Inpatient & Outpatient Coding
Our inpatient and outpatient coding solutions are tailored to hospitals, clinics, and healthcare facilities that require accurate, timely, and compliant medical coding. Our expert coders handle complex medical records while ensuring that all codes are correctly assigned for accurate billing and reimbursement.
Key Features
ICD-10, CPT, and HCPCS coding expertise for accurate billing.
Diagnosis-related group (DRG) assignment to optimize inpatient reimbursements.
Compatible with existing documentation workflows
Emergency & Surgical Coding
Emergency departments and surgical centers require specialized coding expertise to ensure proper documentation of trauma cases, critical care, and complex procedures. Our experienced coders provide:
Key Features
ED visit and trauma case coding for accurate reimbursement.
Modifier & payer-specific documentation to reduce claim denials.
CPT-based surgical coding for procedures across multiple specialties.
Risk Adjustment & HCC Coding
Proper risk adjustment coding is essential for healthcare organizations participating in Medicare Advantage, value-based care models, and risk-adjusted payment programs. Our specialized HCC coding services ensure accurate risk score calculations, minimizing compliance risks while maximizing reimbursements.
Key Features
HCC & RAF Score Calculation – Ensuring proper risk factor documentation.
Chart Reviews & Audit Compliance – Identifying missed opportunities for coding accuracy.
CMS & Payer-Specific Risk Adjustment Compliance – Avoiding under-documentation penalties.
Medical Coding Audits & Compliance
Medical coding errors can lead to costly claim rejections, penalties, and audits. Our comprehensive medical coding audit services help healthcare organizations detect and correct errors before they impact revenue.
Key Features
Retrospective & Prospective Coding Audits to identify inaccuracies.
Denial Management & Root Cause Analysis for rejected claims.
Regulatory Compliance Reviews for ICD-10, CPT, HCPCS, and HCC coding standards.
