Healthcare & Medical Coding
Accurate, compliant, and scalable coding support across specialties—ICD-10-CM/PCS, CPT/HCPCS, HCC risk adjustment, charge capture, audits, and denial prevention.
Coding that protects revenue — and compliance.
Our certified coders and auditors deliver end-to-end coding operations—from chart abstraction and code assignment to QA, edits, and payer-specific rules. We align with facility/physician workflows, EMR templates, and specialty nuances to improve first-pass yield.
- Standards: ICD-10-CM/PCS, CPT, HCPCS, NCCI, LCD/NCD, HCC/RAF
- Artifacts: Operative notes, progress notes, ED, anesthesia, pathology, radiology, infusions, etc.
- Tools: Compatible with leading EMRs/encoders; custom SOPs supported.
Coding & Documentation Services
ICD-10-CM/PCS
Accurate diagnosis & procedure coding for inpatient/outpatient settings with payer edits in mind.
CPT/HCPCS
Pro-fee & facility coding, including E/M leveling, surgical packages, infusions & injections.
HCC / RAF
Condition capture for risk adjustment with physician queries and documentation improvement.
Audits & QA
Pre-/post-bill audits, coding validation, NCCI edits, and corrective action plans.
Charge Capture & Edits
Missed charge prevention, modifier accuracy, and payer-specific rules application.
Provider Education
Targeted training on documentation sufficiency and frequent denial root-causes.
Our 5-Step Coding Workflow
Intake
Charts received via secure channel; scope & SLAs confirmed.
Abstraction
Clinical review and documentation checks; queries raised if needed.
Code & Edit
ICD/CPT/HCPCS assignment with modifiers, NCCI, LCD/NCD validations.
QA & Audit
Secondary coder review; accuracy & completeness threshold ≥98.5%.
Submit & Improve
Clean claims forward; denial feedback loops to improve FPY.
Breadth across Facility & Pro-Fee
Measurable Impact
- Higher first-pass yield and cleaner claims
- Reduced DNFB and denial rates
- Transparent QA metrics & coder scorecards
- Flexible staffing for volume spikes
Built for PHI
- HIPAA-aligned processes and access controls
- Audit trails, least-privilege, and secure transfer
- Client-approved SOPs, BAAs, and confidentiality
Multi-Specialty Group – Pro-Fee Coding
Scope: E/M, ortho procedures, cardiology diagnostics (CPT/HCPCS). Within 8 weeks, first-pass acceptance improved from 87% → 96.8%, denial rate dropped by 32%, and overall TAT improved by 22% with 99.0% QA accuracy.
Common Questions
Which EMRs/encoders do you support?
We work with most leading EMRs and coding tools; we map to your templates and create SOPs around your edits, payers, and turnaround.
Can you start with a pilot?
Yes. We recommend a 2–4 week pilot with agreed KPIs: accuracy, TAT, FPA, and denial benchmarks.
Do you handle audits only?
We can provide standalone audits/QA, education, or full coding operations.
Let’s Improve Coding Accuracy & Yield
Share your volumes, specialties, and payers — we’ll propose the right model.
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