Medical Record Coding

Cotiviti’s AAPC- or AHIMA-certified clinician coders have an in-depth understanding of risk adjustment coding standards and specific Centers for Medicare and Medicaid Services (CMS) rules and guidelines. Our coders review digitized medical records, considering the appropriate diagnosis condition hierarchies and interactions. They provide thorough code capture from a member’s medical chart to ensure that all appropriate diagnoses are identified and supported in preparation for submission to CMS. On average, 96 percent of Medicare charts suspected, retrieved, and coded by the Cotiviti Risk Adjustment team contained undocumented chronic conditions.

Benefits

Achieve >95 percent coding accuracy
Improve coding project turnaround times
Facilitate provider education on appropriate medical chart coding
Improve submissions compliance
Reduce risk adjustment data validation (RADV) audit risk

Download our fact sheet to learn more.

Medical Record Coding

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