Healthcare Revenue Cycle Management (RCM) Companies

Outsourced Medical Coding Teams · Services Include

ZechionMed offers dedicated coders that function as a complement to the team within your internal RCM team.

• Specialists in medical coding certified
• Specialized coders dedicated to a specific area
• Production-based code support
• Monitoring of quality
• Workflow management for the Coding process
• Processes for coding that are client-specific

Outsourced Medical Coding Teams

Supported Coding Areas

• Physician coding
• Facility Coding
• Outpatient coding
• Inpatient coding
• Emergency department coding
• Urgent care coding
• Specialty practice codes
• Telehealth coding
• Radiology coding
• Laboratory Coding
• DME Coding
• The benefit: RCM companies can increase their capacity for coding without increasing internal staffing and operational expenses.

Coding Quality Audits & Compliance Reviews

Audit Services Include ZechionMed assists RCM companies improve accuracy in coding through quality assurance programs run by independent experts.

• CPT code validation
• ICD-10-CM assessment of accuracy
• HCPCS code verification
• Modifier review
• Assessment of compliance with documents
• Coding guideline validation
• Error trend analysis

Coding Quality Audits & Compliance Reviews

Quality Programs

• Audits of the pre-bill coding process
• Post-bill audits on coding
• Random chart audits
• Audits of speciality codes
• Monitoring of compliance
• Benefits: Improves client satisfaction by providing higher accuracy in coding and reducing claims-related issues.

Specialty Coding Support · Medical Specialties

Healthcare facilities require specialization in codes that cover a variety of medical specialties. ZechionMed offers specialized training in coding to:

• Cardiology
• Orthopedics
• Oncology
• Radiology
• Pathology
• Gastroenterology
• Neurology
• Pulmonology
• Sleep medicine
• Management of pain
• Health and behavioral
• Dermatology
• Podiatry

Specialty Coding Support · Advanced Coding Support

• Coding for complex procedures
• Review of surgical coding
• Coding of the Drug Administration
• Review of specialties' documentation
• Coding requirements for payment specific to the payer
• Benefits: Enables RCM companies to offer more health-related specialties without acquiring internal knowledge.

Overflow Coding Assistance

RCM companies typically have temporary increases in their work load for coding because of:

• New client in the process of boarding
• The volume of seasonal traffic rises
• Staff shortages
• Large provider shifts
• System migrations
• ZechionMed provides flexible overflow code support.

Overflow Coding Assistance · Services Include

• Temporary capacity for coding
• Processing of high-volume charts
• Solutions for temporary staffing
• Priority Backlog Management
• Rapid production assistance
• Benefits: Helps RCM companies keep SLAs (SLAs) without a rise in permanent personnel.

Medical Coding Backlog Reduction

A delay in the coding process can affect provider cash flow and performance of RCM. ZechionMed assists in removing backlogs of coding by:

• Review of historical charts
• Uncoded claim for cleanup
• Priority code workflows
• Management of rapid turnaround times
• Quality assurance following the completion

Medical Coding Backlog Reduction

Backlog Support Areas

• Physician coding backlog
• Backlog for specialty coding
• Backlog in facility coding
• Claim correction projects
• Audit Recovery projects
• Benefits: Helps RCM companies to improve productivity and enhance customer relations.

Growing Demand for Outsourced Coding Capacity

The healthcare industry and RCM companies are outsourcing more codes to:

• Reduce operating costs
• Gain certified expert knowledge in code
• Increase turnaround times
• Manage the complexity of claims
• Strategic code partnerships enable RCM companies to expand more quickly without the need for significant infrastructure investment.

Increased Specialty Coding Complexity

Healthcare reimbursements are becoming more complex because of:

• Advanced techniques
• Specialty medicines
• Telehealth expansion
• Models of care based on value
• Modifying the payer's policies
• RCM businesses require specialized Coding partners to ensure the accuracy across various healthcare segments.

AI-Assisted Revenue Cycle Operations

By 2026 RCM businesses are implementing:

• AI-assisted coding validation
• Automated review of claims
• Predictive denial analytics
• Documentation intelligence tools
• ZechionMed is able to support technology-based RCM workflows through combining expertise in coding with processes that are focused on quality.

Focus on Denial Prevention & Clean Claims

Health care organizations are focusing on:

• First-pass claim acceptance
• Accuracy of documentation
• Coding conformity
• More rapid reimbursement cycles
• Coding of high-quality has become a significant benefit to RCM providers.

Expand Your RCM Capabilities Without Hiring

Expand Your RCM Capabilities Without Hiring Challenges To create an internal coding department will require:

• Recruitment
• Training
• Management of certification
• Monitoring quality
• Management of the workforce
• ZechionMed provides ready-to-deploy coding resources.

Access Certified Specialty Coding Expertise

Our assistance with coding can help RCM companies manage:

• Complex specialties
• Code projects that are high-volume
• Specific requirements for clients
• Workflows that are focused on compliance

Improve Client Satisfaction

Better coding accuracy helps RCM companies deliver:

• Faster reimbursement
• Fewer denials
• Higher clean claims rates
• Better relationships with providers

Reduce Operational Costs

Outsourcing reduces:

• Costs for employees
• Costs of training
• Investments in technology
• Management overhead

Scale Faster With Flexible Coding Capacity

ZechionMed supports RCM companies during:

• Acquisition of clients
• Expansion of business
• Demand for seasonal products fluctuates
• Large-scale implementation projects