As a health care leader, it is your job to navigate resource allocation and reduce administrative burden. Canada’s strict ICD-10-CA standards and workforce pressures have led administrators to look beyond in-house models. Outsourcing medical coding is an excellent option to enhance data accuracy and ensure compliance. Here’s how to find the best solutions for your team.
What Are the Best Medical Coding Outsourcing Companies?
Medical coding vendors are an extension of your in-house team. These professionals offer specialized support tailored to your operational needs. Here are the five best medical coding outsourcing companies.
1. Global Healthcare Resource
Global Healthcare Resource is the top option for outsourcing because it specializes in innovative solutions. For over 20 years, the company has excelled in revenue cycle management, medical coding and patient contact center services. Its coders are trained to meet your designated certifications and workflows while maintaining peak accuracy. You can rely on these professionals across numerous clinical specialties.
Key features:
- SOC 2 Type 2 compliant
- Over 7,000 staff members with compliance expertise
- 27 years of experience in outsourcing services
- 98% accuracy rate
2. Oracle BCC
Oracle BCC tailors its solutions to companies of all sizes. The company handles coding, billing and compliance so your in-house staff can focus on patient care. You can trust Oracle BCC because of its team of skilled professional coders. Its focus is on ensuring compliance and helping you achieve the maximum allowable reimbursements.
Key features:
- Turnaround time of 24-48 hours
- High coding and audit accuracy
- Highly skilled professional coders
- Consistent training, outcome monitoring and on-site engagement
3. Access Healthcare
Access Healthcare enhances code quality and reduces claim denials through its expert team. The company ensures ICD-10 compliance while reducing turnaround times and improving your revenue cycle. You can count on highly skilled coders who are vetted, trained and regularly tested. Health care professionals use this platform for its high level of transparency. You can see which coders are working on your accounts and view their auditing scores.
Key features:
- ICD-10 expertise
- Reduced AR backlogs
- Thorough vetting and training for coders
- Platform with 100% transparency
4. Optum Business
Optum Business uses industry-leading technology and clinical intelligence to deliver medical coding solutions. The company delivers coded services on time, ensuring optimal uptime. Health care organizations of all sizes use Optum Business due to its scalable support. It offers numerous tiers of coding services backed by computer assistance, contributing to its efficiency and accuracy.
Key features:
- CPT, HCPCS, ICD-10 and ICD-9 medical coding
- Multiple tiers of medical coding support
- AI-infused coding and CDI platform
- Solutions delivered promptly
5. GeBBS Healthcare Solutions
GeBBS Healthcare Solutions improves financial outcomes through tech-enabled revenue cycle management. The company has specialized professionals with certification and proprietary technology by their side. Each coder is trained to identify errors, assess compliance risk and implement quality assurance processes. Health care organizations benefit from GeBBS’s approach toward cost containment, denial prevention and accurate reimbursement.
Key features:
- 2 million charts coded annually
- Over 300 partnering health care organizations
- PCI-DSS certification
- ISO 9001 certification
Methodology to Determine the Best Medical Coding Outsourcing Companies
Outsourcing medical coding impacts your facility’s financial health and compliance standing. Ensure you make an informed choice by implementing a rigorous evaluation process. Here are seven criteria used to determine the top companies.
| Coding accuracy | The company must demonstrate a consistently high accuracy rate. |
| Regulatory compliance | Adherence to all relevant data privacy laws is essential. |
| Data security | The company’s data encryption standards and technical infrastructure are assessed. |
| EMR integration | Coders must be able to integrate with electronic medical records securely. |
| Staff credentials | Coders should hold certification from recognized bodies, such as AAPC or AHIMA. |
| Turnaround time | A company’s commitment to short turnaround times is essential. |
| Scalability | The services should be scalable to help manage patient volumes and seasonal surges. |
Optimizing RCM With Outsourced Medical Coding
Efficient and resilient health care operations rely on strong medical coding strategies, and outsourcing this critical task offers cost savings and improved accuracy. Modern companies leverage technological power and specialized expertise to meet your specific needs. Use a comprehensive evaluation process to determine the best partner for your organization. Once you outsource medical coding, your staff can focus more time on patient care.