Medical Billing & Coding Services
Located in San Antonio and Serving Texas.
Focus on your patients while we streamline your revenue cycle.
Texas Hill Country Consultants manages your medical billing and coding review so you don't have to.
Understanding Medical Billing & Coding
Here's the short version: coding is how a visit gets translated into a language insurance companies understand — the standardized CPT and ICD-10 codes for what was diagnosed and what was done. Billing is what happens next, when those codes get submitted to Medicare, Medicaid, and private insurers for payment.
When coding is accurate and claims are clean, practices get paid faster and see fewer denials. When it isn't, the result is delayed reimbursement, rejected claims, and lost revenue.
Texas Hill Country Consultants supports both sides of that process.
Our billing team submits and follows up on your claims, and
our certified medical coder reviews CPT and ICD-10 codes, applies modifiers,
and checks documentation before anything goes out the door — so your practice
gets the benefit of coding expertise without adding it to your internal workload.
Whether you're looking for a medical billing and coding company to handle your
full revenue cycle or an outsourced medical billing and coding partner to support
your existing staff, our San Antonio-based team is ready to help.
We Handle Claims From Submission Through Follow-Up
We handle claims from submission through follow-up, including coding review, posting payments, and checking on claims that have been rejected, denied, or left unpaid.
Here's what that looks like in practice:
Accurate Patient Information
We collect patient demographics and verify insurance before services are rendered, minimizing claim submission delays and denials.
CPT & ICD-10 Code Review
Our certified medical coder and trained billing staff review the CPT and ICD-10 codes assigned by your practice, apply appropriate modifiers, and check diagnosis coding and sequencing for accuracy before claims go out.
Claim Scrubbing & Submission
Every claim goes through a medical claim scrubbing process to catch errors, missing information, coding conflicts, and modifier issues, then is submitted electronically for faster processing.
Payment Posting
We handle all patient and insurance payment posting, ensuring accurate and timely recording of every transaction.
Denial & Rejection Management
Denial management is where a lot of revenue gets lost or recovered. When a claim is denied, we review it against the documentation and applicable payer medical policy, then work to resolve and, where appropriate, appeal it. We also track recurring denial trends and communicate them back to your practice so the same issue doesn't keep costing you revenue.
Medical Billing & Collections
We stay on top of outstanding claims and collections — primary, secondary, and tertiary aging — so accounts don't sit untouched. The goal: keep most of your A/R inside 30 days.
Patient Billing Support
Your patients are going to have billing questions — that's just how it goes. We field those calls so your front desk doesn't have to stop what it's doing to explain a statement.
Coding Support You Can Trust
Coding accuracy is where clean claims are won or lost. Here's how we help protect your reimbursements:
- Certified expertise. Co-owner Natalie Hernandez is a Certified Professional Coder (CPC) through AAPC — a certified medical coder on staff, not just billing staff reviewing codes secondhand. Our team also holds CBCS (Certified Billing & Coding Specialist) and CMRS (Certified Medical Reimbursement Specialist) credentials.
- Coding compliance review before submission. Every claim is checked for coding conflicts, modifier errors, and missing information before it ever reaches a payer.
- Coding research resources. Our team uses trusted coding reference tools when additional research is needed to get a code right.
- Documentation feedback loop. When a denial traces back to coding, medical necessity, or documentation, we review it against payer policy and communicate directly with your provider — not just to fix that one claim, but to help prevent the same issue going forward.
- HIPAA-conscious handling of all claims and patient data throughout the billing cycle.
Medical Billing & Coding Support Across Specialties
Behavioral Health Billing
Billing and coding review tailored to behavioral health practices and payer requirements.
Mental Health Billing
Claims support built around the documentation and billing patterns unique to mental health providers.
Pain Management Billing
Revenue cycle support for the complex coding and prior authorization needs of pain management practices.
Physician Assistant Billing
Billing built around how PA-provided services are documented and reimbursed.
Telemedicine & Telehealth Billing
Claims handled in step with evolving telehealth billing regulations and payer policies.
Internal Medicine Billing
Claim submission and follow-up suited to high-volume internal medicine practices.
Hospitalist Billing
Billing support for the fast-moving, high-volume nature of hospitalist services.
Neurology Billing
Coding review and claims support for the complexity of neurological care.
Nurse Practitioner Billing
Billing designed around scope-of-practice and reimbursement rules for NPs.
Palliative Care Billing
Accurate, sensitive billing support for palliative care providers.
Additional Support
Beyond these specialties, our team also provides Practice Management and Electronic Medical Records setup and support to help round out your practice's operations.
We Work Inside the Systems You Already Use
No need to switch platforms. Our team is proficient in leading practice management and EMR systems, including eClinicalWorks, Tebra, AthenaHealth, AdvancedMD, ModMed, RXNT, Therapy Notes, IMS, SimplePractice, WebPT, and more.
Getting Started Is Simple
We learn about your practice, your current billing process, and where you're running into trouble.
We get set up inside your existing practice management or EMR system — no need to migrate platforms.
Your dedicated account manager becomes your direct point of contact as we begin managing claims.
You'll always know where things stand — claims out, denials in progress, what's sitting in A/R and for how long.
Transparent, Practice-Sized Pricing
We know pricing is often the first question. Our medical billing and coding review services generally range from 5-9% of collections, with flat-rate options available depending on your practice's size, volume, specialty, and needs. The right model is determined during your free consultation — no guesswork, no hidden fees.
Go To Payments
Local Roots, Nationwide Reach
Searching for a medical billing company near you? Texas Hill Country Consultants is based in San Antonio, Texas,
offering hands-on revenue cycle management to San Antonio practices and secure,
remote support to providers throughout Texas and across the United States.
Whether you prefer a face-to-face meeting at our San Antonio office or virtual collaboration from anywhere in the country,
our billing is never offshored — your practice is always handled by our U.S.-based team.
Medical Billing & Coding FAQs
Do you code my claims from scratch?
No. That's on your practice — you assign the CPT and diagnosis codes first. From there, we review them for accuracy, apply modifiers where they're needed, and check whether the diagnosis sequencing holds up, all before the claim goes out the door. We're refining what's already there, not making the original call.
Who on your team is coding-certified?
Co-owner Natalie Hernandez is a Certified Professional Coder (CPC) through AAPC — a certified medical coder on our staff. Our billing team also holds CBCS and CMRS certifications.
Do you offer medical coding as a standalone service?
Coding review is included as part of our medical billing and coding services — we review, correct, and validate the codes your practice assigns rather than coding encounters from scratch. If your practice needs full chart-to-code coding as a standalone service, reach out, and we can discuss whether that's a fit.
What types of practices do you work with?
We work with private practice providers, medical groups, and behavioral health professionals of all sizes.
How do you charge for medical billing services?
We offer tiered percentage-based pricing (generally 5-9% of collections) and flat-rate options for startups and smaller practices. The best model is determined during your initial consultation.
Do you handle credentialing?
Yes, we partner with a local company and are part of the process and communications, contributing our credentialing knowledge and helping providers become in-network with payers.
Do you outsource billing overseas?
No. All billing is done by our San Antonio-based team. We never offshore work — your practice is handled by local, career-driven billing professionals.
How quickly do you submit claims?
Our standard goal is to submit clean claims within 24-48 hours after a provider completes and closes the clinical documentation.
What's your approach to denied claims?
We review each denial against the documentation and payer medical policy, work to resolve and appeal it where appropriate, and track recurring denial trends so we can address the root cause with your practice — not just the individual claim.
Who will be my main point of contact?
You'll have a dedicated account manager, plus support from our billing managers and ownership. We also conduct internal audits to ensure compliance.
Why should I use a third-party billing company instead of in-house staff?
We help eliminate costs related to turnover, training, employee benefits, payroll taxes, and workers' comp while providing specialized, credentialed billing professionals.
Which EMRs/practice management systems can you work with?
We adapt to most major EMR and practice management systems, including eClinicalWorks, Tebra, AthenaHealth, AdvancedMD, ModMed, and more.
Do you work with practices outside Texas?
Yes. Our office is in San Antonio, but we support healthcare providers throughout the United States using secure technology and virtual communication.
Local Roots, Nationwide Reach
Searching for a medical billing company near you?
Texas Hill Country Consultants is based in San Antonio, Texas,
offering hands-on revenue cycle management to San Antonio practices
and secure, remote support to providers throughout Texas and across the United States.
Whether you prefer a face-to-face meeting at our San Antonio office or virtual collaboration
from anywhere in the country, our billing is never offshored —
your practice is always handled by our U.S.-based team.
Ready to Get Started?
Focus on patient care — we'll handle the billing and coding review.
Contact Texas Hill Country Consultants
6655 First Park Ten Blvd. #222
San Antonio, TX 78213
contact@texashillcountryconsultants.com
Call or text us at:
(210) 960-0150
