When selecting a medical coder, it’s absolutely essential that you find someone with the skills and experience necessary to perform this critical task properly. Should you hire a medical coding specialist that lacks the proper knowledge, you will find that you may not receive the proper amount of payment from insurance companies and other payers.
That’s why it is so important to hire a professional medical coder from Integrated Healthcare Resources. Our coders have ample experience abstracting and translating the medical services that have been provided into the appropriate codes, as well as liaising with insurance companies to ensure that payment has been made accurately.
Are you ready for ICD-10?
With the upcoming implementation of ICD-10, practices can't afford to not speak to an expert. As the US Department of Health and Human Services says, "transitioning from ICD-9 to ICD-10, if not carefully coordinated, poses significant risk to provider reimbursement. Should healthcare entities' infrastructure not be ready or thoroughly tested, providers may experience returned claims and delayed payment for the healthcare services."
Every coder at Integrated Healthcare Resources is certified and trained in ICD-10, and will help your practice make the transition smoothly. When October rolls around, you'll see what a difference IHR makes.
The Medical Coding Process
Medical coding is the most important part of the medical billing process for medical professionals and institutions. Any services provided to a patient must be recorded and documented properly, and the coder is the person who must do so, accurately and in a timely fashion.
Whether the care was provided in a hospital outpatient facility, physician’s office, or ambulatory surgical center, in order for the insurance company to be billed correctly (or even direct patient billing), the coder must abstract the information gathered from all available sources. These include doctor’s notes, requested lab tests and imaging studies, as well as any other related patient billing forms and documentation.
Once a proper abstract has been written, the coder will assign the appropriate code for the services provided. The codes provide the medical biller with the information he or she needs to process the claim with the relevant insurance agency.
What should you look for in a coder?
You want a coder who is familiar with all of the different insurance companies that you work with. Because standards and regulations differ between insurance companies and plans, it can be difficult for a single coder or small billing department to keep up with ever-changing codes and regulations. In addition, a professional coder needs to have knowledge of anatomy, physiology, medical practices, and medical terminology.
The coder is responsible for going through all the documentation of each patient visit in order to translate the services into the proper codes, so he must be intimately familiar with all possible procedures and language used in the medical field. When selecting a coder, you want someone who is familiar with your office’s medical specialty.
Our Experts in Medical Coding
The coders at IHR have extensive experience in the following specialties: Urgent Care, Nuclear Cardiology, Multi-Specialty Facilities, GI, Urology, Pain Management, Anesthesia, Orthopedics, Vascular Surgery, Gynecology, ENT, Ophthalmology, Plastic Surgery, Podiatry, and more.
At IHR, we employ only the best medical coders in the field. Our coders are focused and fully hands-on. With four full time certified coders on staff, you can be sure that you’re getting the best medical coding services available. Our coders are so efficient and thorough, that none of our clients have ever been asked for refunds.