Coding Compliance 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 partner’s coding accuracy, revenue and data quality. As a true partner, YES auditors identify potential deficiencies and create a custom quality improvement plan per coding team.

"YES HIM Consulting, Inc. has been our selection of vendor for auditing, education, and coding needs for many years. The YES team is fantastic to work with, providing timely, accurate, and professional services at all times. The personal attention they provide to our..."

"YES HIM Consulting, Inc. has been our selection of vendor for auditing, education, and coding needs for many years. The YES team is fantastic to work with, providing timely, accurate, and professional services at all times. The personal attention they provide to our..."

Compliance Audit Questionnaire

If you are interested in obtaining the value created from a coding compliance audit but are not sure if you want to complete it internally or externally, below is our Compliance Audit Questionnaire.

Data Driven Query Programs and Effective Analysis

We believe that leadership should utilize query programs driven by analytics, as an opportunity for significant revenue creation while maintaining compliance standards. To reinforce our stance on this approach, we’ve conducted a case study that pulls from the results of a healthcare providers with and without data driven query programs.

Results & Benefits Realized:

  • Identified top queried DRG, DX, Physicians (Leverage for Educational Opportunities)
  • Identified query forms that were not comprehensive or up to current guidelines
  • Increased the amount of answered queries / decreased the amount of canceled/unanswered queries

Impact of a Comprehensive Auditing and Coder Mentoring Program on Quality - Case Study by YES HIM Consulting

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.

Results Obtained:

  • Identified significant pain points impacting coding quality
  • Evaluated coding quality of coders that were selected into the coder mentoring program
  • Increased coding accuracy significantly, from 83.5% to 96.4% (13%).

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