Medical Coding
Coding service is a key activity that has a direct impact on the financial status of your practice. We have specialized expertise, niche focus, and infrastructure to support your requirements.
CLARUS RCM has CPC, CPC-H, CCS, CCSP, and CPMB certified professionals with ICD-10-CM certification. We aim to scale up our processes to become a leading player in this business.
Our medical Coding Services help in:
- Optimizing revenue by reducing compliance risk
- Improving cash flow by accurate claims submission
- administrative costs
Our Coding Services are available as part of our revenue cycle management services or as a separate service. Our process flawlessly integrates with your billing system to ensure the highest degree of data reliability.
Clarus Advantages
- Certified professional coders who are specialty-specific and dedicated for your business
- Comprehensive solutions to suit client-specific guidelines and policies
- A workflow management system that tracks every medical record, code and status
- Our rule engine supports compliance and accurate code assignment
- A well-defined process to identify and fix documentation issues
Medicare Risk Adjustment Coding (HCC Coding)
- Compliance audit performed by AAPC certified coders
- Evaluating medical records from all settings
- Adherence to official coding rules and CMS guidelines for risk adjustment reporting
- Investigating to identify potential errors or missing diagnoses in medical records
- Assigning appropriate HCC value to the corresponding MRA diagnosis code
- Clarus has an effective audit system that keeps coding standards aligned with the best in the industry
- Continuous improvement of coding skills through ongoing training programs
Improving Coding quality
Our primary focus is to implement quality improvements initiatives during migration as well as during steady-state production.
- With a focus on continuous process improvement, we use a dedicated team to identify and mitigate errors
- Our quality approach ensures that every process is well documented
- We follow a top-level Six Sigma quality management system, making quality an essential part of project execution
Coding Audit Services
Our audit consists of highly skilled coders, certified in Quality Management Systems and Six Sigma. The key features of our QA team responsible for detecting errors are:
- Robust sampling methods
- Knowledge attribute analysis
- Effective 5 Why analysis and remediation planning
- Corrective and preventive action (CAPA) analysis
We offer a wide range of IT services that guarantee your success
