Accurate & Compliant Medical Coding Services for Optimal Reimbursement
PCH Health delivers precise, compliant, and timely medical coding solutions that maximize reimbursement and streamline your administrative workload.
Our certified coders excel in the latest industry standards and regulatory guidelines, including ICD-10, CPT, CMS, HCC, ASC, and APC frameworks.
Our Comprehensive Coding Services Include:
Professional Fee Coding
Accurate coding for physician services, aligned with specialty-specific documentation.
Facility Coding (Inpatient & Outpatient)
End-to-end coding for hospitals and surgical centers to capture all billable services.
Risk Adjustment Coding
Comprehensive HCC coding for accurate patient risk stratification and RAF score optimization.
Coding Denials, Edits & Appeals
Expert analysis and resolution of coding-related denials, along with documentation support for successful appeals.
Clinical Documentation Improvement (CDI)
Collaboration with providers to enhance documentation quality, supporting accurate coding and better patient outcomes.
Coding Audits as a Service
Proactive audit solutions to identify discrepancies, ensure compliance, and support continuous improvement.
Why PCH Health is the Trusted Choice for Medical Coding Solutions
PCH Health stands at the forefront of medical coding innovation, delivering HIPAA-compliant, end-to-end solutions trusted by hospitals, physician groups, ambulatory surgery centers, and payers nationwide. Our elite team of over 1,200 certified coders across India, the Philippines, and the US combines unparalleled domain expertise with cutting-edge technology to ensure exceptional coding precision, rigorous audit preparedness, and maximized reimbursement outcomes.
Our comprehensive approach integrates the latest regulatory standards and advanced tools, empowering healthcare providers to enhance operational efficiency, reduce compliance risks, and accelerate revenue cycles. With PCH Health, experience a partnership that transforms coding challenges into strategic advantages.
Compliance-First Approach: We continuously monitor regulatory and compliance updates to ensure alignment with CMS guidelines, ICD-10-CM, CPT, HCC, APC, ASC, and DRG coding standards.
Documentation Optimization: Our experts modify and interpret clinical documentation to ensure complete and accurate code capture, reducing the risk of denials and underpayments.
Technology-Driven Efficiency: We leverage the power of AI, Computer-Assisted Coding (CAC), NLP, and rule-based engines to streamline workflows and boost coder productivity while maintaining accuracy.
Robust Auditing & Quality Control: Our team performs comprehensive medical coding audits, identifying gaps, mitigating risks, and supporting continuous improvement across all coding processes.
Strict Adherence to Coding Standards: We follow CCI edits, LMRP/NCD policies, and ensure the correct use of Place of Service (PoS) codes and Modifiers for accurate billing and regulatory compliance.
Proven Results & FPAR Optimization: Partnering with PCH Health means working with a premier medical coding service dedicated to improving First Pass Acceptance Rate (FPAR) and ensuring timely, clean claim submissions.
Reduce claim denials using our Medical Coding Solutions
PCH Health's medical coding service adheres to best practices encompassing quality assurance, transparent reporting and analytics, compliance, monitoring of regulatory changes, and more.
22%
Reduction in overhead cost
<1%
Overall Coding Denials
16M+
Charts coded (annually)
609K+
Charts audited (annually)
End-to-End Medical Coding Solutions for Providers
Our healthcare coding services are designed to help healthcare organizations achieve greater accuracy, regulatory compliance, and revenue integrity. We act as a strategic partner to minimize risk, reduce denials, and strengthen Clinical Documentation Improvement (CDI) programs.
Our healthcare coding solutions combine clinical expertise with advanced analytics, offering deep insights into your coding practices and helping you stay ahead of compliance mandates and payer requirements.
KPI Monitoring & Trend Analysis: Track key performance indicators such as coding accuracy, denial rates, and reimbursement timelines to drive data-backed decisions and performance improvement.
Proficiency in All-Payer, State & Specialty Guidelines: Our coders and auditors are trained in the nuances of commercial payers, Medicaid, Medicare, and specialty-specific rules, ensuring comprehensive compliance across the board.
Upcoding & Down coding Detection: Identify and correct improper coding patterns that can result in audit risks or revenue loss, while also maintaining ethical and legal standards in billing.
Underpayments Detection: Analyze reimbursement gaps and missed revenue opportunities due to under-coded claims or misapplied codes, helping you capture the full value of your services.
Clinical Documentation Alignment: Improve provider documentation to support accurate coding, enhance patient complexity capture, and strengthen your CDI initiatives.
Awards and Certifications
PCH Health's Multi-specialty Healthcare Coding Services
IP DRG Coding
ASC coding
HCC coding
Facility coding
Outpatient coding
Professional fee coding
FAQ
What types of medical coding services does PCH Health offer?
We offer end-to-end coding services including Professional Fee, Facility (IP/OP), HCC Risk Adjustment, CDI, Denials & Appeals, and Coding Audits, tailored to hospitals, physician groups, and RCM companies.
How does PCH Health ensure coding accuracy and compliance?
We follow ICD-10, CPT, HCPCS, HCC, and CMS guidelines, adhere to CCI edits, and conduct multi-level audits. Our certified coders receive ongoing training to stay updated on compliance standards.
What makes PCH Health’s medical coding team unique?
With 1,200+ certified coders across India, the Philippines, and the U.S., we offer specialty expertise, 24/7 coverage, and use of AI, NLP, and rule-based engines for speed and accuracy.
Can PCH Health help reduce claim denials and boost reimbursement?
Yes, we improve First Pass Acceptance Rates by fixing documentation and coding gaps, spotting underpayments, and preventing upcoding/downcoding errors.
Is PCH Health HIPAA-compliant and how is data protected?
Yes, we follow strict HIPAA guidelines, use encrypted systems, and enforce secure access controls to protect all patient data and ensure privacy.