A claim is only as strong as its codes. Medical coding translates a physician's documentation into the universal alphanumeric language payers use to decide what — and whether — to pay. Get the codes right, and reimbursement follows. Get them wrong, and even a medically necessary service can be denied.
What is Medical Coding?
Medical coding is the process of applying universal alphanumeric codes to the healthcare services rendered — the diagnosis, procedures, services, and equipment provided. A patient's medical record, including physician's notes, laboratory reports, and service lists, is used by a medical coder to ascribe the correct diagnosis and procedure codes. The process involves abstracting medical information from the available documentation, assigning the right codes, and enabling a claim to be submitted to payers.
Payers use these standardized codes to understand:
- The patient's diagnosis
- The medical necessity for the treatments, services, or supplies the patient received
Accurate medical coding can reduce claim denials
High-quality medical coding is critical for accurate reimbursement. Coding errors can be costly and result in claim denials — and beyond the lost revenue, they can create unwarranted compliance issues that end up even more expensive to resolve.
Adrotack HCS employs a team of AAPC (American Academy of Professional Coders) and AHIMA certified medical coders. Armed with credentials such as CPC (Certified Professional Coder) and its variants CPC-H / CPC-I, and CCS (Certified Coding Specialist), our team ensures the highest level of accuracy in every chart.
Certified coders, held to a higher standard
Adrotack HCS provides the following medical coding services
ICD-10-CM, CPT, HCPCS, and ICD-10-PCS coding across specialties
Chart audits and code reviews to catch errors before submission
HCC coding for accurate risk-adjustment reporting
Offshore coding audits for an added layer of quality control
Payer-specific coding requirements applied chart by chart
How every chart is reviewed
Medical coding is performed as per available clinical documentation, in line with the processes defined by our customers through detailed work instructions. Every chart coded by one of our specialists is then reviewed by a knowledgeable coding auditor with the requisite experience and certification — a second set of expert eyes before a single code reaches a claim. We guarantee industry-leading service levels for both coding accuracy and turnaround time.