Coding Audit

Our professional and facility coding audits are performed by highly experienced and AAPC/AHIMA certified coding experts that will identify any potential problems with billing documentation and coding accuracy.

Our program is designed to strengthen your compliance and coding accuracy through detailed reviews, reporting and education. We work within your framework and in line with national guidelines to inform and educate your team to achieve optimal compliance and documentation.

Key Professional Coding Audit Focus Areas

  • Evaluation & Management Services
  • Modifier 25
  • Radiology Diagnostic Services
  • Physical/Occupation Therapy
  • Teaching Physician Guidelines
  • Locum Tenens
  • Clinical Documentation Improvement
  • Multi-Specialty Procedures/Surgeries
  • Lab/Pathology Services
  • Oncology Infusion Services
  • Incident-To/Split-Shared Services
  • Scribe
  • Cloned Notes/Copy + Paste
  • Medical Necessity
  • Telemedicine

Key Facility Coding Audit Focus Areas

  • Inpatient Stays      
  • Outpatient Surgeries
  • Emergency Department
  • Ambulatory Surgery Centers
  • Outpatient Clinic Visits
  • Lab Services
  • Radiology/ IVR
  • Oncology
  • Injections/Infusions
  • Physical/Occupation Therapy
  • Nursing Home Services
  • Home Health
  • Dialysis Center

Expert Guidance

Our professional coding and audit experts are highly qualified to report and educate on coding guidelines, documentation best practices and more.

  • 10+ years in experience performing coding audits, identifying compliance risks, documenting trends, providing education, and reviewing complex and highly specialized cases
  • Certified in CPC, CCS, CCS-P, CDIP, CCDS, RHIA, RHIT, CPC, COC, RN, LVN and similar credentials
  • Familiar with various EMR systems (Next Gen, Meditech, Cerner, Epic, etc.)
  • Experience working at trauma level 1 and teaching facilities where complex and highly specialized cases are routine

Government Services

Through our Federal Supply Schedule contract vehicles and Blanket Purchase Agreements we have been able to assist our government partners in performing an independent review of accuracy and compliance of coding.

We validate reportable assignments of ICD-10, CPT, HCPSC, E/M, POA, APR and MS-DRG and APC.

Our comprehensive approach covers all specialties, all types and any volume. Our External Coding Audits provide opportunities for our clients to improve their financial performance, meet regulatory requirements, increase cash flow and streamline operations.

Contact Us

Connect directly with our team to learn more about our coding audit services.

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