Code Healthcare Solutions
Services
You Deliver Quality Care.
We Deliver Revenue Results.
Consulting
Consult with our certified experts to strengthen every aspect of your revenue cycle. We specialize in clinical documentation integrity (CDI), risk adjustment (HCC) capture, quality (HEDIS®) reporting, along with coding, billing, and internal process optimization.
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Our team partners closely with providers and leadership to uncover workflow inefficiencies, implement proven best practices, and develop tailored strategies.
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The result: improved compliance, maximized reimbursement, and stronger overall operational performance.
Medical Coding
CHS’ certified coders translate clinical documentation into accurate, standardized alphanumeric codes for diagnoses, procedures, services, and equipment. This critical step in the billing process ensures claims are complete, compliant, and ready for submission.
Medical coding demands precision and discipline. Our team applies deep expertise and attention to detail to capture the highest level of specificity—supporting timely, accurate reimbursement while maintaining full compliance with regulatory requirements and payer guidelines.
HCC Risk Adjustment
Our Certified Risk Adjustment Coders (CRC) analyze patient data to deliver actionable insights that support accurate risk adjustment (HCC) capture and reporting. By ensuring conditions are fully and precisely documented, we help optimize reimbursement, strengthen compliance, and provide a clearer picture of patient complexity.
Care Gap Closure
We help practices identify and close gaps in care by analyzing patient records, clinical documentation, and workflow patterns.
Our insights highlight missed opportunities, enabling providers to enhance patient outcomes, improve performance on quality measures, and confidently meet reporting requirements through accurate CPT II coding.
Pre -Visit Chart Preps
Our pre-visit chart preparation services organize and review patient records ahead of scheduled appointments to identify care gaps, risk adjustment (HCC) suspects, and documentation needs. This proactive approach equips providers with the insights they need for more efficient, focused, and productive patient encounters.
Clinical Documentation Integrity (CDI)
Our clinical documentation (CDI) reviews ensure that records fully support coding prior to claim submission. By strengthening documentation accuracy and completeness, we help reduce denials, enhance compliance, and improve documentation integrity.
Claims Defense
Our claims remediation services address denied and rejected claims with a strategic, data-driven approach. We identify root causes, combat AI-down coding, implement corrective actions, and manage the appeals process to ensure accurate resubmission and faster resolution.
The result: improved payer outcomes, reduced revenue leakage, and accurate reimbursement.
Education
We deliver targeted, role-specific education for providers and staff designed to strengthen accuracy, compliance, and overall performance. Our training equips teams with the knowledge and best practices needed to support optimal reimbursement, improve documentation quality, and drive better patient care outcomes.
Due Diligence Analysis
We provide comprehensive coding, billing, and documentation reviews to assess organizational risk and readiness. Our due diligence process identifies vulnerabilities, ensures alignment with regulatory standards, and positions your organization for audit readiness with confidence.