AI-Driven Medical Coding Solutions for Healthcare
Compliance-ready AI coding that elevates revenue outcomes.
AI-Driven Medical Coding Solutions for Healthcare
Compliance-ready AI coding that elevates revenue outcomes.
Compliance-ready AI coding that elevates revenue outcomes.
Compliance-ready AI coding that elevates revenue outcomes.
Decision Coding is a healthcare consulting and medical coding firm specializing in Risk Adjustment (HCC/HIX/CRG), revenue cycle improvement, AI-supported coding solutions, and regulatory compliance. The company brings more than 20 years of experience across inpatient and outpatient settings, including Family Practice, Internal Medicine, Geriatrics, and E/M house-call services, and is available to support additional medical specialties based on contract requirements.
Decision Coding delivers high-accuracy coding, auditing, and billing support, with proven results in documentation integrity, reimbursement optimization, and compliance alignment. The firm also provides advanced technical support to medical software companies, including development of Potential Codes Evaluation (PCE) rules, ICD-10 and HCC logic validation, and AI-driven coding and population health algorithms.
Committed to delivering compliant, efficient, and technology-forward solutions, Decision Coding strengthens provider performance, revenue integrity, and data accuracy across the healthcare ecosystem.
Medical Coding Services
Medical coding services include HCC, HIX, CRG, Medicare, Medicaid, and commercial coding, with a focus on both inpatient and outpatient multi-specialty coding. This covers Family Practice, Internal Medicine, Geriatrics, and E/M house-call services. Services also include ICD-10-CM coding, E/M leveling, and documentation analysis, with specialty coding available upon request.
Billing & Revenue Cycle Support
Comprehensive billing and revenue cycle improvement support is offered, including A/R reviews and cleanup, denials management, and appeals resolution. Medical necessity validation (NCD/LCD) is ensured, along with assistance in billing corrections, charge entry, and payment posting. Eligibility verification and reimbursement improvement strategies are provided to enhance financial outcomes
Compliance, Auditing & Documentation Integrity Support
Compliance support services cover OIG and internal compliance audits, provider education, and thorough documentation reviews. Development of audit tools and policies is supported, along with quality assurance monitoring and multi-state regulatory compliance assistance to ensure operations align with industry standards.
AI Medical Software Support
AI-driven solutions for medical software support are offered, including coding logic and algorithm validation, PCE rule development, and ICD-10 and HCC mapping refinement. Clinical documentation logic for intelligent coding systems is enhanced, and collaboration with medical software firms focuses on improving automation, accuracy, and population-health performance.
Consulting & Advisory Services
Healthcare consulting services cover workflow optimization for coding and billing teams, audit readiness, and compliance planning. Documentation improvement strategies and end-to-end support for healthcare startups or software teams are provided, ensuring success in a complex environment.
Decision Coding delivers a comprehensive range of coding, billing, compliance, and AI-supported solutions designed to improve accuracy, efficiency, and revenue integrity across the healthcare ecosystem. Services are customized for providers, billing organizations, and medical software partners seeking reliable, high-quality support.
Remote solutions for clients everywhere
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