Coding
Connect the documented service
with the right coding review.
Build a defined coding workflow around your practice's clinical documentation. Review the documented service, organize coding questions and prepare the approved information needed for charge entry and claims.
Service scope to discuss
Give coding decisions a clear source and review process.
Review the documentation
Read the agreed encounter documentation to understand the services, diagnoses and details relevant to coding.
Select applicable codes
Review diagnosis and procedure coding against the documented encounter and the applicable coding guidance within the agreed scope.
Check modifiers and units
Review modifiers, units and related coding details where they apply to the service being billed.
Clarify documentation gaps
Send focused questions to the appropriate clinician when the record needs clarification to support a coding decision.
Complete the review
Record unresolved issues and follow the agreed approval process before releasing coding information for billing.
Share recurring findings
Summarize repeated documentation and coding questions so the practice can address them in its workflow.
A practical engagement
Make coding decisions and open questions easier to review.
The engagement defines the specialties, encounters, review criteria and approval responsibilities covered by the coding work.
- Reviewed coding records
- Clinician clarification worklist
- Coding review and exception log
- Recurring documentation findings
Clinical documentation stays central
A coding decision should follow what the clinician documented. When essential information is unclear, a focused clarification gives the practice a documented way to resolve the question before billing.
Explore related RCM services
Connect the next step in your revenue cycle.
Explore a focused service or discuss how these workflows fit into complete medical billing support.
Charge Entry
Organize encounter details, enter approved charges and resolve missing information before claim preparation with CREDENT charge entry support.
Cash Posting
Record payer and patient payments, review remittance details and track posting exceptions with CREDENT cash and payment posting support.
AR Coding
Review coding and documentation causes within unresolved or denied claims, organize clarifications and guide the billing handoff with CREDENT.
AR Billing
Organize outstanding claims, investigate billing and administrative issues and track follow-up actions with CREDENT AR billing support.
AR Calling
Discuss payer phone follow-up for outstanding claims, including call notes, reference numbers, required actions and escalation tracking with CREDENT.
Questions practices ask
Clarity before
the next step.
Can we use coding support without moving all billing services?
Yes. Discuss a coding engagement around the encounters and workflow you need reviewed. The scope will define the handoff to your existing charge entry or billing team.
Which specialties and encounter types can be included?
Share your specialty, service mix and documentation workflow during discovery. The proposal should identify the encounter types and coding responsibilities the team can support.
How does this differ from AR coding?
Medical coding supports encounters before billing or as part of an agreed review process. AR coding focuses on coding and documentation issues within claims that are already unresolved or denied.
Discuss medical coding support
Start with your specialty, documentation workflow and the coding questions your team needs to resolve.