Medical Coding

Process of Coding

  • A practice intake form or charge sheet is batched and arrives on the desk of a coder who will abstract the following handwritten information, convert it to code and get it to data entry. Our coders are certified by the AAPC (American Academy of Professional Coders) and have a minimum of 7 years hands on experience. They do the coding for handwritten diagnoses on the charge sheet.
  • Client Requirements Analysis involves specialties covered, required turnaround time, type of files, report requirements, and formats to be followed. We receive scanned clinical information or patient charts from the client through an FTP site.
  • These files are downloaded by our Medical Coding Team and allocated to the appropriate Pre-Coders and Coders. After the files are downloaded and allocated to the appropriate team, the Pre-Coders enter details such as Place of Service, Physicians Name and any price modifiers.
  • Procedural and Diagnostic Coding done by Certified Coders (CPC) usingreferences such as ICD-10- CM, LMRP, CPT Assistant, HCPCS Level II.
  • The coding team also checks the compatibility of diagnosis with the procedure code. On successful completion of Coding, the files are uploaded to our FTP site. The coded files are forwarded to the billing team for clean claim submission.
  • Our Medical coding and Billing team work towards improving and refining theprocess in order to provide the most accurate and reliable services to increase the practice revenue.

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Being a significant task in the Revenue Cycle Management, the medical coders must work in tandem with billers to process accurate codes so as to ensure fast and denial free reimbursements.