Credentialed Clinical Coders, HCC Risk Adjustment & Comprehensive Documentation Audits
Intellisight India delivers precision clinical coding solutions managed by certified AAPC and AHIMA professionals. Our coding team translates complex operative notes, diagnostic reports, and provider encounters into compliant ICD-10-CM, CPT, and HCPCS Level II code sequences that reflect the true acuity of patient care.
Accurate assignment of diagnosis, procedural, and evaluation & management (E/M) codes across surgical, hospitalist, and office encounters.
Thorough capture of Hierarchical Condition Categories (HCC) to ensure accurate Medicare Advantage RAF scores and value-based care reimbursement.
Structured physician query facilitation to clarify ambiguous, incomplete, or conflicting medical record entries before billing.
Routine baseline and periodic retrospective sample audits to identify overcoding, undercoding, unbundling, or modifier misuse.
Certified coders examine clinical chart notes, operative reports, pathology results, and diagnostic imaging for supporting medical necessity.
Current procedural terminology (CPT) and ICD-10-CM codes are selected adhering to official CMS and AMA coding guidelines.
A secondary supervisory coding audit evaluates complex surgical and multi-specialty cases to maintain high quality standards.
Finalized code sets are posted to your EHR/billing portal along with educational feedback on documentation opportunities.
Our medical coding staff hold recognized credentials including CPC (Certified Professional Coder), COC (Certified Outpatient Coder), CIC (Certified Inpatient Coder), and CPMA (Certified Professional Medical Auditor) through AAPC or AHIMA.
We follow compliant, non-leading physician query protocols compliant with ACDIS and AHIMA guidelines, presenting objective clinical indicators to providers for prompt written clarification.
Yes. Every October for ICD-10 and January for CPT/HCPCS, our coding leadership conducts educational workshops and updates crosswalk tables to guarantee immediate compliance with new and revised codes.
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