Auditing Services

Decrease risk while reducing denied claims. Maintain compliance with efficient reimbursements.

auditing services

What can a Coding Auditing partner do for your organization?

YES HIM Consulting’s coding compliance audits are designed to identify outliers that may have an impact on our client’s coding accuracy, revenue and data quality. YES auditors identify potential deficiencies and create a custom quality improvement plan per coding team.

Financial Impact

Financial Impact

Empower Coder Vetting

Empower Coder Vetting

Quality Assurance

Quality Assurance

True Subject Matter Experts

True Subject Matter Experts

Auditing Services

  • CODING COMPLIANCE
  • PROVIDER DOCUMENTATION
  • REIMBURSEMENT AUDITS
  • FOCUSED AUDITS
  • TRENDING & DATA-FINANCIAL GOALS
  • IDENTIFY UNDER AND OVERBILLING
  • CODER MENTORING PROGRAMS (99% ACCURACY)
  • EXECUTIVE SUMMARY WEBINAR WITH CEU
  • FOCUSED EDUCATION PER AUDIT FINDINGS

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

Audit Findings for Decision-makers

  • IP/OP/ER/Profee cases; Customized Audits available per request
  • Quality Audits on a Monthly, Qrtly Annual or Ad Hoc basis
  • Verification of ICD-10-CM Diagnosis Code assignment, including Principal and Secondary Diagnoses
  • Verification of ICD-10-PCS and ICD-10-CPT Procedural Code assignments
  • Verification of ICD-10-CM, ICD-10 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

Data Insights By:

  • Facility
  • Coder
  • MDC Classification / DRG Grouping
  • Qrtly DRG Trending

Case Study: Impact of a Comprehensive Auditing and Coder Mentoring Program on Quality

No matter how seasoned your coders may be, coder mentoring is a tactic that ensures your team continuously performs at the best of their abilities. This case study presents information gathered throughout a 24-month period, with the objective of highlighting the direct impact on coding teams’ coding quality levels (from medium to large health systems), through the implementation of a standardized Coder Mentoring Program.

Our Services

Auditing

Education

Coding Support

Coding Mentoring

Denials Remediation

Bridge the Gap

HOW CAN WE HELP? LET’S DISCUSS!

  • By clicking Submit, you agree to YES HIM Consulting's Privacy Policy.