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Core RCM
Medical Coding
Certified, specialty-aligned coding built for compliance and accuracy.
Overview
What this service covers
Certified coding professionals apply ICD-10-CM, CPT, and HCPCS coding across general and specialty service lines, following payer-specific and regulatory guidance to ensure claims accurately represent documented care.
Process
01
Documentation intake
Clinical notes and encounter data are reviewed for completeness.
02
Code assignment
Diagnosis and procedure codes are assigned per current coding guidelines.
03
Compliance check
Coding is reviewed against NCCI edits, LCD/NCD policy, and payer rules.
04
Query resolution
Documentation gaps are routed back to providers for clarification.
Key Responsibilities
- ICD-10-CM, CPT, and HCPCS code assignment
- Specialty-specific coding review
- Provider query and documentation feedback
- Coding compliance monitoring
Benefits
- Higher first-pass claim acceptance
- Reduced compliance and audit exposure
- Accurate representation of clinical complexity
Quality Controls
- Certified coder credential verification
- Randomized coding accuracy audits
- Ongoing payer policy update reviews
Get Started
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