Medical Coding Services
Inpatient and Outpatient Coding
Medical coding is an integral part of the healthcare system, where universal alphanumeric codes are applied to document the various services provided, including medical diagnoses, procedures, and equipment. Essentially, medical coders utilize a patient’s medical records, comprising physician notes, lab reports, and services lists, to accurately assign diagnosis and procedure codes. This intricate process entails extracting relevant medical information from documentation, accurately assigning codes, and facilitating the creation of a claim to be submitted to insurance payers.
Payers can understand the following information from the standardized codes
• Patient diagnosis.
• Medical necessity for treatments, services, or supplies the patient received.
Get Medical Records from the client's EHR/PMS System
Check/Validate Correctness of information
Review the records and assign CPT/ICD information
Audit of the coded charts by our QA team
Send Completion report to customer
Accurate Medical Coding can reduce Claim Denials
Accurate medical coding is crucial in receiving proper reimbursements. Not only can medical coding errors lead to denials of claims, but they can also result in costly compliance issues. These potential consequences make it essential to have expert coders on the job. At Soho Tech Services, we have a team of certified coders from reputable organizations such as AAPC and AHIMA. Our coders hold prestigious certifications, including CPC, CPC-H,
CPC-I, and CCS, guaranteeing the utmost precision in medical coding.
Soho Tech Services provides the following medical coding services:
• ICD-10-CM, CPT, HCPCS coding, and ICD-10-PCS coding
• Chart Audits and Code Reviews
• HCC coding
• Offshore coding audits
• Payer-specific coding requirements
Our team diligently executes medical coding based on existing clinical documentation and follows the specified procedures outlined by our clients, with the assistance of comprehensive work guidelines. Our skilled medical coders undergo a thorough review by an experienced and certified coding auditor. We pride ourselves on delivering exceptional coding accuracy and a prompt turnaround time, setting the bar for industry standards.
Medical Coding Audit Services:
As a trusted auditing partner, we thoroughly examine all coding tasks that come our way. Our clients regularly seek our expertise in conducting medical billing audits for their US coding team. With our skilled medical billing auditors, we ensure adherence to established protocols and mitigate the potential for coding mistakes.
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.
Hiring
- We hire graduates in Medical, Bio-Medical and Life Science as Practitioners in Alternate Medicine, Physiotherapists & Paramedical personnel and pharmacists.
- We also hire certified and non certified coders.
Coding Process Orientation (21 Business days)
- Coding Guidelines ICD-10-CM, CPT, Modifiers, HCPCS.
- Specialty-focused training.
- HIPAA and PHI orientation.
- Test Coding & Assessment.
Specialty Specific Training (15 Business days)
- Assignment of Coders to specialty: Training on ED Professional and Facility Guidelines.
- Assignment of client.
- Duration of the training differ by specialty assigned based on complexity.
On-The-Job Training (10 Business days)
- Client’s Software and Coding Tools.
- MBW Tools-workflow, Knowledge and learning tools.
- Client’s Specific-Facility, Specialty, State, Payers etc.
- OJT Coding Assessment& Feedback.
- Graduating to Pilot.
Pilot Coding and Go Live
- Pilot coding for7 business days- Trainer feedback.
- Deployment on client account with 100% Audit cover to begin with.
- Go live and ramp-up production & quality as per set benchmarks for 4 months.
- Random Sampling Methodology.
- Continuous Monitoring & Feedbacks.
Refresher Training and Certifications
- Refresher Training: Weekly test on client specific rules, QA Feedback refreshers, Daily Updates, Weekly Coding Concepts Testing.
- Industry Certification: Certification training inpatient/outpatient, Online Coding CEU & Seminars, Cross training of tenured coders across specialties.
Benefits of our Medical Coding Services
Were you aware that each year, medical practices lose up to 15% of their revenue due to coding errors or incomplete billing for discharged patients? Let us at Medical Billing Services take charge of your coding procedures with our expert team, guaranteeing an efficient and successful outcome.
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.
We also provide claims submission services. For more details, please visit our page.