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Scaling Specialty and Complex Profee Coding with Global Coding Support

Pulished on: April 5, 2025

Care Enablement, Claims Management, Medical Coding, Medical Coding & Compliance, Profee Coding, Workforce & Staffing

Client profile:

A leading US health system dedicated to consumer-friendly processes and investments in innovative services and technologies. Through its subsidiaries, it owns and operates 30 hospitals and over 200 care sites, supported by more than 1,700 aligned providers in six states.

Challenge:

Escalating medical coding expenses driven by an onshore outsourcing model
High overhead costs associated with recruitment, training, and other operational expenditures

Approach:

Onboarded the client in 2019, replacing their existing vendor and assuming full responsibility for profee coding across specialties and locations
Leveraged a team of 100+ global coders to manage inpatient coding, ED coding and charging, as well as outpatient claim edits, ensuring accuracy and efficiency
Ensured full collaboration with the client during Epic EHR implementation and go-live to ensure a successful and smooth transition
Conducted monthly review meetings with client teams to discuss revenue and growth

Results:

Consistently coding over 100k+ encounters/month for profee, over 100K+/month for hospital-based billing
60-70% savings through global outsourcing model

To learn more about IKS Health Medical Coding Solutions, contact us today at info@ikshealth.com.