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Medical Coding Audit Services

Avoid costly mistakes with a CodeEMR Medical Coding Audit

Comprehensive Coding Audits

Enhance compliance, maximize revenue, and refine coding accuracy with CodeEMR’s reliable medical coding audits. 

Our certified coding professionals thoroughly assess coding workflows, identifying errors and areas for improvement to help your organization prevent revenue leakage from common coding mistakes.

CodeEMR provides a range of tailored audit options to fit your organization’s needs, including routine audits, risk-based audits, focused audits, and HCC (Hierarchical Condition Category) audits.

medical coding audit services

Ensure Claims are Accurate and Compliant

Evaluation and Management (E/M) Audits

Regularly Scheduled Audits

Routine audits evaluate E&M levels, ICD-10-CM, and HCPCS codes to reinforce best practices and quickly address revenue leakage.

Risk Based Audits

Risk-based audits analyze all billed codes against national averages to strengthen coding accuracy, recommend enhancements, and minimize the risk of unintentional fraud.

Focus Audits

Focus audits concentrate on problematic areas, delivering tailored recommendations and corrections to enhance overall return on investment.

Hierarchical Condition Category (HCC) Audits

Prospective Review

Trust CodeEMR to precisely document patient data, conditions, and coding with the highest level of specificity, ensuring accurate reimbursement that reflects the care provided.

Concurrent Review

HCC coders conduct real-time reviews of outpatient and hospital claims, thoroughly examining patient charts, clinical notes, and HCC codes to ensure precise coding accuracy and minimize medical necessity denials.

Retrospective Review

Usually performed weeks or months after a patient encounter and claims submission, this review aims to identify any unreported or incorrectly documented HCC codes.

Interested in learning more?

Contact us today to speak with one of our medical coding experts.

Comprehensive Coding Services to
Streamline Your Revenue Cycle

Medical Billing Services

At CodeEMR, we specialize in end-to-end Revenue Cycle Management (RCM) to help healthcare providers. Read More

Facility Coding Services

CodeEMR expertly applies CPT, HCPCS, and ICD-10-CM codes to facility services. Read More

Pro Fee Coding Services

CodeEMR’s team specializes in pro-fee coding with 98% accuracy and a 3-4x ROI. Read More

Risk Adjustment Coding Services

As more payers shift to value-based coding, our AAPC and AHIMA - certified coders. Read More

CHC and FQHC Coding Services

Our FQHC coding expertise sets us apart from other medical coding companies. Read More

Transform your medical coding operations

Outsourcing medical coding services with CodeEMR ensures experienced remote medical coders will always be available to keep charts moving forward for improved revenue cycle management.

transform your medical coding operations
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