Health Information Management: Accurate, Productive and Reliable Coding and Auditing Services

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Our goal at RCM Health Care Services is to provide healthcare organizations with experienced medical coding professionals who provide the coding accuracy and productivity our clients expect. We manage staffing shortages, backlogs, vacation coverage and long-term coding support.

We commit to the RCM promise of in-depth screening and interviewing. We proctor coding exams to every consultant before we make a hiring decision to ensure only the best coders are considered.

 


Medical Coding and Auditing Services

RCM coders must score 85% or higher on RCM’s internal coding exams and have four or more years of recent coding experience in a production-based environment. Our coders go through a rigorous testing and interviewing process. There are ongoing quality checks once on boarded, with an emphasis on productivity and accuracy. Productive and accurate coding is what we’re known for, so we only hire the best. RCM offers a wide-range of experienced and credentialed medical coders who can travel onsite or work remotely. Each RCM coder must be credentialed from AAPC or AHIMA.

  • Coding Services (On-site, Travel & Remote)
  • Coding Audits (Pro-fee & Facility)
  • HCC Coding
  • DRG Validation
  • Interim Directors/Managers/Supervisors
  • Complete outsource of Coding Department
  • Off-shore Coding solutions – 100% AHIMA and/or AAPC certified
  • Customizable Coding Services – Full or partial coding outsource, temp, backlog, or overflow support
  • On-going Quality Assurance reviews with Audit Report readily available for the client
  • Ability to provide coding support 7 days a week
  • 24-48 hour coding turnaround time

Risk Adjustment Solutions

RCM’s Risk Adjustment Coding, RAD-V/IVA and Quality Improvement solutions utilize HCC and HEIDS navigation software to receive up to one million charts at a time for turn-around and QA. Submissions are exported into RAPS and EDS files. Our highly trained team of risk adjustment experts are US based, who only work from secure RCM machines. Our solutions are available on a per-chart or hourly bill rate basis.

We stand by our guarantee for productivity and accuracy. RCM RA Solutions include but are not limited to:

  • Commercial & Medical Risk Adjustment Coding
    • MRA/HHS/CDPS Risk Models
    • Retrospective and Prospective
  • Initial Validation Audit (IVA) & RADV
  • HEDIS Quality Measure Review
    • PQRS for group/ACO Submission under
    • Medicare Part B (MIPS Beginning in 2017)
  • Medical Record Data Abstraction
  • Provider Education
  • Chart Retrieval

Clinical Documentation Improvement (CDI)

  • Physician Education & Training
  • Interim CDI Directors & Managers
  • CDI Staff Augmentation
  • Adaptable to Organizations Program & Goals
  • Onsite & Remote Support Available

EMR Consulting

  • Epic
  • Cerner
  • McKesson
  • Siemens
  • Meditech
  • Allscripts
  • NextGen
  • GE
  • eClinicalWorks

Executive Search & Permanent Placement

Our Health Information Management recruiting search expertise includes, but is limited to, the following HIM roles:

  • Director of Health Information Management (HIM)
  • HIM Manager and Supervisor
  • Coding Manager
  • HIM Operations Manager and Supervisor
  • Medical Coder
  • Medical Auditor
  • CDI Specialist
  • EMR/EHR Project Manager/Analyst
  • Clinical Informaticist
  • Cancer Registrars
  • Trauma Registrars