Medical Billing & Coding (CPT, ICD-10, HCPCS)
Get paid accurately, faster, and without delays. We translate your care into clean, compliant medical claims ready for reimbursement.
Introduction
Knowing what’s paid, what’s pending, and what’s missing is essential to financial clarity. At Shangrila, our payment posting and reconciliation service ensures every dollar that enters your system is properly recorded and matched to the correct patient account. We handle ERAs, EOBs, and manual payments — verifying adjustments, identifying underpayments, and flagging discrepancies immediately. Our goal is complete financial accuracy that supports decision-making and avoids audit risks.Medical billing and coding are the foundation of your revenue cycle. Without precise coding and clear billing processes, even the best clinical care can go unpaid. At Shangrila Medical Billing, we take the weight off your shoulders by handling your CPT, ICD-10, and HCPCS coding with the care and precision it deserves. Our expert team understands how complex payer rules and coding guidelines can be. That’s why we stay up to date with the latest changes in medical coding standards, insurance policies, and compliance regulations. By outsourcing your medical billing and coding to Shangrila, you’re protecting your revenue and gaining a partner that treats your financial success as seriously as you treat your patient&apos health.
Key Features
- Certified Professional Coders experienced in CPT, ICD-10, and HCPCS.
- Specialty-focused coding customized for primary care, surgical, and diagnostic practices
- Thorough documentation reviews to ensure coding accuracy and reduce audit risk
- Built-in compliance checks aligned with payer-specific requirements and modifiers
- Audit-prepared documentation to withstand payer scrutiny or government audits
Benefits
- Fewer claim denials due to clean, correct, and complete coding
- Faster payments as properly coded claims are processed more quickly by payers
- Increased revenue by ensuring no services go undocumented or underbilled
- Full legal compliance with HIPAA, CMS, and private payer requirements
- Time and cost savings by eliminating in-house coding errors and training overhead
- Reduced administrative stress so your team can focus on what matters: patient care
How It Works
Submit Clinical Documentation
We receive your patient notes, encounter forms, or EHR access securely.
Assign Medical Codes
Our coders review and assign accurate CPT, ICD-10, and HCPCS codes based on documentation.
Verify Compliance & Accuracy
A quality assurance team checks every code for medical necessity and payer compliance.
Prepare Claims for Billing
Finalized codes are integrated into billing software for claim submission.
Provide Feedback
We send back coding improvement suggestions to help boost future documentation and income.