The need for professional medical coding services continues to grow. Reuters notes how this year has seen the highest reported enrollment for the Affordable Care Act since it was signed into law: at over 14.5 million Americans, that’s a 21 percent increase from 2021. Access to affordable care also means more insurance claims to review, verify, and process, and that’s even before taking into consideration how much turnover the industry has seen from employee burnout and the Great Resignation. If these factors are negatively affecting your operations, coding solutions are available. Here’s why HCRS is the preferred agency for medical coding services, and the types that we manage.
Immediate Available Talent
HCRS has high-quality coders who are available now. This avoids a potentially drawn-out hiring process to fill these spots internally. Plus, you aren’t responsible for additional training, nor will you have to worry about managing salaries, benefits, or vacation time.
Certifications and Experience
We’ve spent the better part of two decades developing and maintaining a wide pool of qualified medical coders who have aided physician practices and organizations at government, military, veteran, and civilian levels of health care. You can read more about some of those partnerships here.
All of our coders have at least three (3) years of verified experience with healthcare data management. They boast certifications — either through the American Health Information Management Association (AHIMA), or the American Academy of Professional Coders (AAPC) — that focus on one of the following categories:
- Registered Health Information Administrator (RHIA)
- Registered Health Information Technician (RHIT)
- Certified Coding Specialist (CCS)
- Certified Professional Coder (CPC)
Software and Cybersecurity
The healthcare industry has long suffered from outdated software and insufficient cybersecurity. That’s why we offer proprietary, E-Coder Structured Query Language (SQL) software that can optimize your claims processes and reduce denials, all while maintaining the highest levels of accuracy, security, and compliance.
Curious about our cyber standards? We adhere to the government’s Cybersecurity Maturity Model Certification (CMMC), which is the optimal guide for any organization that wants to have the best protection against digital threats. Due to our extensive knowledge of these requirements, we also serve as a Registered Provider Organization (RPO), guiding others on the best ways to prepare for certification.
While all pricing will differ based on services rendered, HCRS consistently offers affordable rates for on-site, offshore, and remote-based services. Our 95 percent accuracy rating means that you’ll have stronger revenue cycles due to reductions in coding errors, claim denials, and other reporting delays. As previously noted, you’ll spend far less outsourcing a full team of coders than you will if you have to hire, train, and pay for them internally.
We also perform coding audits, either to measure the accuracy of our teams, or to identify potential errors in the paperwork you’ve already submitted.
Coding Specialties and Classifications
We manage codes for all medical specialties and settings, including diagnoses, evaluation and management, and hierarchical condition categories (HHC). Our talent pool of coders are familiar with the five (5) current coding classification systems. This includes the latest revision to the International Classification of Diseases, ICD-11, which went into effect on January 1st of this year, and offers new or reclassified codes to improve diagnoses for PTSD, sexual behavior, gaming, grief, gender, and stress, among others.
Our coding team also has a thorough knowledge and understanding of:
ICD-10-CM, the clinical modification (CM) of ICD-10, which offers more detailed explanations about the severity of patient health in clinical documentation.
ICD-10-PCS, the procedural-focused version of ICD-10, which specializes in codes for procedures and equipment with inpatient settings.
CPT, the Current Procedural Terminology codes that are used for administrative management of medical services and procedures, which also underwent several changes this year.
HCPCS Level II, used for supplies and non-physician services not covered by CPT coding.
Do you actually have enough medical coders, but they lack specific training? We can teach them. HCRS has spent over 6,000 hours providing client-facing instruction to ensure that internal teams are well versed in all reporting and requirements, from basic E&M coding and audit prep, to more clinic- and physician-specific instruction and documentation.
What Medical Coding Services Do You Need?
Whether you’re short-staffed and looking for coders to start immediately, planning for potential changes in the near term, or looking for training opportunities for your in-house team, HCRS is ready to assist. Contact us today to evaluate your needs and discuss what program options are available.