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Most coding errors repeat.
The same level, modifier or diagnosis issue appears across hundreds of claims before anyone notices. An audit turns that pattern into something a team can correct, whether the coding is in-house or outsourced.
Key Challenges
Coding problems stay invisible until a payer finds them
Errors found by the payer first
By the time a denial or a records request arrives, the same mistake has already been repeated.
Audit findings nobody acts on
A percentage score without specific corrections does not change next month's claims.
No baseline to compare against
Without a measured starting point, it is impossible to show whether coding accuracy is improving.
At A Glance
Built for documentation and coding workflows at scale
10M+
Transactions processed annually across documentation, coding and revenue workflows
400+
Health organizations served
50+
EMR integrations supported
Security & Compliance
Areas of Expertise
Audit types matched to what you need to know
Pre-Bill Audits
Review before claims are submitted, so errors are corrected rather than appealed.
- Claims reviewed before submission
- High-risk code and provider targeting
- Corrections applied before billing
- Feedback to coders in the same cycle
Retrospective Audits
Review of submitted claims to measure coding accuracy and identify compliance risk.
- Defined sample by provider, specialty or payer
- Accuracy scoring against documentation
- Over-coding and under-coding both reported
- Compliance risk areas identified
Risk-Based & Focused Audits
Targeted reviews of the areas most likely to cause problems.
- High-risk and high-volume codes prioritized
- E/M level distribution analysis
- Modifier usage review
- Focused reviews of known problem areas
Reporting & Remediation
Findings written so a team can act on them.
- Error rates by provider, coder and code
- Specific corrections, not just scores
- Documentation improvement recommendations
- Re-audit to confirm the fix worked
How We Help
Audits that end with corrections, not just a score
See the real error rate
An independent baseline measured against documentation, not assumptions.
Fix the pattern, not the claim
Findings point to the provider, coder or code driving repeat errors.
Show compliance effort
Documented, scheduled audits support your compliance programme.
Frequently Asked Questions
Can you audit coding we did in-house or with another vendor?
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What sample size do you use?
Do you audit pre-bill or after submission?
What do we receive at the end?
How often should audits run?