End-to-End Medical Coding & Billing Services
Billing and coding are both necessary for providers to receive payment for healthcare services. Eminent Health ensures accurate medical coding and compliant claim submission — so your practice receives full reimbursement for every service delivered.
30–40%
More Revenue Recovered
96%
First-Pass Clean Claim Rate
<48hr
Claim Submission Turnaround
200+
US Physicians Trust Us
━━ What Is It
Understanding Medical Coding & Billing in Healthcare
Billing and coding are separate processes, but both are necessary for providers to receive payment for healthcare services. Medical coding involves extracting billable information from the medical record and clinical documentation, while medical billing uses those codes to create insurance claims and bills for patients.
Creating claims is where medical billing and coding intersect to form the backbone of the healthcare revenue cycle. The process starts with patient registration and ends when the provider receives full payment for all services delivered to patients.
Ensuring healthcare organizations understand the fundamentals of medical billing and coding can help providers and other staff operate a smooth revenue cycle and recoup all the allowable reimbursement for quality care delivery.
🔑 Coding vs Billing — Key Difference
Medical Coding
Extracts billable information from medical records and assigns accurate ICD-10, CPT, and HCPCS codes from clinical documentation.
Medical Billing
Uses those codes to create insurance claims and patient bills, then submits them to payers and manages the reimbursement process.
🔄 The Coding & Billing Lifecycle
Patient Registration & Scheduling
The revenue cycle begins here — accurate patient demographics and insurance data form the foundation for clean claims.
Clinical Documentation Review
Our certified coders review physician notes, operative reports, and discharge summaries to extract all billable services.
Medical Coding (ICD-10 / CPT / HCPCS)
Accurate codes are assigned for every diagnosis, procedure, and service — maximizing reimbursement and ensuring compliance.
Claim Scrubbing & Quality Check
Claims are scrubbed for errors, missing modifiers, and payer-specific rules before submission to maximize first-pass approval.
Electronic Claim Submission
Clean claims are submitted electronically to Medicare, Medicaid, and commercial payers within 48 hours of the patient visit.
Payment Posting & Full Reimbursement
The process ends when the provider receives full payment — with our team reconciling every ERA/EOB to ensure no revenue is left uncollected.
30–40%
More revenue recovered vs in-house billing
<48hr
Average claim submission turnaround
96%
First-pass clean claim rate achieved
1hr
Coding review turnaround per encounter
━━ Full Coverage
Every Component of Your Coding & Billing — Covered
Our end-to-end coding and billing solution manages every step from clinical documentation to final reimbursement — ensuring your practice collects every dollar it earns.
Medical Coding (ICD-10 / CPT)
AAPC-certified coders extract billable information from clinical records and assign accurate ICD-10, CPT, and HCPCS codes for maximum reimbursement.
Charge Entry & Claim Creation
All charges are entered accurately into your practice management system and converted into compliant insurance claims ready for submission.
Claim Scrubbing & Clean Submission
Every claim is scrubbed for errors, missing modifiers, and payer-specific requirements before electronic submission — achieving a 96% first-pass rate.
Payment Posting & Reconciliation
Accurate ERA/EOB posting with full reconciliation to catch underpayments, identify write-offs, and ensure every payment is accounted for.
Denial Management & Appeals
Denied claims are reviewed, corrected, and re-submitted within 24 hours. We track every denial trend to prevent the same issues from recurring.
AR Follow-Up & Reporting
Dedicated AR specialists follow up on all outstanding claims with transparent weekly reports showing collections, denial rates, and revenue trends.
━━ The Big Picture
How Coding & Billing Forms the Backbone of Your Revenue Cycle
Coding and billing intersect at every stage of the revenue cycle — from patient registration to final payment. Here’s how each phase connects:
Patient Registration
The revenue cycle starts here — accurate demographics and insurance set the stage for clean billing.
Clinical Documentation
Physician notes and records provide the foundation for accurate code assignment and claim creation.
Coding & Claim Creation
Codes are assigned, claims are created and scrubbed — the core of the billing process.
Full Payment Received
The cycle ends when the provider receives full reimbursement for all services delivered to patients.
━━ How It Works
Our Coding & Billing Process — Step by Step
A seamless workflow from clinical encounter to full reimbursement — with zero gaps in your revenue cycle.
Chart Review
Code Assignment
Charge Entry
Claim Scrubbing
Electronic Submission
Payment Posting
AR Follow-Up
━━ Why Eminent Health
Why 200+ US Physicians Trust Eminent Health with Their Coding & Billing
$125K+
Average additional revenue recovered per practice annually by eliminating coding errors, reducing denials, and accelerating claim turnaround.
"After switching to Eminent Health for coding and billing, our collections increased by 34% in the first quarter alone." — Pulmonology Practice, California
48-Hour Claim Submission
Every claim is coded, scrubbed, and submitted within 48 hours of the patient encounter — reducing your days in AR significantly.
AAPC Certified Coding Team
Our certified professional coders (CPCs) specialize by specialty, ensuring the most accurate code selection for maximum reimbursement.
No Long-Term Contracts
Flexible month-to-month engagement — you stay in full control with no lock-in and no risk.
100% HIPAA Compliant
All clinical and billing data is handled under strict HIPAA protocols with encrypted, role-based access controls throughout.
━━ Who We Serve
Coding & Billing Services Across 40+ Medical Specialties
Our certified coders specialize across every field of medicine — ensuring specialty-specific accuracy for maximum reimbursement.
● Internal Medicine
● Family Practice
● Cardiology
● Orthopedics
● Neurology
● Gastroenterology
● Behavioral Health
● Physical Therapy
● Dermatology
● Radiology
● Urology
● OB/GYN
● Pediatrics
● Pulmonology
● Endocrinology
● Rheumatology
● Oncology
● Nephrology
● Ophthalmology
● Urgent Care
━━ Got Questions?
Common Questions About Coding & Billing
Everything your practice needs to know about outsourcing medical coding and billing to Eminent Health.
What is the difference between medical coding and medical billing?
Medical coding extracts billable information from clinical records and assigns ICD-10, CPT, and HCPCS codes. Medical billing uses those codes to create and submit insurance claims and patient bills, then manages the reimbursement process through to final payment.
How does outsourcing coding and billing improve revenue?
Outsourcing to certified specialists reduces coding errors, accelerates claim submission, lowers denial rates, and ensures all allowable charges are captured — practices typically see 30–40% more revenue compared to in-house billing.
How quickly do you submit claims after a patient visit?
We review, code, scrub, and submit claims within 48 hours of every patient encounter — significantly reducing your days in accounts receivable and accelerating cash flow.
Do you handle denied claims and appeals?
Yes. Our AR team reviews every denial, identifies the root cause, corrects the claim, and re-submits within 24 hours. We also track denial patterns and fix upstream coding issues to prevent repeat denials.
Which EHR and practice management systems do you work with?
We integrate seamlessly with all major platforms — Epic, Athenahealth, eClinicalWorks, Kareo, Practice Fusion, DrChrono, and more — with zero disruption to your existing workflow.
Are your coders certified and specialty-trained?
Yes. All our coders hold AAPC certifications (CPC) and are trained in specialty-specific coding guidelines — ensuring the highest accuracy for your specific field of medicine.
Book Your Free Revenue Audit
Find out exactly how many claims your practice is losing to eligibility errors. Our experts will audit your current verification process at no cost.
🔒 HIPAA Compliant · No Spam · We respond within 1 hour
Stop Losing 30–40% of Your Practice Revenue on the Table
Let Eminent Health handle your medical coding and billing end-to-end — so every service is coded correctly, every claim goes out clean, and every dollar is collected.