Code

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.

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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.

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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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Episource Encoder

Episource Encoder is a real-time production coding encoder tool designed to maximize the speed in which coders find the code they are looking for and complete their coding projects.

Episource Encoder is a real-time production coding encoder tool designed to maximize the speed in which coders find the code they are looking for and complete their coding projects.

Episource Coder logo

Episource Encoder is a real-time production coding encoder tool designed to maximize the speed in which coders find the code they are looking for and complete their coding projects.

Full Integration

Medical coders never have to leave their coding tool. Episource Encoder automatically matches the scope of the coding project. For example, if a coder is working on a commercial project with DOS 2021, Episource Encoder will open to that year and provide risk adjustment symbols for that specific type of project.

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Global Search

Easily find correct codes by entering a few relevant keywords. Look for codes for multiple years of submissions in one comprehensive interface. Entries include all relevant information associated with each code.

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Compatibility

Episource Encoder provides accurate codes for commercial, Medicaid, and Medicare Advantage plans.

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Chart Audits

We offer multiple 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 multiple 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 Chart Audit

In a basic chart audit, our best-in-industry coding team performs a blind medical record review.

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NLP-Enhanced Chart Audit

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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Final Check Review

Our highest level of audit combines NLP, manual coding, diagnosis capture, and 100% QA to produce near-perfect coding quality. Learn more about this service below.

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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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Concurrent Review

Leverage our best-in-class NLP technology and our deep bench of experienced coders to efficiently identify confirmed and suspected diagnoses to document on your claims.

Leverage our best-in-class NLP technology and our deep bench of experienced coders to efficiently identify confirmed and suspected diagnoses to document on your claims.

Concurrent Review

Leverage our best-in-class NLP technology and our deep bench of experienced coders to efficiently identify confirmed and suspected diagnoses to document on your claims.

In-House NLP

Episource employs a customized NLP tool to identify clinical diagnoses in EMRs, which improves the overall accuracy of the coding process.

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Suggested Care Gaps

We include suggested gaps to evaluate and close pre-visit/pre-care based on member appointment information data.

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EMR-Agnostic

Our service was specifically designed to be compatible with all EMRs.

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Retrospective Review

Uncover unsubstantiated codes and improve clinical documentation accuracy with our comprehensive retrospective coding services, executed by the industry’s largest full-time coding team and our proprietary NLP engine.

Uncover unsubstantiated codes and improve clinical documentation accuracy with our comprehensive retrospective coding services, executed by the industry’s largest full-time coding team and our proprietary NLP engine.

Retrospective Review

Uncover unsubstantiated codes and improve clinical documentation accuracy with our comprehensive retrospective coding services, executed by the industry’s largest full-time coding team and our proprietary NLP engine.

High-Quality Coding Results

Episource has created a multi-layered quality assurance process to ensure the projects we execute produce highly accurate results.

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Customized Workflows

At the start of a project, all coders are trained on Episource’s comprehensive set of standard coding guidelines, in addition to client-specific guidelines. This ensures a full understanding and a common interpretation across the team.

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Scalable Operations

Our solutions are built to deliver at scale, effortlessly handling large coding volumes while maintaining exceptional accuracy.

With an expansive coding team and advanced NLP technology, we streamline workflows and expedite onboarding for new clients.

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Coding Obsessed

Unmatched Accuracy

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