, ICD-10-CM diagnosis codes, and HCPCS Level II codes for supplies, drugs, and durable medical equipment.
What happens if a claim is denied?
Denied claims are reviewed, corrected, and resubmitted as part of the standard service — not billed as separate rework.
Last reviewed: September 2026 — Request a credentialing consultation