Medical Coding Services

Our Services

Medical Coding Services

Expert medical coding services to ensure accurate code selection and maximize reimbursement for healthcare services provided by your practice.

Medical Coding

Overview

Medical coding is the critical link between clinical documentation and proper reimbursement. At Omega Medical Billing, our team of certified coders specializes in translating complex medical procedures, diagnoses, and services into the appropriate codes required by insurance payers.

We stay current with the latest coding guidelines, payer policies, and regulatory changes to ensure your claims are coded accurately and completely. Our coders have expertise across multiple specialties and are proficient in all major code sets, including CPT, HCPCS, and ICD-10-CM/PCS.

Why Choose Us

Benefits of Professional Medical Coding

Increased Accuracy

Increase coding accuracy, reducing denials and improving first-pass payment rates for faster reimbursement.

Optimized Reimbursement

Optimize code selection to ensure appropriate reimbursement for all services provided by your practice.

Reduced Compliance Risk

Reduce compliance risks associated with coding errors or outdated practices through our expert oversight.

Eliminate Backlogs

Eliminate coding backlogs that delay claim submission, allowing your staff to focus on patient care rather than complex coding tasks.

Our Process

Medical Coding Process

Our comprehensive approach ensures accurate code selection, compliant documentation, and optimal reimbursement for your practice.

Documentation Review & Analysis

Our certified coders meticulously review clinical documentation to ensure all services can be accurately coded. This critical first step includes:

Comprehensive review of provider notes and clinical records
Identification of all billable procedures and services
Assessment of documentation quality and completeness
Clarification requests for ambiguous documentation
Identification of documentation improvement opportunities

Code Assignment & Validation

We assign the most specific and appropriate codes based on documented services. Our code assignment process includes:

Accurate CPT, HCPCS, and ICD-10 code selection
Application of appropriate modifiers
Comprehensive validation using coding tools and resources
Correct linkage between diagnosis and procedure codes
Implementation of payer-specific coding guidelines

Claim Review & Scrubbing

We thoroughly review claims to identify and resolve potential coding issues before submission. Our claim review process includes:

Verification of coding accuracy and completeness
Medical necessity validation
Identification of bundling and unbundling issues
Application of correct code sequencing
Adherence to National Correct Coding Initiative (NCCI) guidelines

Quality Assurance & Auditing

We implement rigorous quality control measures to ensure coding accuracy. Our comprehensive QA process includes:

Regular coding audits by senior certified coders
Review of high-risk, high-volume, and complex cases
Tracking of coder accuracy and performance metrics
Identification of coding patterns and trends
Implementation of continuous improvement protocols

Provider Education & Feedback

We provide ongoing education to improve documentation quality at the source. Our provider education program includes:

Targeted feedback on documentation patterns and opportunities
Specialty-specific coding guidelines and best practices
Updates on coding changes and regulatory requirements
Documentation improvement recommendations
One-on-one consultations for complex coding scenarios

Omega's coding team identified $52,000 in missed charges during our first quarter. Their expertise in orthopedic coding has significantly improved our revenue and reduced our audit risks.

Dr. James Peterson

Mountain View Orthopedics

Partnering with Omega for our medical coding needs has been transformative. Their attention to detail and compliance expertise has virtually eliminated our coding-related denials.

Dr. Sarah Collins

Lakeview Family Practice

The documentation education provided by Omega's coding team has been invaluable. Our providers now understand exactly what to document, resulting in cleaner claims and faster payments.

Dr. Michael Chen

Westside Cardiology Group

Medical Coding Services

Our Services