Medical Coding

RCM Services

Improve Financial Performance, Reduce Denials, and Enhance Compliance through Accurate Coding

Medical coding is the most important yet complex process of Revenue Cycle Management (RCM). It is imperative to consistently maintain the accuracy and quick turnaround time of coding in order to receive maximum reimbursement. However, as it requires more time and attention to streamline coding, it can be challenging for healthcare organizations with limited in-house coding resources. High Care can help. By outsourcing your medical coding services to High Care, you gain the access to teams of certified and experienced medical coding experts who use the latest tools and technologies to ensure the highest quality services with compliance.

Our dedicated and highly skilled team of specialists is always staying on top of updates to coding and billing guidelines, as well as government regulations, to ensure that our services remain in compliance and improve reimbursements.

Training Methodology

We have a well-defined coding training process. Each coder deployed to our client account is rigorously screened and undergoes training and weekly assessments. Our coding training process includes:

  • Training program focused on the basics of RCM and the US healthcare industry
  • Coding process training tailored to the specific specialty
  • Practical on-the-job training through shadowing for real-life experience
  • Refresher training – weekly assessments on coding concepts and client-specific requirements

Medical Coding Process

1) Access patient charts:

We can receive the patient files through secure FTP, or you can give us permission to access the patient data from your Practice Management System (PMS) through a secure VPN connection.

2) Validation:

Verify received patient documents to ensure they complete, valid, and legible for a seamless coding process. If they are not, we will contact the healthcare provider for the proper documents.

3) Coding:

Our medical coding experts assign and enter the accurate CPT, ICD, and HCPCS codes into the Revenue Cycle system based on the documentation. To ensure compliance, our coders adhere closely to official coding guidelines and federal/state regulations.

4) Quality Audit:

Our Quality Analyst (QA) team performs thorough and meticulous accuracy checks to prevent any potential up-coding/down-coding and duplicate coding errors before delivering the coded charts to the client.

5) Submission:

The coded charts are submitted to the client via secured FTP or PMS. These charts are further used for claim generation and transfer to insurance companies.

6) Client Feedback:

Client feedback is collected to ensure the project meets their requirements, and suggestions are implemented for their maximum satisfaction. 

Our Medical Coding services

High Care delivers a comprehensive array of medical coding services, encompassing but not limited to:

  • CPT, ICD, and HCPCS level II coding
  • Coding audit
  • Provide education regarding Clinical Documentation Improvement
  • Coding based on payer-specific requirements
  • Denial management coding

Benefits of our services

Our medical coding services offer a range of advantages for seamless revenue cycle management. With a focus on precision and efficiency, we enhance healthcare revenue streams while ensuring compliance with coding standards. Here are the advantages our services bring:

  • Improve the bottom line through accurate and timely reimbursements
  • Accurate, scalable and reliable medical coding
  • Enhance coding compliance
  • Improve clinical documentation at both provider and facility levels
  • Reduce DNFB cases and increase revenue
  • Improve A/R cycle by reducing denials
  • Fast turnaround time

By partnering with us, you gain access to streamlined processes that optimize revenue and contribute to a robust financial healthcare system.

Coding Specialties

We provide medical coding services for the following healthcare specialties, including but not limited to,

Allergy and immunology

Anesthesia

Cardiology

Chiropractic

Dermatology

Durable Medical Equipment

Emergency Medicine

Endocrinology

ENT

General surgery

Internal medicine

Laboratory

Nephrology

Neurology

Obstetrics and Gynaecology

Oncology

Ophthalmology

Pain Management

Pathology

Pediatrics

Physical Therapy

Psychiatry

Radiology

Urology

Learn how your organization can benefit from our Medical Coding Services.

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Have questions? Feel free to write us

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+ 1 - (246) 333-0088

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880 Broklyn Street, NY, USA