Medical Coding Services

Appropriate coding of the medical condition or diagnosis is important for claim processing followed by the release of payment from the insurance providers. Our Medical coders provide accurate coding to ensure that none of the claim get rejected due to improper coding .

We are the best Medical Billing Specialist in US

What is Medical Coding?

Medical coding is a vital component of the healthcare industry that plays a crucial role in ensuring accurate and efficient billing, reimbursement, and data analysis. We provide the transformation of medical diagnoses, procedures, and services into universally recognized alphanumeric codes. These codes provide a standardized language that enables healthcare providers, insurers, researchers, and policymakers to communicate effectively and obtain valuable insights from healthcare data.

Our process of medical coding begins with the documentation of patient encounters by healthcare professionals, including physicians, nurses, and other clinicians. We record the details of diagnoses, treatments, procedures performed, and any other relevant information in the patient’s medical record. Our records serve as the basis for assigning appropriate codes.

We use several coding systems in healthcare, with the two most prominent being the International Classification of Diseases (ICD) and the Current Procedural Terminology (CPT). The ICD system, currently in its tenth revision (ICD-10), provides codes for diagnoses, symptoms, and causes of diseases or injuries. On the other hand, the CPT system, maintained by the American Medical Association (AMA), focuses on codes for medical procedures, services, and supplies.

Our Medical coders are trained professionals who specialize in this field, review the medical documentation and extract the relevant information necessary for coding. They meticulously analyze the medical records, ensuring that the codes accurately represent the patient’s condition and the care provided. Our coders have a deep understanding of anatomy, physiology, medical terminology, and the coding systems’ guidelines and conventions.

Medical coding is a time-intensive process that involves converting medical diagnoses, procedures, and other vital aspects of healthcare into universal medical alphanumeric codes. Medical coders are responsible for extracting information from a healthcare provider’s records, laboratory results, and other sources and transforming it into codes that are then used for medical billing.

This is easier said than done, of course. Given the propensity of errors, incorrect medical coding is one of the primary reasons behind claim denials. At NAHL, we strive to make sure your healthcare facility does not run into these issues, allowing your healthcare staff to direct their full attention to your patients instead.

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NAHL An American LLC of Medical Billing & Coding

Our team of AAPC (American Academy of Professional Coders) – certified clinical coders leave no stone unturned in helping you avoid coding errors, mitigating risk by ensuring coder compliance, and improving the reputation of your organization through a cohesive medical coding process. No undocumented information is coded and our clinical coders are well-versed in meeting payer-specific coding requirements. We provide the following coding services:

HCC medical coding.
Conducting chart audits and coding reviews.
Medical CPT-4 codes, HCPCS medical coding, ICD-10-CM, and ICD-10-AM medical coding

Our team of coders follows a predefined process to ensure accurate and verifiable results. Our remote coding workflow comprises the following:

Obtaining records

At the onset of our medical coding process, we retrieve medical records provided by the healthcare facility. This can be a copy of a patient’s medical charts, medical documents of their diagnosis, and/or a copy of the patient’s superbill with their diagnosis.

Sending records

Once all medical records have been retrieved, these are securely transferred to our certified coders so as not to compromise the sensitivity of patient data.

Code assignment

Our coders will carefully review the patient’s records and assign appropriate diagnosis codes (ICD) and procedure codes (CPT).

Return coded documents and Claim submission

Depending on your preference, once the coding process is complete, the coded documents can be returned to the physician or our team can enter these claims into the billing system for further processing.

Code audits

Coded documents are forwarded to our Quality Assurance team for the identification and correction of possible coding errors.

As one of the leading medical coding companies in the US, NAHL understands the role of medical coding in driving your healthcare revenue cycle. That’s why we rely on a precise, accurate, and reliable coding workflow process led by certified coders. We aim to reduce the rate of claim denials and assist healthcare providers in maximizing their revenues to provide superior care delivery to their patients.

Medical Coding Specialists’ workflow

Additional Services

Insurance Medical Coding Billing aging projects from update claims.
Evaluation of superbills for current codes
Office assessment of HIPAA compliance.
Credentialing
Sending out appointment, birthday and thank you cards.

Apart from the above-mentioned services, we also provide additional services such as –

Translating patient information into relevant codes
Preparing patient statements and revising them in case of errors
Submitting claims to the insurance company
Managing all the information related to additional procedures and follow-up treatments & Manage denials in medical billing.
Organizing patient data, preparing charts and reports and maintaining databases
Following up with the insurance companies for payments
Processing payments received from the insurance companies
Ensuring that the medical facility has received all the payments
Software We Leverage for Medical Coding

In order to provide our clients with accurate and best quality services within a quick turnaround time, we make use of the latest medical coding software, which include

HIPAA Compliance

All our medical coding processes comply with HIPAA and we ensure that all your data, including critical patient data remain completely safe with us.

Use of Latest Coding Tools

We make use of the latest and updated medical billing and coding software to provide our clients with highly efficient services.

High Accuracy in Coding

Our team of well-trained and highly experienced medical coders will provide you with the best quality medical coding services with an accuracy rate as high as 98%.

Conclusion

With the advancement of technology, there has been a shift towards electronic health records (EHRs) and computer-assisted coding (CAC) systems. EHRs integrate patient medical information into a digital format, making it easier for our coders to access and review relevant data. CAC systems utilize artificial intelligence (AI) algorithms to suggest potential codes based on the information available in the medical records, helping us in our work.

In conclusion, medical coding is a critical process in the healthcare industry that ensures accurate documentation, streamlined billing, and effective data analysis. At NAHL, We have specialized knowledge, attention to detail, and adherence to coding guidelines. As healthcare continues to evolve, medical coding will remain a fundamental component, enabling the efficient management and analysis of healthcare data for improved patient care and outcomes.