Code

Risk adjustment coding services

We provide comprehensive risk adjustment coding services, delivering superior results that improve year-over-year. With diligence, attention to detail, and deep technical knowledge, our team of experts helps you navigate the coding process with ease.

“End-to-end risk adjustment is more or less all we do. We're obsessed.”

Erik Simonsen, Chief Operating Officer

Episource Coder

Partner with Episource on our comprehensive risk adjustment coding services. We boast the industry’s largest bench of full-time onshore and offshore coders to deliver superior results and year-over-year growth.

Partner with Episource on our comprehensive risk adjustment coding services. We boast the industry’s largest bench of full-time onshore and offshore coders to deliver superior results and year-over-year growth.

Episource Coder logo

Our NLP-powered medical coding software utilizes CPT and ICD code data to improve CMS submissions and minimize inaccurate member profiles.

Coding Excellence and Transparency

  • Fully automated workflow
  • Real-time progress visibility
  • Customizable self-service reporting
  • Innovative user interface
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Your Coding Partner

Our industry SMEs stay up-to-date on all the relevant industry changes, from healthcare reform to coding clinic updates and processes.

Episource Employee

Highly Accurate Audits

Coder delivers above 95% accuracy with basic chart audits, and above 97% with NLP-enhanced chart audits. With some of the highest accuracy rates in the industry, Episource delivers both solutions and opportunities at scale.

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Chart Audits

We offer four levels of chart audit services that adapt to your workflow and provide unparalleled results. Choose the chart audit service based on your specific needs.

We offer four levels of chart audit services that adapt to your workflow and provide unparalleled results. Choose the chart audit service based on your specific needs.

Chart Audits

We offer four levels of chart audit services that adapt to your workflow and provide unparalleled results. Choose the chart audit service based on your specific needs.

Basic & NLP-Enhanced Chart Audit

In a basic chart audit, our best-in-industry coding team performs a blind medical record review. Our NLP-enhanced chart audit adds NLP processing to a manual review, minimizing the number of codes missed by human oversight.

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Advanced Coding Audit Service

This service is an NLP-assisted chart audit that identifies missed codes and overcoding by prior vendor.

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Comprehensive Triple Review

Our highest level of audit combines NLP, manual coding, diagnosis capture, and 100% QA to produce near-perfect coding quality.

Circular with 100% quality assurance

Final Check Review

Final Check Review is an efficient, cost-effective final review of medical records that ensures full code capture and compliance prior to submission.

Final Check Review is an efficient, cost-effective final review of medical records that ensures full code capture and compliance prior to submission.

Final Check Review

Final Check Review is an efficient, cost-effective final review of medical records that ensures full code capture and compliance prior to submission.

Go Beyond 95% Coding Accuracy

Attain significant value by improving coding accuracy by even a few percentage points. Single-review clients have observed, on average, ~$50 - $140+ per chart of incremental RAF value, even when existing, first pass vendors deliver industry-standard 95% accuracy.

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Proprietary NLP Engine

Our engine was developed through the ingestion of millions of charts per year and is supported by the largest coding bench in the industry.

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Fully Compliant

All new and unique coders are subject to 100% QA to confirm compliance, member, and program-level ROI analyses.

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Pre-Visit Review

We help providers analyze historical member data to quickly and accurately categorize and identify patients who may need health interventions.

We help providers analyze historical member data to quickly and accurately categorize and identify patients who may need health interventions.

Pre-Visit Review

We help providers analyze historical member data to quickly and accurately categorize and identify patients who may need health interventions.

Customized Patient Interventions

Our analytics technology highlights a group of patients with specific health conditions, while our experts recommend intervention strategies to help execute member-treatment programs and patient engagement strategies.

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Minimized Provider Abrasion

Reconcile clinical documentation and coding without affecting provider productivity and workflow.

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Reduced Retrospective Audits

Our prospective coding services not only helps you reduce the number of retrospective audits that need to be performed, but also minimizes second submission impact on blended risk scores.

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Concurrent Review

Our concurrent coding service leverages our best-in-class NLP technology to quickly and efficiently review codes, flag errors, and translate hard-to-read provider notes.

Our concurrent coding service leverages our best-in-class NLP technology to quickly and efficiently review codes, flag errors, and translate hard-to-read provider notes.

Concurrent Review

Our concurrent coding service leverages our best-in-class NLP technology to quickly and efficiently review codes, flag errors, and translate hard-to-read provider notes

Smart Prioritization Logic

Our coding system leverages advanced machine learning to automatically prioritize charts for processing based on client-specific weighting criteria.

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Maximized Yield

Our streamlined coding system has been thoughtfully designed to maximize coder efficacy and accuracy and streamline project execution.

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In-House Natural Language Processing (NLP)

We employ our customized NLP tool that improves the overall efficiency and accuracy of our coding process.

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Coding Obsessed

Unmatched Accuracy