Diagnosis coding accuracy
Each diagnosis code is validated against the official coding guidelines, including sequencing rules, laterality, and specificity requirements.
The most rigorous coding service a specialty group can use.
Specialty & Surgical Coding Engine delivers fully coded, NCCI/MUE-clean, documentation-supported, audit-ready charts — each high-risk chart signed by an AAPC/AHIMA-credentialed coder, backed by a coding-accuracy guarantee and an audit-defense file.
Every chart coded to ICD-10-CM / CPT / HCPCS guidelinesNCCI & MUE edits checked on every codeCertified coder sign-off on high-risk chartsClean-claim & coding-accuracy guarantee5-business-day SLA
Why coding fails
A single miscoded chart can trigger a denial or an audit.
Every clinical encounter must be translated into the correct ICD-10-CM, CPT, and HCPCS codes with proper modifiers — and that translation must survive payer edits and federal scrutiny. With a nationwide coder shortage (~12% gap in 2025) and denial rates near 20%, specialty groups and ASCs are caught between backlogs and audit exposure.
Most groups rely on overworked internal coders or offshore shops with no accountability. The result: charts sit as Discharged-Not-Final-Billed, A/R days climb, and coding errors cause nearly 1 in 5 denials — most of which are never reworked.
Specialty & Surgical Coding Engine exists to close that gap with a single, exhaustive standard applied identically to every chart.
1 in 5
denials stem from coding errors; most are never reworked
The benchmark
Measured against official coding guidelines — every code, every edit.
We do not summarize guidelines and hope. Every chart is scored against a versioned rule pack tied to the exact text of ICD-10-CM Official Guidelines, CPT code set rules, NCCI edits, and payer-specific LCDs. These are the provisions each chart is held to.
Procedure code selection
CPT codes are selected based on documentation, with correct modifiers (e.g., -59, -25, -51) and adherence to CPT instructional notes.
NCCI bundling compliance
Every code pair is checked against the latest NCCI PTP edits; unbundling is only allowed with documented medical necessity and appropriate modifier.
Unit verification
Units billed per code are verified against MUE tables; any exceedance is flagged and requires supporting documentation.
Local and national coverage
Codes are checked against applicable Local Coverage Determinations and National Coverage Determinations to ensure medical necessity is supported.
Complete documentation package
Each chart includes a coded record, supporting documentation excerpts, edit-check results, and coder rationale — ready for payer or OIG audit.
How a chart is coded
Intake to certified-coder release, with deterministic gates the AI cannot overrule.
AI extracts and drafts. Deterministic rules — running as code, outside the model — decide what is complete. A certified coder signs every high-risk release. That order is never reversed.
01
Coding Gap Scan
Upload a sample of charts. We return a free completeness read: which coding elements and edits are already correct, and which are missing or at risk.
02
Documentation intake
As your authorized coding agent, we receive encounter notes, op reports, orders, and prior authorizations via secure upload or EHR integration.
03
AI-assisted code extraction
Our AI extracts diagnoses, procedures, and modifiers from the clinical documentation, applying structured extraction and code lookup against the latest code sets.
04
Deterministic edit gates
NCCI PTP edits, MUE units, LCD/NCD rules, and modifier logic are checked deterministically. Any failure blocks release and routes to a certified coder.
05
Certified coder review & sign-off
A certified coder (AAPC/AHIMA) reviews the exception queue, resolves edits, and signs the chart. High-risk or complex charts receive full coder review.
06
Delivery
You receive the coded chart, audit-defense file, edit-check log, and clean-claim guarantee — ready to submit to your billing system.
The bar we hold
Rigor you can measure.
100%
Certified-coder-signed
Every high-risk chart signed by an AAPC/AHIMA-credentialed coder.
5 days
Standard SLA
From complete intake to released chart.
<1%
Coding-error target
Tracked against a gold-standard chart library.
4
Edit-check layers
NCCI · MUE · LCD · modifier logic, every applicable chart.
Why Specialty & Surgical Coding Engine
Built to be the most thorough coding service a specialty group has.
Audit-defensible, by design
The deliverable is a fully documented, defensible chart — every code and edit accounted for or explicitly exception-coded. Nothing is left implicit.
Deterministic, not vibes
The gates that decide correctness are code, not a model's opinion. A coding error cannot slip past an edit check.
In its lane, on purpose
We code charts and run edits as your clerical agent. We never give legal advice, contact payers, or submit claims on your behalf.
Engagement
Flat fee per chart, tiered by specialty complexity. No contingency, ever.
Simple, predictable, and aligned with a coding standard — not a percentage of reimbursement.
- A free Coding Gap Scan before you commit — see exactly what is missing.
- One flat fee per coded chart; tiered by specialty (e.g., ortho, GI, ENT, urology).
- Optional fixed-fee certified coder review for high-risk or complex charts.
- Optional clean-claim guarantee add-on: if a coded chart results in a coding-related denial, we re-code at no charge.
FAQ
Questions, answered precisely.
Is Specialty & Surgical Coding Engine a law firm?
No. Specialty & Surgical Coding Engine, a service of Your Deputy, Obuke LLC, provides documentation-completeness and coding services. It is not a law firm, does not provide legal advice, and does not represent you in any legal matter. Certified coder review is available and recommended for high-risk charts.
Do you submit claims to payers?
No. We code charts and return them to your billing system. Your practice or billing service remains responsible for claim submission and follow-up.
What makes a chart 'complete'?
Completeness is defined by official coding guidelines: correct ICD-10-CM/CPT/HCPCS codes, appropriate modifiers, NCCI/MUE edit compliance, and supporting documentation. Deterministic gates enforce each one before release.
How fast is it?
The standard SLA is five business days from complete intake to a released chart. The free Coding Gap Scan is returned much sooner and tells you exactly what is still needed.
How are you priced?
A flat fee per chart, tiered by specialty complexity. No contingency and no percentage of any reimbursement.
See what's missing before it costs you a denial.
Start with a free Coding Gap Scan. Send a sample of charts and we'll return a completeness read against official coding guidelines and edit checks.
Documentation-completeness service · not legal advice · your practice submits every claim.