Coding & billing built for accuracy, not just volume

Medical Coding, Billing & RCM Services Built to Improve Accuracy, Reduce Denials, and Protect Revenue

Bluethink Inc gives US providers and payers a coding and billing partner they can put in front of a RADV auditor, a CMS reviewer, or a denial letter without flinching. Certified coders, documented QA, and a team that tells you when something's wrong before it costs you.

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HIPAA-compliant workflows · AAPC-certified coders · Serving US practices, ACOs, and health plans

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HIPAA-compliant systems and workplaces
AAPC and AHIMA-certified coding staff
ICD-10-CM, CPT, and HCPCS coding
CMS-HCC and HHS-HCC risk models
Dedicated QA and audit-readiness review

Three services, one accountable team

Use us for one piece of the revenue cycle or all three. Either way, the same coders who touch the chart are accountable for what happens to the claim afterward.

Risk adjustment coding

For Medicare Advantage plans, ACOs, and value-based practices Risk Adjustment Coding

Risk scores are only as good as the documentation behind them. We read the chart the way an auditor will, not the way a claim wants us to.

Our HCC coders perform prospective and retrospective chart review, confirm that every reported condition is supported by clinical documentation, and flag suspected but undocumented conditions for provider query. We map diagnoses to CMS-HCC and HHS-HCC categories, reconcile claims data against chart-level findings, and prepare your organization for RADV audits before CMS asks for the chart.

CMS-HCC v24/v28 HHS-HCC RADV prep ICD-10-CM

Prospective and retrospective chart review

Suspect condition identification and provider queries

Two-pass coding with independent QA

Claims-to-chart reconciliation

Medical coding services

For practices, groups, and billing companies of any specialty Risk Adjustment Coding

Accurate coding is the difference between a clean claim and a denial three weeks later. We treat every chart like it's going to be reviewed.

Our coders assign diagnosis and procedure codes from encounter notes, operative reports, and superbills across ICD-10-CM, CPT, and HCPCS. Every chart is checked against current NCCI edits and payer-specific local coverage rules, and a sample of completed work is audited weekly so drift gets caught before it becomes a pattern.

ICD-10-CM CPT HCPCS NCCI edits

Diagnosis and procedure coding, all specialties

Chart notes, op reports, superbills, transcription

NCCI and LCD compliance checks

Weekly quality audits with error tracking

Medical billing services

For practices that want fewer denials and faster payment Risk Adjustment Coding

Billing is where good coding either pays off or gets undone by a rejected claim. We manage the whole path from submission to posted payment.

We verify eligibility before the visit, submit clean claims, and follow every claim through adjudication. When a claim is denied, we work it — correct, appeal, and resubmit — instead of writing it off. You get transparent aging reports and a team that calls out payer patterns worth fixing upstream.

Eligibility checks Claims submission Denial management AR follow-up

Eligibility and benefits verification

Clean claims submission and scrubbing

Denial correction, appeals, and resubmission

Payment posting and AR aging reports

How a chart moves through Bluethink

The same five steps run whether it's a single encounter or a full-panel risk adjustment sweep.

Intake

Charts, claims data, or superbills arrive through a secure, HIPAA-compliant channel.

Coding

A certified coder assigns or validates codes against the clinical documentation.

QA review

A second coder audits the chart independently before anything is finalized.

Delivery

Coded charts or clean claims are returned with findings and any provider queries.

Feedback loop

Error patterns and denial trends are reported back so the next batch improves.

What that discipline gets you

2-pass

Every chart is coded once and independently audited before delivery.

100%

AAPC or AHIMA-certified coders — no trainees coding live charts unsupervised.

HIPAA

Secure, access-controlled systems built for PHI from day one.

US-hours

Overlap with US business hours for queries, escalations, and reporting.

Specialties we code and bill for

If your specialty isn't listed, ask — most coding teams cross-train across two or three related specialties.

Family & internal medicine Cardiology Orthopedics Behavioral health Endocrinology OB/GYN Gastroenterology Dermatology Pulmonology Nephrology Oncology Urgent care Home health & hospice Medicare Advantage / ACO

What a validated chart looks like

Every encounter we touch goes through the same discipline: codes checked against the note, conditions confirmed against documentation, and a second coder signing off before anything ships. Here's what that looks like on a single encounter.

Encounter review PT-00482 / DOS 08.14

Type 2 diabetes w/ chronic kidney disease E11.22

Chronic kidney disease, stage 3 N18.3

Office visit, established patient, level 4 99214

Documentation supports HCC capture Validated

Reviewed against CMS-HCC v28 2 coders · 1 QA pass

Questions we hear most

Grouped by service, in case you're only weighing one piece of the work right now.

Risk adjustment coding What is risk adjustment coding, and why does it matter for our plan?

Risk adjustment coding confirms that every chronic and acute condition reported for a patient is fully supported by the clinical documentation, then maps those conditions to CMS-HCC or HHS-HCC categories. Accurate capture keeps risk scores defensible, which protects both revenue and your standing with CMS.

Risk adjustment coding How do you decide which suspected conditions go back to the provider?

A condition only becomes a provider query when the documentation hints at it but doesn't fully confirm it — for example, a lab value or medication that suggests a diagnosis the note never states outright. We never code a suspected condition on assumption alone; it goes back to the provider for clarification first.

Medical coding services Which specialties do your coders handle?

We code across specialties including family and internal medicine, cardiology, orthopedics, behavioral health, endocrinology, OB/GYN, gastroenterology, dermatology, pulmonology, nephrology, oncology, urgent care, and home health and hospice. If yours isn't listed, ask — most of our coders cross-train across two or three related specialties.

Medical coding services How do you keep up with NCCI edits and payer-specific rules?

Every chart is checked against current NCCI edits and the local coverage rules for the relevant payer before it's marked complete. Our coders and QA team track rule updates as part of ongoing training, so changes get applied to new charts right away rather than surfacing later as denials.

Medical billing services How do you handle a denied claim?

We work every denial rather than writing it off: identify the reason, correct the claim or gather the needed documentation, and resubmit or appeal. You get visibility into which denials were corrected, which were appealed, and which reveal a payer pattern worth fixing upstream.

Medical billing services Do you verify eligibility before the visit or after?

Before. Verifying eligibility and benefits ahead of the visit is what keeps a claim clean in the first place — it catches coverage issues while there's still time to address them, instead of after a claim has already been submitted and denied.

Get a free coding accuracy review

Send us 20 recent charts. We'll show you exactly where coding or documentation is leaving revenue or risk-score accuracy on the table — no cost, no obligation.

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