Physician Coding Services
AdvantEdge Coding Solutions
- Augmenting coding staff
- Comprehensive coding workflow analysis and implementation
- Coding audits
- Compliance training
- Coding Education
Coding is one of the most important functions of the billing process. Coding professionals have to understand, in great detail, complex regulatory requirements and the clinical work being performed. AdvantEdge has experienced and certified coders with the skills to perform this work at a high level of proficiency every day. Our “standards of ethical coding” highlight the “decision-making” dimensions of coding and outline the company’s expectations for making ethical decisions. All coding work is audited by quality assurance experts to ensure the highest accuracy.
- Use skills and knowledge of coding and classification systems and official resources to select the appropriate diagnostic, procedural, and supply codes, including applicable modifiers, and other codes (including substances, equipment, supplies, or other items used).
- Apply accurate, complete and consistent coding logic and workflow to produce highly accurate coding outputs.
- Assign and report only the codes that are clearly and consistently supported by the provider’s documentation. This documentation is usually the chart or report but also includes all forms, records and other electronic and printed records and/or scanned images of clinical procedures.
- Adhere to ICD coding conventions and official coding guidelines approved by the Cooperating Parties (the American Health Information Management Association, American Hospital Association, Centers for Medicare and Medicaid Services, and National Center for Health Statistics).
- Follow CPT rules established by the American Medical Association, and any other coding rules and guidelines established for use with mandated standard code sets. AdvantEdge coders are all currently preparing for ICD-10 implementation in October of 2014.
- Seek clarification and proper documentation from the provider prior to assigning codes when documentation is conflicting, incomplete or ambiguous.