MID-CYCLE CLINICAL CODING & AUDITING

Health Information Management: Precision Medical Coding & CDI

Healthcare coding compliance has never been more complex. Nova Arc provides certified AAPC and AHIMA credentialed coding teams backed by autonomous Computer-Assisted Coding (CAC) review to eliminate unbilled backlogs and optimize reimbursement.

Health Information Management: Precision Medical Coding & CDI
98.6%
Audited medical coding accuracy benchmark
<24 Hours
Average chart completion turnaround time
100%
Certified AAPC/AHIMA credentialed coding specialists
18.4%
Average improvement in HCC RAF score capture
SPECIALIZED CLINICAL EXPERTISE

Full-Spectrum HIM & Medical Coding Solutions

From acute inpatient facility DRG coding to multi-specialty ambulatory clinics and risk adjustment, our coders deliver unmatched quality and compliance.

Inpatient Facility & DRG Coding

Expert assignment of ICD-10-CM/PCS codes, MS-DRG and APR-DRG optimization, CC/MCC capture, and hospital-acquired condition (HAC) validation.

  • MS-DRG & APR-DRG optimization
  • CC/MCC secondary diagnosis capture
  • Length-of-stay & SOI/ROM alignment

Outpatient & Ambulatory Coding

Accurate CPT, HCPCS Level II, and modifier selection for same-day surgeries, emergency departments, radiology, pathology, and observation encounters.

  • APC reimbursement accuracy
  • Modifier -25, -59, -XU compliance
  • NCCI edit resolution

Professional Fee (ProFee) Coding

Physician specialty coding adhering to 2021/2023 E/M guidelines, procedural operative reports, and split/shared service regulations.

  • Medical decision making (MDM) scoring
  • Time-based E/M documentation
  • Multi-specialty surgical coding

Clinical Documentation Improvement

Concurrent and retrospective chart reviews identifying documentation gaps, clarifying clinical specificity, and assisting physician query creation.

  • Concurrent inpatient CDI
  • Compliant physician queries
  • Case mix index (CMI) protection

HCC & Risk Adjustment Coding

Comprehensive review of chronic condition documentation to capture accurate Hierarchical Condition Categories (HCCs) for Medicare Advantage and ACA plans.

  • MEAT criteria verification
  • Annual condition re-capture
  • RAF score revenue optimization

CAC Review & Quality Auditing

Rigorous triple-tier auditing validating Computer-Assisted Coding engine suggestions, catching missed codes, and upholding strict compliance.

  • Triple-tier coding QA
  • Pre-bill compliance reviews
  • Monthly physician education clinics
CLINICAL EXCELLENCE

Balancing Speed, Accuracy, and Regulatory Compliance

A delay in medical coding stalls your entire billing engine, while hasty coding triggers payer audits and takebacks. Nova Arc delivers the perfect balance of rapid chart turnaround and certified precision.

  • Eliminate Discharged Not Final Billed (DNFB)

    Scalable coding pods scale up dynamically to absorb seasonal volume surges and eliminate chart backlogs within 48 hours.

  • Defensible Compliance & Audit Defense

    Every code assigned is backed by clear clinical documentation, protecting your organization against RAC and OIG audit takebacks.

  • Optimal Reimbursement Capture

    Thorough review ensures all legitimate comorbidities, complications, and high-complexity procedures are captured ethically.

  • Physician Query Management

    Compliant, non-leading queries submitted through your EHR clarify ambiguous documentation without burdening clinical providers.

Balancing Speed, Accuracy, and Regulatory Compliance

Ready to Benchmark Your Coding Accuracy and Reduce DNFB?

Receive a complimentary 50-chart sample audit conducted by our AHIMA-certified coding auditors.

Request Complimentary Coding Audit

Ready to Elevate Your Revenue Cycle Performance?

Speak with our senior revenue cycle architects for an objective operational diagnostic, baseline denial analysis, and customized ROI projection.