Medical Coding Process at Flatworld Solutions - Process and Delivery Model

We start our process after receiving client's approval to conduct assessment of existing process framework, and outline the potential benefits of outsourcing. At this stage, we facilitate requirements analysis study, covering the processes to be supported, types of files & formats used, reports to be generated, turnaround time and service levels.

The client sends us patient charts and related information as scanned copies that are uploaded into our secure FTP site.

Our Medical Coding team downloads the files and allocates them to the appropriate Pre-coders and Coders for processing.

Upon downloading the files allocated to them, the Pre-coders capture key information such as Name of the Physician, Place of Service, price modifiers etc.

The coding activity is split into two critical areas-Procedural and Diagnostic Coding. Our Certified Coders (CPC) facilitate this process in line with CPT Assistant, HCPCS Level II, ICD-10-CM, and LMRP guidelines. Later, the Coding team evaluates the documents to verify that the diagnosis is compatible with the assigned procedure code.

Files with the successfully completed coding work are uploaded to our secure FTP site.

The client receives the files uploaded onto our FTP site and evaluates data quality and consistency.

We evaluate the feedback shared by the client on data quality and facilitate the necessary improvements and data quality refinements to ensure we offer reliable and accurate medical coding services.