Our experienced Medical Coders are professional, skilled, and well versed in international coding practices. They constantly develop and refine internal compliance of contract ICD, CPT coding resources that meet the needs of the client. Our Team leaders are certified by the AAPC (American Association of Professional Coders) and offer state-of-the-art surgical, procedural and Diagnostic Coding across major medical specialties. Our medical coding company follows the coding process through a structured methodology that has worked well for large US clients.
We use the most up to date books and software like CPT, ICD-9, HCPCS, C++ edit to keep in touch with the constant changes in the coding world.
We follow HIPAA regulations in order to assure turn around time
Our dedicated professionals work under the AHIMA rules
Our coding staff has received extensive training under coding experts in the US
Certified coders monitor their work regularly and external coding and compliance experts periodically audit the department.
The coder determines the code to be used following each patient encounter. An AAPC Coder is extremely careful while coding for patient records. Utmost attention is given to quality to get reimbursement from the Insurance Company for the services rendered by the physician.
Our coders are skilled and provide high-quality results within the stipulated period of time for multi-specialty clients like Cardiology, Radiology, Neurology, Infectious Diseases, Internal Medicine, Pathology, and Oncology. Pacific specializes in surgical coding. The benefits we offer are :
You get clean claims and fewer denials.
We guarantee 98% accuracy and compliance with all government regulations.
transparency in the coding methodology gives you access, produces consistency, and eliminates the risk of errors.
You receive regular feedback on coding changes, front-office documentation practices, and periodic reports, such as utilization reviews, case-mix review, and coding-related denial analysis.
You eliminate recruiting and training, reduce labor costs, and improve accuracy through our high-quality operations.
Medical Coding Services provided by PACIFIC
CPT and HCPCS coding - We code for surgery, lab and other tests based on the guidelines of AMA and CMS.
ICD coding - We do ICD coding related to the CPT and HCPCS codes based on AMA and CMS guidelines
Multiple specialty coders
Our medical coding company has highly skilled coders with proven ability in giving high-quality results within set deadlines, for multiple specialties like
ASC Coding… for all major specialties
Our coders are proficient with:
CPT, ICD-9, and HCPCS coding across various specialties
Insurance and governmental regulatory requirements
Payer-specific coding requirements
Software like ENCODERPRO and CODERITE
Pacific's processing center deploys a multi-site processing strategy for clients with significant scale and size needs, to mitigate risk. Highlights of our comprehensive infrastructure include:
Independent Internet Leased Circuits from multiple ISPs are installed for data access and redundancy
Built-in IT redundancies for uninterrupted operation
Network capacity of over 250 seats
200% power back up
Dedicated, fully equipped training infrastructure
24/7 security supported by a state-of-art access control system
Fire alarm system
Let’s walk you through the medical coding process
Coding the Transcribed reports
The coding process begins when an operative report or charge sheet is batched and arrives on the desk of a coder. His job is to extract information from this Physician’s report on the charge sheet and code it according to specified guidelines
Procedural and Diagnostic Coding
PACIFIC’s certified medical coders handle Procedural and Diagnostic Coding using references such as ICD-9-CM, LMRP, CPT Assistant, HCPCS Level II. Here’s what happens:
After a patient visits a physician, a chart is prepared and given to Medical Coders, whose job is to:
Read the chart
Match the problem with its corresponding numerical code from the most current ICD-9 (International Classifications of Diseases) Book
Assign the proper diagnosis code with its numerical code from the CPT (Current Procedural Terminology) Book
The Coding team checks the compatibility of the diagnosis with the procedure code.
Superbill/Patient encounter form
These two codes (Procedural and Diagnostic codes) and any modifier codes that may be needed to better describe the medical problem and its treatment are placed on a patient encounter form or superbill. The patient’s chart is then re-filed and the encounter form/superbill is given to a medical billing team.
For billing purposes, the use of the ICD codes, when juxtaposed with CPT codes, tells the payer
What service has been provided
Lists the diagnosis, symptom, complaint, condition or problem (e.g., the reason for performing the service).
This information is essential for accurate, timely and optimized third-party reimbursement.
Certified coders regularly monitor the work of our coders and external coding and compliance experts periodically audit the coding department.
The PACIFIC advantage
Pacific's main advantage over other peers in this industry is that there is increased accuracy in code selections causing a smoother billing process with quicker and better reimbursement.
Increased revenue for clients
Our experience and technological innovations ensure optimal revenue to physicians and patients.
Our AAPC Certified Coders follow set guidelines and procedures when they code for the patient records for optimized third-party reimbursement. The physician and patient get maximum reimbursement from the Insurance company as the services rendered by the physician are accurately reflected in the medical codes in the superbill, resulting in fewer errors and claims denials.
The result is better collections for physicians and hospitals and fewer missed opportunity costs.
Transparency in our coding methodology gives you access, produces consistency and eliminates the risk of errors.
Feedback and reports
Clients receive regular feedback on coding changes, front-office documentation practices, and periodic reports, such as utilization reviews, case-mix review, and coding-related denial analysis. The reports indicate the charts received from the client, the ICD and CPT codes, the patient name and DOS.
These reports are generated:
To enable us to improve our services, a problem log mentioning unclear files, charts or medical information is raised and is sent along with the files to the client for clarification and instructions.
We audit the entire process of coding. We also ensure that the CPT, HCPCS and ICD codes are based on the AMA and CMS guidelines. Let Pacific take care of your Medical Coding Needs
If you need to outsource your medical coding work to PACIFIC, Simply fill in the inquiry form and our Client Engagement Team will contact you within 24 hours. Let us facilitate the outsourcing process by catering to all your medical coding requirements.