HCC Coding

Medical Record Coding Services & Training

Better Coding for a Better Bottom Line – Powered by technology, certifications and experience

Ciox Health offers a reliable, high quality outsourced HCC Coding/Risk Adjustment Coding solution staffed by certified professional coders and powered by technology. Our services incorporate coding specialists, effective processes and NLP technology to assure you capture the true clinical picture of your health plan’s membership. Our goal is to help you eliminate backlogs, risk of errors, and underpayment.

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How Does HCC Coding Work?

Ciox Health addresses HCC Coding, also known as Risk Adjustment Coding, challenges by partnering with your facility to customize a coding solution to meet your needs.

Every health plan has its own specific staffing challenges. Your solution depends on your existing HCC coding team and the gaps you need to fill. Whether you need an outsourced team, support handling fluctuations in volume, or training for your existing staff, we can offer the industry’s highest quality coding experts to serve you.

Optimal HCC Coding Support

Ensure maximum HCC reimbursement and CMS compliance with Ciox’s broad range of HCC coding and data abstraction services for health plans. Ciox has the technology to manage structured and unstructured data. We offer first pass and second level reviewing coding services with Cross Check™, using natural language processing with machine learning to enhance your ability to find codes you need quickly. And we have flexible onshore and offshore coding capabilities that can be customized for your needs to:

Ensure all conditions treated are documented to the greatest specificity possible
Advance coding accuracy
Automate second-level reviews
Reduce costs
Deliver improved results

Traditional outsourced coding – Ciox will fulfill all your coding needs with our outsourced medical coding services model, providing CSS-certified expert coders who can deliver high-quality coding and audit services compliant with ICD-10.
Coding augmentation for transitional support – If you want to keep coding in-house but still need assistance with high volumes or supplemental staffing, our augmentation model fills your staffing gaps quickly.
Partnership program with full consultative support – Ciox offers consultative medical coding and auditing services to enhance your in-house coding model and ensure success with high rates of coding accuracy.
Second Level and Third Level Reviews – using our Cross Check service.

Ciox’s collaborative approach to coding, auditing, and quality monitoring provides consistent operational and financial benefits to our organization.
– Nancy Rhodes, VP Revenue Cycle, Thomas Jefferson University Hospitals

Risk Adjustment Solutions

Medicare Advantage, Medicaid, ACA & CMS Direct complete services & technology

Quality Medical Record Retrieval

HEDIS, RAD-V & STARS, Digital and Traditionally retrieved medical charts & abstraction

Digital Connectivity

Ciox Digital Direct identifies electronically available member encounters for health plans, improving access and outcomes, saving time and resources, and expediting fulfillment without provider abrasion.

Business Intelligence/Analytics

Pre & Post Chase Member analysis and insight

Second Level Review Coding

Cross Check – NLP & Machine Learning powered 2LR Coding service

Ciox Data Utilities

Add value to digital clinical chart retrievals with Structured Data Delivery and Data Harmonization

Medical Record Coding Services & Training

Clinical Data Acquisition

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How Does HCC Coding Work?

Optimal HCC Coding Support

Risk Adjustment Solutions

Quality Medical Record Retrieval

Digital Connectivity

Business Intelligence/Analytics

Second Level Review Coding

Ciox Data Utilities

Contact Ciox to Learn How to Improve Your HCC Coding

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