Transform Medical Coding Accuracy — Maximize Revenue & Compliance

Accurate medical coding is the backbone of your revenue cycle. Incorrect codes cost healthcare organizations millions annually in denied claims, compliance penalties, and lost revenue. SolvEdge brings AI-powered precision, certified expertise, and seamless workflows to transform your coding process and protect your bottom line.

  • ✓ Reduce Errors
  • ✓ Enhance Efficiency
  • ✓ Optimize Outcomes
I-powered revenue cycle management dashboard for hospitals
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The Cost of Inefficient Medical Coding

Struggling with inaccurate medical codes? Here’s what’s at stake for healthcare organizations

  • 30% of claim denials are caused by coding errors.
  • $118 average cost to rework a denied claim.
  • Missed or incorrect codes lead to revenue leakage and compliance risks.

Why Healthcare Providers Trust SolvEdge for Medical Coding

At SolvEdge, we go beyond basic coding services to deliver

AI-powered revenue cycle management dashboard for hospitals
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Certified Expertise

AAPC/AHIMA-certified coders ensure accurate ICD-9, ICD-10, CPT, HCPCS, HCC coding, and NDC.

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AI-Driven Accuracy

Cutting-edge tools identify and prevent coding errors in real time.

AI-powered revenue cycle management dashboard for hospitals

Specialty Coding Support

Tailored solutions for 20+ specialties, including Orthopedics, Behavioral Health, and Pediatrics.

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Scalable Staffing Solutions

Handle volume fluctuations seamlessly with our on-demand workforce.

Translating Care: The Medical Coding Services Pipeline

1

Documentation of Patient Encounter

Physicians capture comprehensive notes detailing the patient’s symptoms, diagnoses, treatments, and care plans during the visit. This documentation forms the foundational clinical record used for coding and billing purposes.

2

Medical Record Review & Abstraction

Medical coders analyze the physician’s documentation to identify and extract relevant clinical details. This includes diagnoses, procedures, and other health data necessary for accurate code assignment.

3

Code Assignment

Coders convert the abstracted medical information into standardized codes using ICD-10-CM for diagnoses and CPT/HCPCS for procedures. These codes are essential for communicating patient care in a universally recognized format.

4

Quality Assurance & Compliance

Coding accuracy is reviewed through audits to ensure it aligns with regulatory standards and payer guidelines. This step helps prevent claim denials, reduces fraud risk, and ensures legal and financial compliance.

5

Claim Submission & Revenue Cycle Integration

Finalized codes are compiled into insurance claims, which are submitted to payers for reimbursement. This initiates the revenue cycle, impacting provider payments and overall financial health.

Features That Make SolvEdge Stand Out

SolvEdge’s medical coding services are designed for efficiency and accuracy

AI-Powered Coding Assistance

  • Real-time compliance verification and error detection.
  • Intelligent dashboards that track and improve coding accuracy.

Clinical Documentation Improvement (CDI)

  • Enhance HCC coding and documentation quality.
  • Ensure compliance with payer-specific guidelines.

Custom Solutions Across Care Settings

  • Expertise in inpatient, outpatient, and specialty coding.
  • Adaptable strategies for hospitals, clinics, and independent practices.

Compliance Assurance

  • Ensure regulatory adherence with HIPAA-compliant workflows.

The SolvEdge Advantage — Results You Can Measure

Partner with SolvEdge to experience transformative results:

Before SolvEdge
Frequent errors, low first-pass rate
Delayed payments
Growing backlogs, under-resourced
High risk of audit issues
Missed charges, undercoding
After SolvEdge
Cleaner claims, higher first-pass rate
Faster, timely reimbursements
Reduced backlog via scalable expert teams
Improved compliance, proactive updates
Accurate reimbursements, revenue secured

Results That Speak Volumes

Healthcare organizations partnering with SolvEdge have achieved

AI-powered revenue cycle management dashboard for hospitals
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Client Testimonials

“SolvEdge’s coding services revolutionized our revenue cycle—improved accuracy and compliance saved us millions!”

CFO
Leading Health System

Transform Your Medical Coding Today

Partner with SolvEdge to achieve unparalleled accuracy, compliance, and financial performance.

FAQ – SolvEdge Medical Coding

Yes, medical coding can be self-taught with the right resources, including industry-standard coding manuals, online courses, and certification programs. However, achieving proficiency requires discipline, hands-on practice, and a deep understanding of healthcare regulations and terminology.

Absolutely. Inpatient and outpatient coding follow different coding guidelines and use distinct code sets. Inpatient coding primarily utilizes ICD-10-CM and ICD-10-PCS, while outpatient coding often relies on ICD-10-CM and CPT/HCPCS codes.

One common challenge in medical coding is keeping up with frequent updates in coding standards and payer requirements. Additionally, coders often face pressure to balance speed with accuracy in high-volume environments.

The most demanding aspect of medical coding is interpreting complex clinical documentation to assign accurate codes. It requires critical thinking, attention to detail, and thorough knowledge of coding guidelines and medical terminology.

The three primary types of medical codes are ICD-10-CM (for diagnoses), CPT (for procedures and services), and HCPCS Level II (for supplies, equipment, and non-physician services). Together, they ensure comprehensive documentation and billing across healthcare settings.

Our certified coders leverage AI-assisted methods to ensure precision, compliance, and efficiency. Regular audits and real-time error detection minimize inaccuracies.

Our services are tailored for hospitals, outpatient clinics, specialty practices, and multi-location providers.

CDI bridges gaps between clinical documentation and coding, ensuring accurate HCC coding and risk-adjusted payments.

Yes, all our workflows and software adhere to HIPAA and payer-specific regulations, ensuring data security.

Absolutely. Our scalable staffing solutions provide on-demand support to handle fluctuations in volume or staff availability.