High-accuracy coding at optimized cost and faster turnaround with dual-layer human QA validation.
Provide high-accuracy coding at optimized cost and faster turnaround.
Our hybrid approach ensures:
Artificial Intelligence for initial chart analysis and rapid code generation.
Certified human coders for validation and quality assurance.
Dual-layer QA review before final delivery for payer and audit compliance.
Comprehensive coding for outpatient services and encounters
Accurate coding of physician services and professional fees
Precise diagnosis classification and coding accuracy
Current Procedural Terminology coding with modifier optimization
Healthcare Common Procedure Coding System expertise
Accurate modifier application and compliance verification
Documentation review ensuring medical necessity support
Comprehensive support for compliance and audit readiness
Client charts are received through secure transfer channels. Documents are stored in a HIPAA-compliant, access-controlled platform.
Relevant diagnoses, procedures, and clinical indicators are identified. Draft ICD-10, CPT, and HCPCS codes are generated based on documentation.
Certified QA coders review AI-generated codes. Coding corrections and clarifications are applied where required.
Senior QA auditors perform independent validation. Modifier accuracy, medical necessity, and payer rules are reviewed. Compliance with LCD/NCD and specialty guidelines is confirmed.
The prQA Lead performs final quality sign-off. Approved charts are finalized for delivery. Output files are securely delivered to the client as per SLA.
Only charts passing both QA layers are delivered.
Why Dual QA Is Critical:
This model costs more than single review — but significantly reduces downstream financial losses.
Each client is supported by:
Initial clinical analysis
Primary validation
Secondary review
Escalation & approval
Dedicated assistance
This ensures no chart is delivered without human validation.
Staffing scales proportionally based on chart volume and complexity.
Primary QA Coders
Senior QA Auditors
QA Lead
Operations Support
Our AI-assisted medical coding services with dual-layer human QA validation deliver high accuracy, faster turnaround, and compliance assurance. Let us help you reduce coding errors, prevent denials, and maximize revenue recovery.
Schedule a Consultation Today