Error-free Medical Coding Services that Maximize the Revenue Cycle

Error-free Medical Coding Services that Maximize the Revenue Cycle

Recover Your Revenue Now

SHMEDEX Medical Coding Services In the USA

In the United States, medical coding services are vital to healthcare providers for seamless billing and prompt reimbursement. At SHMEDEX, our experienced coders thoroughly review patient medical records and assign the proper diagnosis and procedure codes. These codes are vital for generating clean claims that the insurance can then accept. Our team codes for every medical specialty while upholding the prevailing standards, including ICD-10, CPT, and HCPCS, to keep you in compliance and ensure accuracy.

At SHMEDEX, a medical coding company, providers are paid on time, easily bill patients correctly, and lose no revenue due to leakages. To reduce errors that are made through coding, our team keeps up to date with payer policies and changes to medical coding. We collaborate highly with your billing personnel, which enables us to come up with a smooth revenue cycle. Whether you're a small clinic or a large healthcare practitioner, SHMEDEX offers reliable and efficient coding solutions.

  • 99.5% Coding Accuracy Rate
  • 24-Hour Turnaround Standard
  • Specialty-Specific Coders
  • Compliance Audits Included
  • Real-Time Query Resolution
Medical Coding Overview

Why Outsource Medical Coding to Us

Reduce denials and increase clean claim rates with expert coding

Revenue Optimization

Capture all billable services with precise code selection and modifier usage.

Faster Reimbursements

Clean claims with accurate coding reduce payer rejections by up to 90%.

Compliance Protection

Strict adherence to CMS, AMA, and payer-specific coding guidelines.

Specialty Expertise

Coders trained in 25+ specialties including Cardiology, Orthopedics, and Oncology.

Continuous Updates

Real-time implementation of annual code changes and CDI best practices.

Performance Analytics

Monthly reports on coding accuracy, denial trends, and revenue impact.

We Offer Our Medical Coding Services At SHMEDEX

Comprehensive coding solutions tailored to your practice needs

1

Documentation Review

We perform a comprehensive examination of the clinical documentation to confirm that every service and diagnosis is documented. This process pinpoints the critical details required for accurate coding, helps prevent overlooked charges, and supplies the necessary support for claims throughout audits or reviews.

2

Code Assignment

Our coders precisely apply ICD-10-CM, CPT, and HCPCS, and proper modifiers of the documented services. All the codes result in accurate billing, quicker claim approvals, and fewer insurance denials.

3

Clinical Validation

We verify clinical documentation that every assigned code is medically necessary. This step prevents code overuse and underuse, is likely to meet payer requirements, and decreases the possibility of claim denial because of inadequate or unreadable clinical rationales.

4

Query Resolution

In cases of incomplete or unclear documentation, we contact providers to resolve any misunderstandings using a compliant query procedure. This contributes to achieving correctness in coding, eliminates guesswork, and reinforces medical records that are utilized in claims and subsequent responses.

5

Quality Audit

All coded charts pass two levels of review by high-performing coders to eliminate high levels of errors and noncompliance. This extra checking layer minimizes errors, enhances claim integrity, and assists in sustaining consistent standards of coding that reflect clean and timely reimbursements.

6

Billing Interface

Our coding mixes well with your practice management or billing software. The direct relationship prevents delays in submitting claims and minimizes data discrepancies, and provides a more efficient flow of work through coding to payments.

7

Denial Analysis

We track down the causes behind any claims of denial as we follow documentation and third-party responses. It assists in rectifying recurring problems, enhancing subsequent coding behaviors, and expediting the recapture and resubmission of a rejected claim.

Why Choose Our Medical Coding Services?

Protecting your practice from costly coding mistakes

Accurate Code Assignment

We make sure that the ICD-10, CPT, and HCPCS codes have clear selection, minimizing the refusal of claims and their delay. Our professionals adhere to the current coding standards and ensure your proper reimbursement and regulatory compliance in the healthcare practice.

Expert Coding Team

Our certified coding specialists have a rich experience in various fields of medicine. Their understanding of the payer policies and documentation requirements is high. Therefore, they tend to make minimal mistakes and maximize revenue due to the correct usage of codes and clinical verification

Compliance and Audit Support

We are very rigid on HIPAA, CMS, and payer-specific regulations. Our insurable records and regular check-ups ensure that your practice is not penalized and operations cannot derail due to insurance or regulatory audits.

Customized Solutions

We design strategies to code according to your specialty, volume, and workflow. Our scalable model increases the efficiency, accuracy, and profitability of both large and small providers regardless of whether it is inpatient, outpatient, or telehealth services.

Faster Turnaround Time

We have simple and easy-to-understand procedures and customer service to help us complete our code assignments and submissions promptly. Our fast turnaround and real-time reporting help minimize turnaround time on your claim and speed up your revenue cycle.

Revenue Optimization

We maximize reimbursements by eliminating as many coding mistakes as possible and ensuring that all billable services are well captured. Our team concentrates on making clean claims to work better with your cash flow and minimize the backlogs of accounts receivable.

End-to-End RCM Integration

We combine coding with a complete revenue cycle that includes charge entry, billing, and denial management. This inclusive strategy assists in finding revenue leaks and enhancing financial performance in general.

Ongoing Updates

We are aware of the changes in the regulations, online medical coding services, and payer trends. Our coders undergo regular training and further education to keep your practice compliant and ahead in terms of using compliant and up-to-date codes.

Medical Coding Services that Meet Compliance Needs

Our medical coding services work in accordance with the newest healthcare regulations and guidelines to ensure that all the codes are correct and legitimate. The appropriate codes to describe every service are chosen by carefully reading the doctor's notes and medical records. This will minimize billing errors and prevent audits or penalties for your practice.

We also ensure that our code is compatible with all payer and government rules, e.g., HIPAA and CMS requirements. Our specialty and professional coders keep abreast with any rule changes in medical coding, and claims will always be timely and accurate. Contact us, and we will give you clean, compliant coding to facilitate hassle-free reimbursement.

Get Compliant Coding Today

Our Compliance Guarantee

We guarantee that all coding services meet or exceed:

  • HIPAA Privacy and Security Rules
  • CMS Documentation Guidelines
  • AMA CPT® Coding Standards
  • ICD-10-CM Official Guidelines
  • Payer-Specific Requirements

SHMEDEX Coding Errors and Medical Coding Audit Services

At SHMEDEX, we understand that even a minor coding misstep can set off a chain reaction of serious complications, including claim denials, payment delays, and revenue losses.

Thus, we devote every effort to detect coding errors before the claims are submitted. Our certified coders apply coding standards by scrutinizing each code to verify that it corresponds perfectly with the medical documentation. This step verifies that your claims are entirely accurate and complete, allowing insurance companies to process them promptly.

Similarly, our work remains accurate and dependable by carrying out routine audits. Senior coding specialists examine the work for inaccuracies, omitted codes, or any other issue that might create issues down the line. These audits let us identify potential problems early and bolster the overall quality of your medical billing.

Ready to Optimize Your Medical Coding?

Ensure accurate documentation, reduce claim denials, and boost reimbursements with help from our certified medical coding experts.

Request a Coding Assessment

Medical Coding FAQs

Answers to common coding questions

All coding undergoes a 3-step quality process: 1) Initial coding by certified specialists, 2) Peer review for complex cases, and 3) Automated claim scrubber validation. We maintain 99.5% accuracy through continuous coder education and monthly audits.

Yes, we have coding teams specialized in 25+ areas including Cardiology (CPT 93000 series), Orthopedics (CPT 20000 series), Anesthesia (CPT 00000-01999), and more. Each specialty team maintains current knowledge of niche-specific coding rules and payer policies.

We implement a 3-phase update process: 1) Pre-update training (Q3), 2) Dual-coding period (Q4), and 3) Full transition by January 1st. Our coders complete 20+ hours of annual continuing education on ICD-10-CM, CPT, and HCPCS changes.

Absolutely. We provide free denial analysis for all coding-related rejections, including: incorrect modifiers, unbundling issues, invalid diagnosis codes, and medical necessity conflicts. Our team handles all appeal submissions with supporting documentation at no additional cost.
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