Medical Coding and Audit Services
Improve Coding Accuracy and recover lost revenue by identifying un-billed procedures.
Medical Coding Services – Inpatient and Outpatient Coding
Medical coding is the process of application of universal alphanumeric codes to the healthcare services rendered i.e., medical diagnosis, procedures, services, and equipment provided. A patient’s medical record i.e., documents such as physician’s notes, laboratory reports, and services lists, are used by a medical coder to ascribe the diagnosis and procedure codes. The process of medical coding involves abstraction of the medical information from the available documentation, assigning the right diagnosis & procedure codes, and enabling the process of creation of a claim to be submitted to payers.
Payers can understand the following information from the standardized codes:
- Patient diagnosis
- Medical necessity for treatments, services, or supplies the patient received
Accurate Medical Coding can reduce Claim Denials.
High-quality medical coding is critical for accurate reimbursements. Medical Coding errors can be costly and result in claim denials, besides creating unwarranted compliance issues, which could be even more expensive.
Medical Billing Wholesalers employs a team of AAPC (American Academy of Professional Coders) certified medical coders and AHIMA certified medical coders. Armed with certifications such as CPC (Certified Professional Coders) & its variants such as CPC-H/CPC-I) and CCS (Certified Coding Specialist), our team can ensure the highest level of accuracy in medical coding.
Medical Billing Wholesalers provides the following medical coding services:
- ICD-10-PM, CPT, HCPCS coding, and ICD-10-PCS coding
- Chart Audits and Code Reviews
- HCC coding
- Offshore coding audits
- Payer specific coding requirements
We perform Medical coding as per available clinical documentation in line with the processes defined by our customers through detailed work instructions. The work performed by a medical coder is Medical coding is performed as per available clinical documentation in line with the processes defined by our customers through detailed work instructions. The work performed by a medical coder is reviewed by a knowledgeable coding auditor who has the requisite experience and certification. We guarantee the industry’s best service levels for coding accuracy and turnaround time.
Medical Coding Audit Services
While we audit all the coding work entrusted to us, our clients often reach out to us to perform a medical billing audit of the coding done by their team members in the US. Our experienced medical billing auditors improve consistency with laid-down procedures and eliminate the risk of coding errors.
Coding Denial Management
Our coding team also performs coding-related denial analysis, code corrections and resubmits the claims back to payers to improve reimbursements.
Coding Training Process
We have a very comprehensive coding training process. Each coder deployed on the customer account is thoroughly trained and goes through ongoing refresher training. Our Coding training process includes:
- The hiring of coders with experience or fresh graduates from Life Science Background
- Foundation Training on Revenue Cycle Fundamentals
- Customer Specific Coding Process Training
- On-the-job training based on the quality of coding delivered and individual-specific feedback.
- Certification training for non-certified coders
Benefits of our Medical Coding Services
Did you know that medical practices bleed as much as 15% of their annual revenue due to errors in medical coding processes or on account of Discharges not Fully Billed? Trust Medical Billing Services’ Coding team to run your coding processes efficiently and effectively.
Our coding team provides you the following benefits:
- Ensure ICD-10 compliance
- Reduce AR backlogs with an improved first-pass rate
- The decrease in DNFB cases and improved revenue
- Improve clinical documentation at a provider as well as facility level
- Improve responsiveness and timely filing of claims through our global delivery model
- Consistent and reliable reporting of clinical data
- Get access to a certified labor pool.
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