Ensure Accuracy. Verify Compliance. Protect Revenue

Coker’s Coding & Claims Due Diligence Audits help healthcare organizations identify and address compliance and accuracy issues before they impact M&A transactions or revenue performance.
Our expert audit team verifies documentation, coding, and claims submission integrity, giving buyers and sellers the confidence to make informed, compliant decisions.

Trusted by healthcare organizations nationwide

  • 35+ years of healthcare consulting experience

  • Certified coders and nurses with expertise across all specialties

  • Proven record in identifying coding, billing, and documentation risks

  • Trusted partner to hospitals, health systems, and physician practices

  • Comprehensive due diligence audits that support confident transactions

"I would be very happy to recommend Coker to any physician group or healthcare group considering compensation or employment structure changes. Coker displayed business acumen and understanding that would be applicable to almost any situation."

- Derek C. Welch, M.D., PathGroup

35+

Years of healthcare industry experience

120+

   Nationwide consultant network

80+

Books written and published

When Accuracy Safeguards Compliance

Healthcare M&A transactions demand precision.
Even minor documentation or coding errors can lead to compliance violations, repayment risk, and revenue loss.

Coker’s coding and claims due diligence team combines compliance, clinical, and financial expertise to verify accuracy and uncover risk before deals close.
We don’t just identify red flags, we deliver clear insights and strategies that protect transaction value, strengthen compliance, and ensure long-term revenue integrity.

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Our Key Audit Capabilities

Coding & Claims Review Audits
Full-scope evaluation of coding, billing, and documentation accuracy for healthcare M&A transactions.

Risk Identification & Mitigation Planning
Detection of potential fraud, abuse, or compliance violations with actionable remediation guidance.

Specialty-Specific Coding Expertise
Experienced across physician specialties, from small practices to large health systems.

Transaction Advisory Support
Expert advice to guide buyer and seller decisions, including provisions for compliance and financial protection.

  • Objective Analysis

    Independent, data-driven audit results based on verifiable documentation.

  • Regulatory Confidence

    Defensible findings aligned with payer and regulatory expectations.

  • Strategic Context

    Audit results connected to your overall transaction goals and risk strategy.

  • Responsive Partnership

    Clear communication and rapid delivery from Coker’s experienced coding and compliance advisors.

Trusted Advisors in Coding & Claims Due Diligence

Coker brings more than 35 years of healthcare compliance and advisory experience to every engagement.
Our team includes certified professional coders and registered nurses with deep expertise across medical specialties, including E/M, HCC, AWW, and risk adjustment.
We combine technical precision with regulatory insight to deliver accurate, defensible results for every transaction.

Regulatory Expertise

We identify compliance red flags in coding, billing, and documentation that could create post-close risk or repayment exposure.

Integrated Audit Team

Our coders, nurses, and compliance professionals work together to ensure a complete, clear view of accuracy and risk.

Independent and Defensible

Coker’s audits are objective, data-driven, and supported by transparent methodology and detailed reporting.

Proven Track Record

For more than three decades, healthcare organizations have trusted Coker to deliver insight, accuracy, and compliance confidence.

A Proven, Transparent Audit Process

Our coding and claims due diligence process is designed to deliver accuracy, confidence, and compliance assurance.
We follow a structured, transparent approach that helps organizations identify potential risks early, verify coding and billing accuracy, and make informed, defensible transaction decisions.

  1. Discovery & Data Review

    We gather and evaluate key coding, documentation, and claims data to understand the target organization’s billing practices and compliance posture.

  2. Coding & Billing Accuracy Assessment

    Our certified coders and nurses review CPT, HCPCS, ICD-10, and E/M documentation to assess accuracy, detect inconsistencies, and identify compliance red flags.

  3. Risk Identification & Analysis

    We pinpoint potential issues such as upcoding, down coding, or improper modifier usage, providing clear insight into exposure and financial impact.

  4. Advisory Insight & Recommendations

    Coker delivers actionable findings, detailed reports, and practical guidance to correct risks and support confident decision-making before deal closure.