Scaling specialty and complex profee coding with global coding support

About the health system

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.

The rising cost of an onshore coding model

Two challenges stood out:

A global coding team built for scale

IKS Health onboarded the client in 2019, replacing the incumbent vendor and taking full responsibility for professional fee coding across specialties and locations. A team of more than 100 global coders took on inpatient coding, emergency department coding and charging, and outpatient claim edits, handling volume at scale without sacrificing accuracy.

When the health system moved to Epic, IKS Health worked closely with its teams through implementation and go-live to keep the transition smooth. Monthly review meetings kept both sides aligned on revenue and growth as the partnership matured.

The results of the global coding model with IKS Health

The global model scaled to the health system’s full coding volume, holding quality high, accelerating cash, and lowering cost.

>97.5%

Coding accuracy in third-party audits, ensuring quality and compliance

$105M

Average DNFBs cleared per month within the first four days

60-70%

Savings through the global outsourcing model

100K+

Profee encounters coded each month, plus another 100K+ for hospital-based billing