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Medical Coding

Medical Coding from Soft Home Global costs $2,500 per seat per month. That is one full time trained person, forty hours a week, working United States business hours inside your own system. One seat, one month, cancel any time.

Certified coders held to your audit, with a documented sample reviewed weekly.

What the seat actually does

Coding to your specialty and your payer mix
A documented weekly sample audited in month one
Results shown to you whether they are good or not
Queries raised rather than assumptions made
Denial patterns fed back into coding

What it costs

$2,500

Per seat, per month, in US dollars. Full time, forty hours a week, on US hours — not per hour, not per claim, and never a share of your collections.

Compare against the other 21 roles →

The denial codes this seat works

17 codes, grouped the way the queue is worked rather than by number. Each one links to what causes it, the order to work it, and how to stop it recurring.

Worked by being appealed with clinical documentation

CO-50 — Not deemed medically necessary
The payer does not accept that the documentation supports the service. This is a clinical argument, not a clerical one.
CO-151 — Too many services billed
The payer accepts the service but not the quantity or the frequency at which it was billed.
CO-234 — Not paid separately
The payer treats this service as part of another one, similar to CO-97 but usually driven by the fee schedule rather than an NCCI edit.
CO-236 — Modifier combination not allowed
Two things billed on the same day conflict under NCCI edits or a state fee schedule. The pair is the problem, not either code alone.
CO-231 — Mutually exclusive procedures
The two procedures billed cannot clinically or by rule both have happened at the same encounter.
CO-150 — Level of service unsupported
The payer accepts the visit happened but not at the level you billed — usually an E/M downcode.
CO-167 — Diagnosis is not covered
The payer does not cover the condition you billed, whatever the procedure was.
N115 — Decided by a local coverage policy
A published coverage policy for your region decided this, and that policy states exactly what would have been covered.
N122 — Add-on code billed alone
The code billed only exists alongside a primary procedure, and no acceptable primary was on the claim.

Worked by being corrected and resubmitted

CO-4 — Modifier and code disagree
The code and the modifier disagree, or a modifier the payer required was not there.
CO-11 — Diagnosis and procedure disagree
The payer does not accept that the diagnosis submitted justifies the procedure performed.
CO-181 — Code invalid on that date
The code existed at some point but was not valid on the day the service happened.
CO-182 — Modifier invalid on that date
The modifier attached to the code was not valid on the day of the service.
N362 — Units over the maximum
The line carries more units than the payer allows for that code on one date, so it rejected the quantity rather than the service.
M51 — Procedure code invalid
The code on the line is not one the payer recognises for that date: deleted, mistyped, or from the wrong code set.

Worked by being checked against the contract before any work is done

CO-97 — Payment included in another service
The payer is bundling this code into another one on the same claim. Sometimes that is correct and sometimes it is not.
CO-B10 — Component already paid
The payer paid part of this procedure on another line or claim and has reduced this one to the difference, so the practice is not paid twice for the same work.

Working a denied claim costs $57.23 per denied claim in administrative time (source) and about about 90% of initially denied claims are eventually paid. The reason they sit is almost never that nobody knows how. It is that nobody has the hours.

How a seat starts

You issue one named login. We sign the Business Associate Agreement before it is used. We agree the numbers you will judge the seat on, which you pick and you measure. Then we train for about a week on your workflow and the seat starts. Every Friday you get a written report of what was done, what the numbers were, and what went wrong.

The four steps in full →

Questions

How much does medical coding cost?

$2,500 per seat per month. That is a full time person, forty hours a week, working United States business hours. Not per hour, not per claim, and not a percentage of what you collect.

Is there a minimum contract?

One seat for one month, cancellable with thirty days notice. There is no annual lock-in.

Do we have to change systems?

No. The work happens inside whatever you already use, through a named login you issue. We do not sell software and we do not route your data through anything of ours.

How quickly can a seat start?

About a week from the agreement, which covers training on your workflow, your payer mix and your system. You are not charged extra for that week.

Written by Ibtesam Asif · Last reviewed 2026-09-12

Prices and terms on this page are our own published terms and are what we will actually charge. Nothing here is a projection of what a practice will collect.

Next step

Try one medical coding seat for a month

$2,500 for the month. If it does not earn its keep, cancel it. Twenty minutes on a call is enough to tell whether it fits.

Book a 20 minute call See the prices

Or write to ops@softhomeglobal.com