Medical Coding | Auditing | Clinical Documentation

• Credentialed Coders through AHIMA or AAPC
• Extensive coding quality and compliance program
• Direct access to Coding Services management team
• Adherence to facility-specific coding policies and procedures
• Secure coding
• Dedicated Project Manager
• Flexible schedules including evening, weekend, and holiday

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We will ensure that your coders are meeting minimum coding quality standards with our auditing services. We offer auditing services from a remote setting at this time, and you dictate the criteria that we evaluate for review.

• Accuracy of ICD-10-CM diagnoses codes assigned
• Accuracy of ICD-10-PCS procedure codes assigned
• Accuracy of CPT/HCPCS codes assigned
• Accuracy of modifiers assigned
• E/M level assignment
• Documentation deficiencies impacting code assignment

Whether you are looking for an overall coding accuracy assessment or DRG-focused review, we will create an audit program tailored to your goals.

We understand the importance of a complete and accurate clinical documentation. Incomplete documentation could negatively impact productivity, workflow, revenue, and reimbursement. Our CDI team of clinical registered nurse (RN) and HIM professionals (RHIA, RHIT, CCS) can help your organization by collaborating with physicians, allied health professionals, nursing, and case management to deliver a comprehensive documentation to your organization that will offer your facility the most benefits possible.

• The appropriate severity of illness (SOI)
• Expected risks of mortality (ROM)
• Complexity of patient care

We will tailor our healthcare solutions to meet your needs and we are ready to implement CDI services today.