Medical Coding
Certified Medical Coding Solutions
Maintain absolute clinical compliance and claim accuracy. Our certified AAPC and AHIMA coders ensure correct coding for your clinical encounters to prevent payer rejections and compliance risk.
Service Overview
Avera Technologies provides comprehensive clinical coding solutions across outpatient clinics, hospitals, ASCs, and physician groups. We analyze patient records, EMR charts, and clinical narratives to assign exact ICD-10-CM, CPT, and HCPCS Level II codes. Our coding team undergoes regular audits and updates on AMA and CMS regulations, ensuring your practice is protected from compliance gaps, coding audits, or underpayment leakages.
Key Coding Features We Offer
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Outpatient & Inpatient Coding
Expert mapping of clinical services, emergency encounters, and inpatient stays according to official guidelines.
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HCC Risk Adjustment Coding
Accurate capture of chronic disease conditions to ensure correct reimbursement under value-based care contracts.
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Coding Compliance Auditing
In-depth internal audits to identify upcoding, downcoding, and unbundling habits that lead to payer investigations.
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Clinical Documentation Improvement (CDI)
Providing direct reviews of physician documentation to prevent missing details or clinical ambiguity before coding.
Technology & Coding Systems
CAC Integration
Automated NLP computer-assisted coding systems that crosscheck chart narratives for maximum accuracy.
Coding Encoders
Integration with 3M 360, Optum 360, and TruCode platforms to reference dynamic code guidelines.
Dedicated Team Roles
Certified Professional Coder (CPC)
Handles daily outpatient medical records, CPT coding, and ICD-10 matching.
Senior Coding Auditor (CCS-P)
Conducts coding quality assurance audits, reviews complex surgical charts, and handles appeals.