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Medical Coding Auditing Services

Protect Your Revenue & Ensure Coding Accuracy with Expert Auditors

Accurate Codes Mean Accurate
Revenue.

PMBA USA provides comprehensive medical coding audit solutions that help healthcare organizations maintain compliance, prevent revenue leakage, and optimize claim performance. Our audits are conducted by certified professionals using advanced AI-assisted validation and OIG-aligned standards.

Benefits of PMBA USA Medical Coding Audits

Stay Compliant with OIG Guidelines

Regular reviews are aligned with the Office of Inspector General (OIG) and payer compliance standards.

Prevent Revenue Leakage

Detect under-coding and documentation gaps before claims are submitted.

Identify Upcoding & Downcoding Trends

Spot patterns that impact billing accuracy and payer trust.

Ensure Quality Coding

Detailed reports and actionable recommendations to maintain high coding standards.

Our Approach to Medical Coding Audits

We combine certified expertise with automation to deliver clear, measurable results.


Each audit follows a structured workflow

Pre-Audit Assessment

Review documentation and identify potential risks.

AI Assisted Audit Review

Validate codes against ICD-10, ICD-11, CPT, and payer rules.

Compliance Reporting

Deliver insightful reports with root-cause analysis.

Post-Audit Consultation

Train your team to implement corrections and avoid recurrence.

Why Choose PMBA USA

Experienced and Certified Auditors

Our team holds credentials from AAPC, AHIMA, and PMBA USA with 21+ years of experience.

Customizable Audit Plans

Flexible packages for small practices to enterprise-level RCM teams.

Technology-Driven Accuracy

AI tools and advanced dashboards streamline validation and reporting.

Ongoing Support & Guidance

Continuous post-audit assistance to help maintain compliance and staff training.

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