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Medical Coding Services - Inpatient and Outpatient Coding

The practice of applying universal alphanumeric codes to the many aspects of healthcare that have been provided, such as medical diagnosis, procedures, Services, and equipment provided, is referred to as medical coding. When assigning diagnostic and treatment codes to a patient, a medical coder will use the patient's medical record, which includes documents such as a physician's notes, laboratory reports, and service lists, as their primary source. The process of medical coding begins with the abstraction of medical information from the documentation that is readily available, continues with the assignment of the appropriate diagnosis and procedure codes, and concludes with the facilitation of the process of creating a claim that can be sent to payers.


Accurate Medical Coding can reduce Claim Denials

It is essential to have medical coding of a high quality in order to receive appropriate reimbursements. Errors in medical coding can be expensive and lead to claim denials. Furthermore, they can create unjustified compliance difficulties, which can be even more costly.

Medical coders at RM Healthcare hold credentials from both the American Academy of Professional Coders (AAPC) and the American Health Information Management Association (AHIMA). Our staff is able to assure the greatest level of accuracy in medical coding because we have qualifications such as CPC (Certified Professional Coders) and its variants such as CPC-H/CPC-I) and CCS (Certified Coding Specialist).

RM Healthcare provides the following medical coding Services:

  • ICD-10-PM, CPT, HCPCS coding, and ICD-10-PCS coding
  • Chart Audits and Code Reviews
  • HCC coding
  • Offshore coding audits
  • Payer specific coding requirements

Our medical coders follow the procedures outlined by our clients in their extensive work instructions and code based on the relevant clinical material. Coding for medical procedures is carried out in accordance with the procedures outlined by our clients in exhaustive work instructions, using only the most up-to-date clinical documentation. An experienced and certified coding auditor reviews the work of medical coders to ensure accuracy and compliance with industry standards. We promise the fastest turnaround times and highest standards of coding accuracy in the business.


Medical Coding Audit Services

Our clients regularly ask us to conduct a medical billing audit of the coding done by their staff in the United States, in addition to auditing all the coding work given to us. Using their expertise, our medical billing auditors ensure that all processes are being followed to the letter and that no coding mistakes are being made.


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

Benefits of our Medical Coding Services

Did you know that medical practices bleed as much as 15% of their annual revenue due to errors in medical coding processes or on account of Discharges not Fully Billed? RM Healthcare coding team to run your coding processes efficiently and effectively.

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.

RM Healthcare handles more than 250,000 patient support calls each month