Client Background
A private, not-for-profit community hospital. The client struggled to fully staff their coding department for years, resulting in contractors from various coding vendors. Quality, coding bandwidth and standardization was causing significant financial challenges.
Client Need
Improve coding quality
Fully-managed coding support
Find a reliable single-vendor partner
Maintain DNFB performance
Solution
Deployed a scalable coding team aligned to volume, specialty mix, and accuracy goals
Designed a customized Audit and Education program to strengthen quality and reduce defects
Standardized performance metrics across coders, specialties, and reporting cycles
Assigned a dedicated Account Manager to oversee strategy, communication, and governance
Assigned a dedicated Coding Operations Manager to drive daily production and SLA compliance
Provided SME support across key specialties
Delivered weekly reporting and weekly operational huddles to maintain transparency
Implemented denials management solutions to address root causes and reduce financial leakage
Realized Benefits
96% adherence to productivity SLAs
98% coding accuracy achieved through audit, education, and SME oversight
Consistent adherence to DNFB SLAs
Recognized as the hospital’s single vendor partner following sustained performance
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