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Outsource Medical Coding Audit Services

Outsource Medical Coding Audit Services

Prevent revenue leakage with our medical coding audit services. We diligently identify and correct coding errors so that you are appropriately reimbursed for the services you offer.

In healthcare back-office operations, coding errors and claim denials while auditing are very commonplace. These issues not only disrupt the smooth functioning of operations but also significantly impact revenue generation. Standalone medical practitioners, hospitals, clinics, and nursing homes, among others, can attest to the importance of accurate coding in their billing processes.

Our medical coding audit services are a comprehensive solution designed to minimize coding errors and reduce claim denials. We have a team of trained professionals and advanced tools where we meticulously review your coding practices, identify inaccuracies, and offer corrective measures. This not only ensures compliance with regulations but also optimizes the claims process.

The benefits of this customization are numerous. By reducing coding errors and claim denials, healthcare providers can see a marked increase in their revenue. Health insurance companies, medical laboratories, and legal professionals also benefit from our services. Partner with us and transform coding errors into opportunities for revenue growth.

Client Success Stories

O2I Assisted a Florida-based Medical Billing Company with ICD-10 Implementation

O2I Assisted Medical Billing Firm with ICD-10 Implementation

Read this detailed case study to find out how O2I's management training support enhanced the performance of a billing company based out of Florida in assisting them to migrate from the ICD-9 to the ICD-10 system.

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Case Study on Accounts Receivable Services

Case Study on Accounts Receivable Services

From this comprehensive case study, you'll find out how O2I's AR service helped a healthcare company's accounts to improve by having all claims cleared after a string of denials.

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Clients Speak

Hello, I wanted to reach out to you directly and express my gratitude for the hard work that the Data team, as well as the AR team, has done with EJ practice. I have pushed both teams extremely hard over the past month and their efforts, as well as ours, have paid off.

RCM Account Manager,
EMR System Provider, FL, USA

How Do Our Medical Coding Audit Services Transform Healthcare?

  • Medical Coding Compliance

    Medical Coding Compliance
    • Ensures adherence to regulations and guidelines
    • Reduces risk of penalties and denials
    • Supports accurate and efficient billing
    • Enhances quality of patient care
  • Claims Management

    Claims Management
    • Minimizes errors in the claims process
    • Maximizes successful reimbursements
    • Streamlines operations and improves productivity
    • Reduces overhead costs
  • HCC Coding and Auditing

    HCC Coding and Auditing
    • Ensures accurate risk adjustment factor scores
    • Optimizes revenue
    • Supports compliance with healthcare regulations
    • Reduces risk of financial loss
  • Clinical Documentation

    Clinical Documentation
    • Enhances the quality of patient care
    • Supports accurate billing
    • Reduces risk of denials
    • Ensures compliance with healthcare regulations
  • Risk Adjustment

    Risk Adjustment
    • Ensures accurate reimbursements
    • Minimizes financial risks
    • Supports compliance with healthcare regulations
    • Enhances revenue cycle management
  • Coding Process Efficiency

    Coding Process Efficiency
    • Reduces errors in the coding process
    • Improves productivity and efficiency
    • Enhances revenue generation
    • Supports compliance with healthcare regulations
  • Unbiased Reporting

    Unbiased Reporting
    • Provides a comprehensive view of coding practices
    • Identifies areas for improvement
    • Supports compliance with healthcare regulations
    • Enhances decision making
  • Coding Due Diligence

    Coding Due Diligence
    • Identifies potential issues in coding practices
    • Ensures compliance and efficiency
    • Reduces risk of penalties and denials
    • Supports accurate and efficient billing
  • Coding Accuracy & Review

    Clinical Documentation
    • Reduces risk of denials
    • Ensures correct reimbursement
    • Supports compliance with healthcare regulations
    • Enhances revenue cycle management
  • Coding Resolution Services

    Coding Resolution Services
    • Provides swift solutions to coding issues
    • Keeps operations running smoothly
    • Reduces downtime and delays 
    • Enhances productivity and efficiency
  • Denials Management

    Denials Management
    • Identifies the root causes of claim denials
    • Implements solutions to reduce future denials
    • Improves revenue collection
    • Enhances the efficiency of the claims process

Process Flow for Medical Coding Audit Services

Our streamlined process is designed to empower healthcare institutes and practitioners, enhancing accuracy and efficiency in medical coding while ensuring compliance with regulations.


01. Patient Charts Access

Secured access to patient data is obtained, maintaining the utmost confidentiality and ensuring the accuracy of information for coding. The below-mentioned process flow ensures high-quality output through a consolidated well-maintained structure.


02. Pre-coding Implementation

At this stage, relevant codes associated with insurance companies, doctors, diagnoses, and procedures are entered, setting a strong foundation for the coding process.


03. Application of ICD and CPT Coding

Expert coders apply appropriate ICD and CPT codes, rectifying discrepancies and preventing errors, ensuring greater accuracy.


04. Accuracy Assurance through Quality Check

Multiple checks are conducted to ensure accuracy and prevent up-coding/down-coding, ensuring the coded charts meet the highest quality standards.


05. Coded Charts Submission 

Once reviewed for accuracy, the coded charts are prepared and submitted electronically, ready for the claims processing phase.


06. Feedback and Improvement

Feedback is collected from clients upon project completion and implemented for continuous improvement, ensuring client satisfaction and better service delivery.

Benefits of Choosing Us - A Professional Medical Coding Audit Company

Our medical billing auditing company comes with a multitude of benefits. We aim to provide a comprehensive, efficient, and reliable service that meets your specific needs. Here's why partnering with us is the ideal choice -

  • Compliance to HIPAA

    We adhere strictly to the Health Insurance Portability and Accountability Act (HIPAA), ensuring that patients' private health information is always protected.

  • Robust Data Security

    We prioritize data security, implementing stringent measures to safeguard your sensitive information against any potential threats or breaches.

  • Expert and Accredited Team

    Our team is composed of industry veterans who are qualified and certified, offering unparalleled expertise in medical billing auditing.

  • Advanced Billing Audit Technology

    We utilize the latest coding tools and software, ensuring accurate, efficient, and up-to-date billing audits.

  • Affordable and Value-Driven Pricing

    We believe in providing high-quality services at competitive prices, making us a cost-effective choice for your medical billing auditing needs.

Other Additional Services

Revenue Cycle Management

We provide comprehensive revenue cycle management services, aimed at optimizing your healthcare organization's financial performance and ensuring a seamless flow from patient registration to final payment.

CPT Coding Services

CPT (Current Procedural Terminology) coding services ensure accurate representation of medical procedures, facilitating appropriate reimbursement and reducing the risk of coding errors.

Denial Management

We offer effective denial management solutions, geared towards analyzing and resolving denied claims, thereby reducing loss and improving your revenue.

Eligibility Verification

The eligibility verification service ensures that patient insurance coverage is verified before services are rendered, minimizing the risk of claim rejections and delays in payment.

Outsource Medical Coding Audit Services to O2I

Our medical coding audit services offer you a comprehensive list of services that make your back-office operations easier. We are a HIPAA-compliant entity, which means we walk miles securing your patient data. We strictly implement physical and technical safeguards designed to protect the privacy of individuals' health information while allowing us to harness new technologies to enhance the quality and efficiency of patient care. Our safeguards include limited facility access, unique user IDs, automatic log off, encryption and decryption, and audit reports that track activity on our hardware and software.

Hence, let us be the catalyst that propels your business to new heights of success and efficiency.

Contact Us


Decide in 24 hours whether outsourcing will work for you.


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Frequently Asked Questions (FAQs)

What are the benefits of coding audit?

Coding audit benefits include increased accuracy in billing, reduced chances of compliance issues and fraud, and improved revenue cycle management.

Why should we consider outsourcing our medical billing and coding tasks?

Outsourcing these tasks allows you to tap into a pool of experts who are up-to-date with the latest regulations and coding standards, ensuring your billing is accurate and compliant. Outsourcing can also help reduce overhead costs related to staff training, software, and infrastructure, making it a cost-effective solution.

Why is it essential for medical practices to conduct coding audits?

Conducting coding audits is crucial to identify and rectify any inaccuracies or inconsistencies in the billing process, ensuring compliance and optimizing revenues.

Could you explain the different steps involved in the coding audit process?

The coding audit process generally involves initial data collection, detailed review of the coding and billing data, identification of discrepancies, formulation of an action plan to rectify errors, and follow-up reviews.

What are the best practices that should guide the coding audit process?

Best practices include regular and systematic auditing, employing certified professionals for the audit, maintaining transparency, and implementing corrective actions based on the audit findings.

How does performing a medical billing audit help improve revenue cycle management?

Medical billing audits can spot potential problems early, helping us manage them before they become bigger issues. This helps keep your revenue cycle running smoothly and healthily.