Medical Coding Services
Coding service is a key activity that has direct impact on the financial status of your practice. We have specialized expertise, niche focus and infrastructure to support your requirements.
CLARUS RCM has CPC, CPC-H, CCS, CCSP and CPMB certified professionals with ICD-10-CM certification. We aim to scale up our processes to become a leading player in this business.
Our medical coding services help in:
Optimizing revenue by reducing compliance risk
Improving cash flow by accurate claims submission
Reducing administrative costs
Our coding services are available as part of our revenue cycle management services or as a separate service. Our process flawlessly integrates with your billing system to ensure the highest degree of data reliability.
Certified professional coders who are specialty-specific and dedicated for your business
Comprehensive solutions to suit client specific guidelines and policies
Workflow management system that tracks every medical record, code and status
Our rule engine supports compliance and accurate code assignment
Well defined process to identify and fix documentation issues
Medicare Risk Adjustment Coding (HCC Coding)
Compliance audit performed by AAPC certified coders
Evaluating medical records from all settings
Adherence to official coding rules and CMS guidelines for risk adjustment reporting
Investigate to identify potential errors or missing diagnoses on medical records
Assigning appropriate HCC value to the corresponding MRA Diagnosis code
Clarus has an effective audit system that keeps our coding standards equivalent to the best in the industry
We also constantly improve our coding skills by continuous training programs
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Improving Coding quality
Our primary focus is to implement quality improvements initiatives during migration as well as during steady state production.
As a continuous processes improvement, we use a dedicated team to identify and mitigate any errors.
Our quality approach ensures that every process is clearly documented
We follow Top level Six Sigma Quality management system which makes quality and essential part in project execution
Coding Audit Services
Our audit consists of highly skilled coders, certified in Quality Management Systems and Six Sigma. The key features of our QA team responsible for detecting errors are:
Robust sampling methods
Knowledge attribute analysis
Effective 5 why analysis and remediation plan
Corrective and preventive action analysis.