Medical Coding
Medical coders are the latent drive force who manage behind- the- scene operations so that the revenue cycle management can be processed in a perfectly oiled manner. Medical coding and billing are the processes in healthcare revenue cycle management required before insurance and reimbursement claim submissions. Errors associated with coding, processing, and medical administrative procedures; medical insurance is most often the ground for claim denials.
Medical coding infuses and transforms the information abstracted from patients’ medical records into globally -accepted, industry specified -standard medical codes based on major classification structure like - Current Procedural Terminology (CPT codes) defines the functions and services the healthcare organization executed for or on the patient Healthcare Common Procedural Coding System (HCPCS Level II codes) which involves ASC’s, chemotherapy drugs, prosthetics, supplies, outpatient hospital facilities, reliable medical equipment and International Classification of Diseases, which encodes for patient’s injury or diseases. (ICD-10-CM)
It is an in-lieu translation of traditional documentation starting from the reason for visit, symptoms, description of the disease, test administered, medication history, outpatient procedure, etc., and assigning standardized and specialized alpha-numeric, numeric codes. These serve as an organized systematic universal bridge language between, hospitals, doctors, insurance agencies, government healthcare providers, and other health sector organizations.
MEDICAL CODING CERTIFICATIONS
The healthcare monetary cashflow stream depends on the documentation of what was requisitioned, learned, decided, diagnosed, and operated on concerning the patient.
A patient's diagnosis, treatment, test results must be documented, not only for reimbursement and insurance but also to ensure high-quality systematic care for future visits. Therefore, the coding has to be meticulous, accurate, in compliance with HIPAA regulations.
These certifications entitle you with the gold standard in medical coding, documentation, practice management, and compliance, nationally recognized by employers, government agencies, and medical organizations.
CPC- Certified Professional Coder
The CPC credential is the gold standard for medical coding competency required for the job of professional coder specialized in services performed by physician and non-physician providers. Along with coding proficiency with CPT®, HCPCS Level II, and ICD-10-CM,
COC - Certified Outpatient Coder
The COC exam validates your reimbursement and outpatient payment criteria knowledge along with CPT, ICD-10-CM, and HCPCS Level II coding skills. This involves, abstraction and review of outpatient care procedures (e.g., emergency department, ASCs)
CIC - Certified Inpatient Coder
The CIC validates the expert level of competence and experience of the coder in distilling information from the inpatient medical record documentation for Inpatient Prospective Payment Systems (IPPS), ICD-10-CM Volume 1-3 coding, and specialized payment criteria knowledge in MS-DRGs.
CPCO - Certified Professional Compliance Officer
We created the CPCO certification to help manage Healthcare compliance with complex Federal healthcare law increased probe on Medicare fraud and abuse, governmental regulatory guidelines — including internal compliance reviews, audits, risk assessments, quality control, human resource management, marketing, and accounting.
CPPM- Certified Physician Practice Manager
CPPM certifies for services management of multiple processes, like revenue cycle, human resources, health information, business processes, etc It’s the sensible next step for those with experience in other healthcare fields and is venturing to advance their careers in physician practice management.
Xpert Healthcare Group is a professionally managed 100% HIPAA compliant Medical Coding and Healthcare Services company