Medical Coding Audit Services

Chart Reviews, Custom Solutions, Enhanced Revenue.

medical coding audit services

What can a medical coding audit services partner do for you?

YES HIM Consulting's medical coding audit services pinpoint outliers, ensuring coding accuracy, maximizing revenue, and enhancing data quality with tailored improvement plans.

At YES, our team members work closely with you to create auditing and mentoring solutions designed to meet your organization's individual needs. Your team's success drives ours, with expert guidance every step of the way.

medical coding audit services

Financial Impact

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Empower Coder Vetting

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Quality Assurance

medical coding audit

True Subject Matter Experts

Medical Coding Audit Services

  • Revenue Cycle Management
  • Evaluation & Management Services
  • Surgical & Procedural
  • Behavioral Health Services
  • Ambulatory Surgery Center (ASC)
  • HCC & Risk Based Services
  • Emergency Department & Critical Care
  • FQHC & RHC Services
  • And More...

Our Approach to Medical Coding Audits

To ensure accurate coding, the YES Team starts with a thorough review of encounters in alignment with official coding guidelines. We provide review vetting reports and rely on coders' feedback. The YES Team generates a comprehensive report by coder, facility, financial impact, or other data points specified by the client. Trending reports are provided to identify patterns and root causes of recurring issues.

In the post-audit stage, our dedicated in-house coding education team can provide tailored education based on audit insights, one-on-one coder mentoring, provider education, and on-demand training. Our comprehensive Education Catalog addresses knowledge gaps.

Audit Findings for Decision-makers:

  • Root Causes impacting Coding Quality and Claims Reimbursement
  • Verification of ICD-10-CM Diagnosis Code assignment, including Principal and Secondary Diagnoses
  • Verification of ICD-10-PCS and CPT Procedural Code assignments
  • Verification of ICD-10-CM, CPT, Modifier, and Surgeon/Assistant Surgeon code assignments
  • Prioritization of Financial Impacts based on Coding Quality
  • Medical Coding and Provider Documentation Educational Opportunities
  • Verification of coding accuracy for medical necessity
  • HCC log and Educational Opportunities

Most Common Specialties Audited

  • Orthopedics, Rheumatology, & Physical Therapy
  • Dermatology & Plastic Surgery
  • Cardiology, Vascular, & Pulmonary
  • Urology, Oncology, OB/GYN
  • Ophthalmology, ENT, & Neuro
  • Internal Medicine, Family Practice, & Urgent Care
  • Adult & Pediatric
  • General Pediatrics & Pediatric Subspecialties

What our Clients say about us:

“North Mississippi Health Services has engaged YES HIM to conduct coding audits to verify compliance and accuracy for accurate and compliant coding. They are a wealth of knowledge, always go above and beyond to ensure we have all the necessary education and tools to get the job done! The timeliness and follow through is unbelievably exceptional. Our coders look forward to the feedback and truly trust in the skills of the auditors. We wouldn’t hesitate to say that YES HIM comes highly regarded and recommended!”

System Director, Health Information Management, Tupelo, MS

Let us help with your due diligence audit

Navigate healthcare mergers and acquisitions with our Due Diligence Audits eBook. Download it now to receive:

  • Due diligence coding audit checklist
  • Medical practice valuation tips
  • Strategies to ensure a smooth transition post-merger/acquisition

Our Services

Auditing

Education

Coding Support

Coder Mentoring

Denials Remediation

Consulting & Staffing

HOW CAN WE HELP? LET’S DISCUSS!

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