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Chart review
Provider documentation reviewed against payer and CMS guidelines before any code is assigned.
AAPC- and AHIMA-credentialed coders assign accurate CPT, ICD-10-CM and HCPCS codes tuned to your specialty — maximizing legitimate reimbursement while staying NCCI-clean and audit-ready.
CPC and CCS credentials, assigned by specialty.
Dual-review on high-value and high-risk claims.
Bundling and unit edits checked before submission.
Every code tied back to the chart note.
From the chart note to a clean, defensible code set — every claim coded for accuracy and compliance.
Provider documentation reviewed against payer and CMS guidelines before any code is assigned.
Specialty-specific procedure and diagnosis coding to the highest accurate specificity.
Office and facility visits leveled to 2021+ MDM or time-based guidelines.
Correct modifiers applied; NCCI/MUE edits resolved before the claim goes out.
Dual-coder review on high-risk encounters and routine accuracy audits.
Provider-facing queries and education to close documentation gaps.
| 99214 | Established E/M, moderate MDM | –25 |
| 99396 | Preventive visit, 40–64 yrs | split |
| 93000 | ECG, 12-lead with interpretation | — |
| 36415 | Routine venipuncture | — |
| G0439 | Annual wellness visit, subsequent | –33 |
| Z00.00 | Encounter, general adult exam | dx |
Procedure denied as part of another service under NCCI edits.
Procedure code inconsistent with the modifier used, or a required modifier is absent.
Diagnosis doesn't support the procedure billed.
Service fails the payer's LCD/NCD coverage criteria.
Encounters and documentation pulled from your EHR daily.
Specialty coder assigns CPT, ICD-10 and HCPCS with modifiers.
QA edits and NCCI/MUE checks on every claim.
Clean, defensible codes handed to billing for submission.
"We were under-coding visits out of fear of an audit. Helix showed us how to capture the work we were actually doing — defensibly."
Chronic E/M under-leveling and global-period miscoding were leaving roughly 14% of legitimate revenue on the table, while inconsistent modifiers drove avoidable denials.
Helix assigned a CPC-certified ortho coder, rebuilt the E/M and global-period workflow, and instituted dual-review on surgical claims with provider documentation feedback.
Coding accuracy hit 96.3%, revenue per encounter rose 14%, coding-related denials fell 61%, and the group passed its next payer audit with zero clawbacks.
Representative composite based on Helix engagement outcomes. Individual results vary.
"Lesion-destruction and biopsy coding finally matched the chart. The take-backs we kept getting stopped cold."
"Time-based therapy coding was a constant source of denials. Helix's coders knew the rules cold."
Get a free coding audit and we'll show you exactly where under-coding, missed modifiers, or NCCI errors are costing you.