Outsourced Coding Boosted Accuracy in Just 3 Months
- The Problem: A multi-specialty group’s coding accuracy stalled at 90%, denials increased, and staff spent excessive time reworking claims, slowing cash flow.
- Root Cause: In-house coders faced payer rule changes, specialty complexity, high turnover, and limited audit bandwidth — leading to small but costly errors.
- Our Approach: Conducted a baseline audit, assigned specialty-specific certified coders, and implemented daily quality feedback loops for continuous improvement.
- Smart Tech Support: Integrated a simple workflow tracker to flag documentation gaps, monitor accuracy, and provide real-time performance visibility.
- Measurable Results in 3 Months: Accuracy improved from 90% to 98%, denials dropped from 8% to 3%, turnaround time reduced from 5 to 2 days, and productivity increased 20%.
- Revenue Impact: The practice achieved a 7% increase in monthly collections — unlocking existing revenue without adding patients or changing contracts.