Contract Coding

Process

Via the client’s electronic medical record system, St. Clair’s professionally, certified Senior/Associate Consultants, with generally 10+ years of HIM consulting experience, perform off-site contract coding for hospitals to assist in eliminating their backlogs in the original coding of inpatient cases and/or outpatient encounters.  In performance of such engagements, St. Clair consultants abide by the AHIMA Standards of Ethical Coding, adhere to all official coding guidelines, and use such coding references as Coding Clinic and CPT Assistant.

In coding such referred inpatient (IP) case records, St. Clair Senior/Associate Consultants assigns the proper ICD-9-CM or ICD-10-CM IP diagnosis/procedure codes, together with the proper “Present on Admission” indicators.  In coding such referred OP encounter records as OP-clinic, OP-ancillary, emergency room (ER), observation, urgent care (UC), ambulatory surgery, and interventional radiology, St. Clair consultants assign the proper ICD-9 or ICD-10-CM OP diagnosis codes and CPT/HCPCS codes.   Also, for ER and UC records, St. Clair consultants assign, if requested, the proper Evaluation and Management (E&M) code.

Pricing Approach

The St. Clair professional fee for contract coding  is competitively priced per type of case coded.