Medical Coding
Compliance and quality-driven inpatient and outpatient clinical coding solutions and audits
High Quality, Clinically Focused, Medical Coding Services
As a KLAS recognized coding leader we deliver measurable healthcare business improvements through a deep understanding of the clinical documentation business process with industry leading technology, and unparalleled service.
Accurate coding is a critical step to prevent denials and protecting your revenue.
Our generative AI and tech-enabled coding solution with a human-in-the-loop increases the quality and compliance of coding using the full clinical context of the patient visit. We have expertise across all outpatient, inpatient, E&M, and profee coding, patient types, hospital, and single and multi-specialty settings, and can grow seamlessly as you grow, eliminating the need to hire, train, and maintain coding staff.
Clinicians don’t have to struggle to keep up with coding changes and the organization sees increased revenue.
Our Medical Coding solutions include:
- Inpatient coding services
- Outpatient coding services
- E&M coding services
- Coding audits
Medical Coding Key Benefits
Credentialed and Experienced Professionals
Our coding and audit division is comprised of expert AHIMA and AAPC credentialed professional coders from the HIM profession with experience in all specialties and patient types.
Personalized Audits
Our approach is client driven audits, diverse staff credentialing, a dedicated audit team, and comprehensive knowledge of coding across several service types. We reduce risk and enhance financial impact with personalized education based on customers’ needs.
Quality
IKS Health works closely with your team to stay ahead of regulations, ensuring compliance and a 95% or higher coding and audit accuracy rate.
Reduced Burnout and Improved Revenue
IKS Health's access to global resources for AHIMA and AAPC certified medical coders reduce administrative burdens on clinicians while providing cost-effective services for better financial results.
Detailed Reporting
IKS Health provides regular reporting for productivity, quality, and turnaround time performance as well as detailed analytics for denials and appeals management to ensure revenue cycle efficiency. Our team also meets with clients regularly to discuss performance results and corrective action plans as needed.
Compliance Accuracy
Coding regulations are updated regularly and ensuring compliance with those changes requires constant monitoring of government sites. IKS Health makes sure each medical coder is aware of pending regulation changes and properly trained to adjust their coding practices accordingly, including increased QA efforts for impacted code sets.
Medical Coding FAQs
No. Although AI can significantly improve efficiency, it is essential to have human experts review to initially validate and audit the AI generated coding. Human validation helps catch any potential errors or inaccuracies that will help the AI medical coding results to improve.
Our Medical Coding Services review any claims that have been returned with unpaid or a change in expected reimbursement. We provide the supporting documentation needed to appeal a denial for codes assigned, incorrect patient type billed, or invalid codes billed. Our clients see denial rates under 2%.
Our Revenue Optimization Solutions are part of the Care Enablement Platform, transforming healthcare delivery through a strategic blend of human expertise and innovative technology.
Our platform is designed to address the complexities of modern healthcare, ensuring that clinicians can focus on what matters most – patient care.