- Benefits verification & prior Authorization
- Eligibility and Benefits Verification
- Patient Demographics Entry
- Charge Entry
- Medical Coding Services
- Claims Submission Work Edits and Rejection
- Payment Posting Services
- Accounts Receivable Management
- Denial Management Services
- Coding Denial Management
- Credit Balance Services
- Patient Statement Services
Comprehensive Medical Coding Services – Inpatient and Outpatient
Medical coding, a pivotal aspect of healthcare administration, involves assigning universal alphanumeric codes to various healthcare services, including diagnoses, procedures, and equipment provided. Utilizing a patient’s medical records, such as physician notes and laboratory reports, skilled medical coders accurately assign diagnosis and procedure codes, facilitating the creation of claims for submission to payers.
Payers derive crucial information from standardized codes, including patient diagnoses and the medical necessity of treatments, services, or supplies received.
The Importance of Accurate Medical Coding
Accurate medical coding is paramount for ensuring precise reimbursements and reducing claim denials. Errors in medical coding can prove costly, leading to claim denials and compliance issues, which may incur substantial expenses.
At SPECIALIZED BILLING, our team comprises AAPC and AHIMA-certified medical coders, equipped with certifications such as CPC and CCS, ensuring the highest level of accuracy in medical coding.
Our Comprehensive Medical Coding Services Include:
– ICD-10-CM, CPT, HCPCS, and ICD-10-PCS coding
– Chart Audits and Code Reviews
– HCC coding
– Offshore coding audits
– Payer-specific coding requirements
Our medical coders work diligently in accordance with detailed work instructions provided by our clients, ensuring adherence to prescribed processes. Each coding task undergoes thorough review by knowledgeable coding auditors to guarantee industry-leading levels of coding accuracy and turnaround time.
Medical Coding Audit Services
In addition to auditing all entrusted coding work, we offer specialized medical billing audits to evaluate coding practices within our clients’ teams. Our experienced auditors enhance consistency, mitigate coding errors, and ensure adherence to established procedures.
Coding Denial Management
Our coding team conducts comprehensive denial analysis, implements code corrections, and resubmits claims to payers, aiming to enhance reimbursement outcomes.
Robust Coding Training Process
We implement a comprehensive coding training regimen, encompassing various stages:
– Recruitment of experienced coders or fresh graduates with a background in life sciences
– Foundational training on revenue cycle fundamentals
– Customized coding process training as per client requirements
– On-the-job training with individual-specific feedback
– Certification training for non-certified coders
Benefits of Our Medical Coding Services
– Ensure compliance with ICD-10 standards
– Reduce AR backlogs with improved first-pass rates
– Minimize DNFB cases and optimize revenue streams
– Enhance clinical documentation at provider and facility levels
– Expedite claims filing through our global delivery model
– Consistently provide reliable clinical data reporting
– Access a certified labor pool for coding needs
Partner with SPECIALIZED BILLING.’ coding team to streamline and optimize your coding processes effectively, safeguarding your revenue and ensuring compliance with industry standards.