Physician Coding (ProFee) Services
Our physician coding specialists provide expert professional fee coding for all physician services. We ensure accurate coding for evaluation and management (E&M) visits, surgical procedures, and specialty encounters using the latest CPT, ICD-10-CM, and HCPCS guidelines.
What We Cover
- Evaluation & Management (E&M) coding across all specialties
- Surgery and procedure coding using latest CPT guidelines
- ICD-10-CM diagnosis coding with specificity
- Modifier application for split/shared visits, assistant surgeons, and more
- Specialty-specific coding: cardiology, orthopedics, oncology, and more
Our Process
Our certified coders review all clinical documentation thoroughly before assigning codes. We follow the latest CMS and AMA guidelines to ensure compliance and maximize appropriate reimbursement.
- Document Review: Coders receive and review clinical notes, operative reports, and encounter forms.
- Code Assignment: CPT, ICD-10-CM, and HCPCS codes are assigned based on documentation.
- QA Review: A second-level QA coder reviews all cases for accuracy.
- Delivery: Final coded claims are returned within agreed turnaround time.
Specialties We Support
We provide ProFee coding expertise across a wide range of clinical specialties:
- Internal Medicine & Family Practice
- Cardiology & Cardiovascular Surgery
- Orthopedics & Sports Medicine
- Neurology & Neurosurgery
- Oncology & Hematology
- Gastroenterology & Hepatology
- Pulmonology & Critical Care
- Urology & Nephrology
- OB/GYN & Women's Health
- Radiology & Pathology
Key Benefits
Outsourcing your ProFee coding to MedCodex means fewer denied claims, faster reimbursements, and a fully compliant revenue cycle. Our coders hold CPC, CCS-P, and specialty-specific certifications, ensuring your practice receives the highest standard of coding accuracy.
Why Choose MedCodex for Physician Coding (ProFee)?
Frequently Asked Questions
How does MedCodex handle E&M level selection and audit risk for our physician encounters?
Our coders apply the latest AMA E&M guidelines (2021 and forward) to select the appropriate level based on medical decision making or total time, reducing both undercoding and overcoding risk. Each chart goes through a multi-level QA review before delivery, consistently achieving 98%+ accuracy. A dedicated account manager reviews patterns with your team and flags documentation gaps that could draw payer scrutiny.
Our practice covers several specialties. Do your coders have specialty-specific ProFee experience?
Yes, our AAPC- and AHIMA-certified coders (CPC and CCS credentials) are assigned to accounts based on specialty experience, covering areas such as cardiology, orthopedics, neurology, gastroenterology, and primary care. We match the right coder profile to your specialty mix before the engagement begins. You can verify this fit during the free no-commitment pilot before making any long-term decision.
What does the free pilot involve, and what does it cost us?
The pilot is provided at no charge and requires no commitment from your practice. You submit a representative sample of your physician encounter charts and MedCodex codes them using your normal workflow, then delivers the coded claims with a QA summary so you can evaluate accuracy and turnaround firsthand. There is no contract obligation tied to the pilot, and it ends whenever you choose.
How do you access our EHR and billing platform without creating a HIPAA compliance risk?
Our team works directly inside your existing EHR or practice management system using secure, audited remote access rather than transferring records outside your environment. Before any work begins, MedCodex signs a Business Associate Agreement with your organization and follows documented HIPAA-compliant data handling protocols. Access is role-restricted, logged, and can be revoked by your IT team at any time.
How is ProFee coding priced, and can we scale up or down based on volume?
Pricing is offered on a per-chart basis or as a dedicated FTE model, depending on your monthly volume and whether you need consistent daily throughput or flexible overflow support. Both structures are designed to scale with your practice without long-term volume commitments locking you in. Your account manager will recommend the model that fits your current census after reviewing your average monthly encounter counts.