SolutionS
Medical Coding Services
Coding Intelligence, Applied.
AI-enabled clarity that strengthens coding consistency and drives higher claim quality, supporting steadier reimbursement.
Accurate medical coding supports financial accuracy, regulatory alignment, and documentation integrity across all care settings. Our coding programs use ICD-10, CPT, HCC, APC, ASC, CMS, and DRG frameworks to ensure precise clinical representation and reduce reimbursement discrepancies. With a delivery footprint supported by more than 1,200 certified coders across India, the Philippines, and the United States—and over 40 years of operational experience—our teams scale effectively within HIPAA-compliant environments to meet diverse volume and specialty demands.
Technology-enabled workflows reinforce accuracy at every stage. AI, CAC platforms, NLP, and rule-based engines strengthen documentation clarity and support consistent code assignment, while our CDI collaboration improves the detail required for accurate complexity capture. Oversight aligned with CCI edits, LMRP/NCD policies, POS rules, modifier requirements, and shifting payer guidance maintains regulatory compliance. KPI monitoring, trend analysis, and transparent reporting enhance visibility into accuracy levels, denial patterns, and throughput, helping sustain clean-claim readiness and continuous improvement across coding operations.
Our Comprehensive Coding Services Include
- Professional Fee Coding
Accurate coding for physician services aligned with specialty-specific documentation and compliant code assignment. - Facility Coding (Inpatient & Outpatient)
Comprehensive coding for hospitals and surgical centers to ensure full and accurate capture of all billable services. - Risk Adjustment (HCC) Coding
HCC-focused coding that supports accurate patient risk stratification and precise RAF score representation. - Coding Denials, Edits & Appeals
Expert correction of coding-related denials supported by complete documentation and structured appeal preparation. - Clinical Documentation Improvement (CDI)
Collaboration that enhances documentation quality to strengthen accurate coding and reflect clinical complexity. - Coding Audits as a Service
Proactive audits that identify discrepancies, ensure compliance, and support continuous improvement in coding quality.
AI-Supported Coding Accuracy
AI, CAC, NLP, and rule engines guide consistent code application and reinforce documentation clarity.
Documentation Optimization & CDI Alignment
Review processes elevate documentation detail and support dependable complexity capture.
Audit-Driven Quality Controls
Quality checks reinforce coding integrity and help mitigate audit exposure.
Compliance-First Coding Governance
Coding stays aligned with CMS updates, CCI edits, NCD/LMRP policies, POS criteria, modifier rules, and evolving payer requirements.
Revenue Protection Through Pattern Detection
Checks identify under-coding, inconsistent code patterns, and potential revenue leakage across large-volume chart loads.
Transparent Reporting & Trend Visibility
Structured reporting improves clarity around accuracy, denial causes, and coding activity patterns.
Technology-Driven Efficiency
Integrated platforms support standardized workflows and reduce manual variability in coding operations.
Benefits
- Improve quality through accurate, compliant coding aligned with ICD-10, CPT, CMS, HCC, APC, ASC, and DRG standards.
- Control operating costs through efficient, scalable coding operations.
- Minimize preventable denials by improving documentation and aligning code early.
- Maximize reimbursement by ensuring complete and accurate code capture.
- Reduce compliance risks by consistently adhering to evolving regulatory guidelines.
- Strengthen audit preparedness with proactive coding audits and robust quality oversight.
- Enhance documentation clarity through optimization and more reliable clinical interpretation.
- Increase First-Pass Acceptance Rates by improving claim quality and coding accuracy.
- Gain transparency with reporting and analytics that highlight coding performance and denial patterns.
- Benefit from proven results supported by decades of experience and certified global teams.
- Maintain alignment with payer policies by continuously monitoring regulatory changes.
- Deliver end-to-end coding solutions that support accurate financial and clinical representation across the entire coding workflow.
- Provide coding performance trusted by hospitals, physician groups, ambulatory surgery centers, and payers nationwide.
- Reinforce revenue integrity across all care settings through accurate code application and reduced leakage.