Every Denial Hurts. Every Correct Code Heals - Accurate, Compliant & Specialty-Focused Medical Coding Services

Coding issues steal time, drain energy, and disrupt the patient-first mission of every healthcare provider. At 5 Star Billing Services, we turn coding chaos into clarity—so your claims get approved, your revenue stays protected, and your practice runs without stress. With certified coders covering all 50 states and 40+ specialties, we heal your coding errors with accuracy you can trust.

Daily Medical Coding Challenges That Can Slow Down Your Practice

Even the best internal teams face claim denials, revenue leakage, and compliance challenges without expert support.

Increasing Claim Denials

Payers reject claims due to missing modifiers, incorrect CPT/ICD-10 combinations, and inconsistent documentation.

Unpredictable Cash Flow

Coding-related mistakes lead to delays, resubmissions, and unnecessary revenue leakage.

Overwhelmed Staff & Backlogs

Physicians and internal teams feel burdened by complex coding rules and rising administrative tasks.

Frequent Insurance Policy Changes

Payer guidelines shift constantly, making it hard for providers to stay compliant.

Documentation Gaps

Incomplete or unclear provider notes result in incorrect codes—or worse, denied claims.

Difficulty Managing Multiple Specialties

Each specialty has unique rules, creating inconsistent coding accuracy across departments.

What Is Included in Our Comprehensive Medical Coding Services

From hospitals to small private practices, we deliver scalable medical coding outsourcing services across all major specialties.

ICD-10, CPT, and HCPCS Code Assignment

We assign accurate, compliant codes for every patient encounter based on the latest CMS and AMA guidelines. This ensures clean claims and maximized reimbursement with zero guesswork.

Real-Time & Retrospective Medical Coding

Choose same-day coding for faster claim submission or retrospective reviews for accuracy and compliance. We adapt our workflow to your practice’s needs and volume.

Medical Coding Audit Services

Our audits identify coding errors, documentation gaps, and compliance risks before they become costly denials. You receive a detailed report with corrective insights to improve performance.

Denial Review & Coding Correction

We analyze coding-related denials, fix root causes, and prevent them from recurring. This improves your clean claim rate and ensures faster revenue recovery.

Provider Documentation Review & Support

We help providers document effectively with clear guidance tailored to each specialty. Better documentation means stronger coding accuracy and reduced audit risks.

Modifier Accuracy & NCCI Edit Checks

Our coders apply correct modifiers and validate every code against NCCI edits to avoid bundling errors. This protects your practice from preventable denials and underpayments.

Charge Capture Optimization

We ensure all billable services are captured and coded correctly, reducing missed charges. Your practice earns revenue that might otherwise be lost.

Specialty-Specific Coding (40+ Specialties)

Each specialty has unique coding rules—and our team understands them deeply. We deliver precise coding tailored to the clinical complexity of your specialty.

State-and Payer-Specific Coding Compliance

We follow federal, state, and payer-specific guidelines across all 50 states. Your claims stay compliant with evolving rules, coverage policies, and LCDs.

EHR/EMR Integration

Our coders work seamlessly inside your existing EHR/EMR system. No workflow disruption—just smooth, accurate coding within your tools.

Ongoing Coding Updates & Regulatory Alignment

We proactively adapt to CMS updates, annual code changes, and payer regulations. Your practice stays audit-ready and fully compliant all year long.

Our Streamlined Medical Coding Workflow

We follow a transparent 5-step process that ensures accuracy, compliance, and timely submissions.

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Patient Chart Review & Documentation

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Code Assignment (CPT, ICD-10, HCPCS)

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Audit & Compliance Check

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Submission to Billing Team or EMR

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Reporting & Continuous Improvement

Expertise Across 40+ Medical Specialties

From complex surgical coding to behavioral health documentation, we tailor our medical coding service for every provider type.

Cardiology Billing

Primary Care Billing

Mental Health Billing

Ophthalmology Billing

Orthopedics Billing

Pediatrics Billing

Allergy & Immunology

Dermatology Billing

Urgent Care Billing

Internal Medicine

Neurology Billing

Physical Therapy

Why 5 Star Billing Services Is Your Reliable Partner for Stress-Free Medical Billing

From compliance to collections — we simplify every step of your revenue cycle.

98% First-Pass Claim Acceptance Rate

Our clean claim submission process minimizes rejections and accelerates reimbursements — helping you get paid faster with fewer follow-ups.

100% HIPAA-Compliant Operations

We follow strict data security measures — encrypted communications, limited access, and full HIPAA adherence.

25–30% Reduction in Accounts Receivable (AR) Days

Through continuous claim tracking, automated reminders, and payer-specific workflows, we ensure quicker payment cycles and improved cash flow.

15–20% Increase in Practice Revenue

By identifying missed charges, underpayments, and coding errors, our audit-backed billing process boosts your overall collections.

24–48 Hour Claim Submission Turnaround

We ensure claims are processed within 1–2 business days after receiving the patient encounter data — reducing delays and denials.

Seamless EHR & PMS Integration

We work with major systems like AdvancedMD, Athenahealth, Epic, Tebra, and DrChrono — no need to switch platforms.

Certified Coders (CPC, CCS, and AAPC-Certified)

Our team follows the latest CPT, ICD-10, and HCPCS updates to maintain coding accuracy and compliance with payer rules.

Expertise in 40+ Medical Specialties

From cardiology and allergy to behavioral health and urgent care — we understand each specialty’s coding and billing nuances.

Dedicated Account Manager

Every client gets a single point of contact to ensure personalized support, clear communication, and faster issue resolution.

End-to-End RCM Support

From patient eligibility verification to AR follow-up, denial management, and payment posting — we handle the entire revenue cycle.

Compliance-Driven & Audit-Ready Workflows

We conduct periodic internal audits and follow CMS, OIG, and payer compliance guidelines to minimize regulatory risks.

No Long-Term Contracts

Flexible engagement — scale up or pause anytime. We earn your trust through results, not lengthy commitments.

13. 99% Data Accuracy Across All Processes

Double-verification at every stage ensures precise data entry, claim validation, and payment posting accuracy.

Multistate Expertise

We understand payer variations across all 50 U.S. states — including Medicaid, Medicare, and commercial insurance carriers.

Transparent Reporting & Performance Reviews

Monthly or weekly performance reviews keep you informed about KPIs like collection rates, denial ratios, and revenue growth.

Proven Results from Real Clients

Join hundreds of practices experiencing measurable improvements

Frequently Asked Questions

Everything you need to know about outsourcing your medical billing

What makes 5 Star Billing Services different from other medical coding companies?

We offer certified coders with deep expertise across 40+ specialties, follow CMS, AMA, NCCI, and payer-specific guidelines, and deliver coding accuracy designed to reduce denials, stabilize revenue, and keep practices audit-ready. Our team supports all 50 states and integrates directly into your EHR/EMR with zero workflow disruption.

Yes. We support 40+ specialties, including cardiology, orthopedics, nephrology, internal medicine, behavioral health, urgent care, pain management, pediatrics, OB/GYN, and more. Our coders understand specialty-specific rules, documentation needs, and payer nuances.

We offer same-day, next-day, and retrospective coding options depending on your practice’s needs. Most clients choose same-day coding to speed up claims submission and improve cash flow.

Absolutely. We perform detailed audits, apply correct CPT/ICD-10 codes and modifiers, validate NCCI edits, and ensure documentation accuracy. Clients typically see their coding-related denials drop significantly within the first 30–60 days.

Our coders stay current with CMS updates, AMA code changes, NCCI edits, payer bulletins, and state-specific coverage rules. We update coding workflows proactively to protect your practice from compliance risks and audits.

Yes. We offer documentation review, feedback loops, and specialty-specific guidance to help physicians document accurately and efficiently. Better documentation means more accurate coding, higher reimbursement, and lower audit risk.

Yes. We work directly inside your EHR/EMR or use secure access to perform coding. This ensures seamless workflow, faster turnaround, and no disruption for your providers or front-desk staff.

We offer both. Our medical coding audits identify errors, compliance gaps, missed revenue, and documentation issues. Routine audits help your practice remain compliant and improve its clean claim rate.

Yes. Our coding team includes CPC, CCS, RHIT, and other certified medical coders with extensive experience across specialties and payer requirements. Their expertise ensures accurate, compliant, and audit-ready coding.

Get a Free Coding Assessment Today​

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HIPAA Compliant

40+ Specialties

487+ Practices Served

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