Encounters coded accurately from the documentation, claims that go out clean, and coding-related denials that stop recurring. Your MedicalVirtual assistant works as a dedicated remote coder in your EHR and clearinghouse, on your schedule, at a flat monthly rate that does not move with claim volume.
Andrea works remotely on coding and claims: assigning codes from documentation, checking modifiers and bundling edits, scrubbing claims before submission and working coding-related denials back to the provider.
ICD-10 and CPT Coding
94%
Denial Management
91%
Claims Scrubbing
89%
Most coding denials are not coding errors. They are documentation gaps, missing modifiers and bundling rules nobody had time to check before the claim went out. A dedicated coder reviews every encounter against the note, fixes what can be fixed, queries what cannot, and works the denial queue so the same mistake stops recurring.
ICD-10-CM, CPT and HCPCS assigned from the documentation, not the superbill
Modifiers, bundling edits and medical necessity checked before submission
Coding-related denials worked, corrected and fed back to providers
Documentation gaps queried so the same denial does not recur
HIPAA training before kick-off, refreshed annually, plus a signed BAA
Full-time from $1,900 a month, part-time from $1,200
Why hire a virtual medical coder
Coding services charge per claim or per chart, so cost climbs with volume and there is no incentive to fix the documentation problems that cause the denials. A dedicated coder on a flat rate has every reason to close the loop with your providers, because their week gets easier when the same error stops arriving.
Full US hours overlap
Your coder works your practice hours, a full 9 to 5 on your clock, so provider queries get answered the same day.
Trained and checked
HIPAA training before kick-off, annual refreshers, background checks and a signed BAA.
Credentialed coders only
Only coders with CPC, CCS or equivalent credentials and US payer experience reach your shortlist.
One monthly rate
From $1,900 a month full-time, $1,200 part-time. No placement fee, no per-claim charges.
What a virtual medical coder does
A medical coder translates what the provider documented into what the payer will pay for, and does it in a way that holds up to audit. The role sits between the note and the claim, which is exactly where most avoidable denials are born.
Assign ICD-10-CM, CPT and HCPCS codes from provider documentation for each encounter
Apply modifiers correctly and check NCCI bundling edits before submission
Scrub claims for medical necessity, LCD and NCD rules and payer-specific policies
Query providers on documentation gaps and track responses to closure
Work coding-related denials, correct and resubmit, and log the root cause
Audit a sample of coded encounters each month and report error rates
Keep up with quarterly code set and payer policy changes and brief the practice
Coordinate with billing so coded claims move to submission without delay
Specialties
Virtual medical coders support primary care, internal medicine, orthopaedics, cardiology, dermatology, pain management, behavioural health, physical therapy and surgical specialties. Specialty experience matters in coding, so we match to yours.
Skills and Qualifications
Medical coders should hold a recognised credential and have coded for US payers in your specialty. Coding is one of the few remote roles where a formal certification matters as much as experience.
CPC, CCS, CCA or equivalent coding credential, current.
Working knowledge of NCCI edits, modifiers, LCD and NCD policies.
Experience coding in your specialty and in your EHR or encoder.
Clear, professional written English for provider queries and denial notes.
Which coding credential do you hold, and in which specialties have you coded?
Ask for the credential number and issuing body, and for the specialties they have coded in production rather than in training. A coder who has only coded one specialty will struggle in another.
How do you handle a bundling edit on a claim the provider expects to be paid separately?
Look for a specific process: check the NCCI edit table, confirm whether a modifier legitimately applies, and if the documentation does not support unbundling, query the provider rather than force the claim through.
Walk me through working a coding-related denial.
A strong answer covers reading the remit reason code, comparing the claim to the note, deciding between correction and appeal, and logging the root cause so the same denial can be prevented at the source.
What practices hand off first
Coding from documentation
ICD-10-CM, CPT and HCPCS codes assigned from the provider's documentation, with modifiers applied correctly.
Claim scrubbing
Claims reviewed for code, modifier and diagnosis-pointer errors before submission so they clear the clearinghouse first time.
Coding denials
Coding-related denials and rejections worked, corrected and resubmitted with the supporting documentation.
Documentation queries
Charts flagged where documentation does not support the level billed, with a clear query back to the provider.
Charge lag and audits
Charge lag tracked daily so every encounter is coded and released within your target window.
Code set updates
Annual code set changes, payer policy updates and NCCI edits applied to your templates and superbills.
A credentialed coder working remotely for your practice who assigns ICD-10, CPT and HCPCS codes from provider documentation, checks modifiers and bundling edits, scrubs claims before submission and works coding-related denials, inside your EHR and clearinghouse. Explore MedicalVirtual assistants and the services available for your practice.
A biller submits claims, posts payments and chases balances. A coder decides what goes on the claim in the first place, from the documentation. Small practices often combine them; higher-volume or specialty practices usually separate them because coding accuracy drives everything downstream.
Around $1,900 a month full-time, or $1,200 to $1,500 part-time. There is no per-claim or per-chart charge, so cost does not rise with volume.
Yes. We match on specialty because coding is specialty-specific. Tell us what you practise and we will only shortlist coders who have coded it for US payers.
Yes. Our coders work in Athenahealth, eClinicalWorks, NextGen, Kareo, AdvancedMD and similar systems, and in encoders and clearinghouses, under access you grant and control.
Latin America, working your practice hours on a full 9 to 5 on your clock, so provider queries and payer calls happen during your working day.
Every coder completes HIPAA training before starting with a client and takes annual refresher training after that. Each passes a background check and signs a confidentiality agreement, and we execute a Business Associate Agreement with your practice.
Yes. Monthly sample audits with an error rate report are part of the standard scope, and most practices use them as the basis for provider documentation feedback.