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Client Background
An acute care hospital in Pennsylvania expanded rapidly by acquiring five community hospitals, forming a multi-facility healthcare network with more than 3,200 physicians across 50+ specialties. The system was transitioning to Epic and needed to standardize coding and clinical documentation practices across newly integrated entities while protecting financial performance, quality, and operational continuity.
Client Need
Improve coding bandwidth
Improve CDI bandwidth
Immediate access to specialty coders
Safeguard DNFB metrics
Assistance with transition planning
Improve quality across coding and documentation
Standardize roles and responsibilities
Support for Professional Fee Coding RFI
Solution
Implemented a shared-services coding model using domestic and global resources
Established a shared-services CDI model to unify documentation workflows
Created dedicated specialty coding teams
Created dedicated specialty Clinical Documentation Integrity (CDI) teams
Assigned an experienced account manager for strategic oversight
Assigned a coding operations manager for day-to-day governance
Deployed tailored quality-review processes to strengthen accuracy
Enabled continuous SME collaboration across specialties
Assisted in creating the annual staff-augmentation budget
Deployed a managed team for professional fee coding and operational management
Realized Benefits
Maintained all DNFB metrics throughout the expansion
Improved overall coding accuracy to 97%
Fully met all coding and CDI bandwidth requirements
Maintained quality performance while meeting productivity SLAs
Selected as the single vendor partner in 2021
Supported onboarding of two additional facilities
Successfully ramped a large professional fee coding team to full production
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