Custom Medical Coding Solutions

Medical coding is translating detailed medical reports into a specific type of short code (CPT or CDT codes) recognized throughout the healthcare industry. Medical coding aims to convert complicated healthcare reports into efficient, easy-to-interpret codes to file claims to send to payers. Healthcare coding software is used to generate codes automatically from clinical reports. OSP can accelerate the entire coding process and uses automation to minimize human intervention. Our custom medical coding system minimizes the chances of errors and makes the billing process streamlined. OSP’s custom medical coding software solutions help increase revenues for providers. We can also integrate our software for medical coding and billing to transform the revenue cycle.

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Automated coding data extraction is the process of abstracting the coded data elements from patient records for a pre-defined user process. This data extraction using medical coding solutions may help in a broad spectrum of functionalities such as outcome measures, performance monitoring, RAC audits, CDC reporting, Joint Commission Core Measures, hospital-acquired conditions, and clinical registries (e.g., cancer, birth). 

The structured inputs are required for automated medical coding data extraction.OSP’s custom medical coding system can leverage a high-quality technology stack to seamlessly integrate concepts of morphology, syntax, semantics, and real-world knowledge. Through automated data extraction, OSP can proficiently execute tasks such as medical indexing, medical classification, and mapping of both clinical and non-clinical technologies. Besides, OSP’s custom solution ensures quality enhancements in clinical concept extractions, and quality assurance for clinical coding processes. This can aid in minimizing coding errors, false positives, and false negatives. 

With integrated ICD-10 coding data, the encoder software for medical coding can offer automated medical code generation for the healthcare providers. These automated suggestions provide medical codes for review, verification, and application based on the clinical documentation presented by the practitioners. The system has the capability to search for particular diagnostic statements and unique terms and/or abbreviations within the given medical document. Natural language processing (NLP) is applied to a text­ documents that employ computational linguistics and AI to obtain appropriate coding data and terms to convert them into a set of accurate medical codes. 

OSP can design the best custom medical coding software system that can assign medical codes from a pre-defined classification system to the diagnoses generated at the clinic or hospitals. The custom-made encoder software can easily identify ICD-10, CPT and CDT codes, and even nomenclature codes, such as LOINC, RxNorm, and SNOMED-CT for laboratory, pharmaceutical, and clinical documents, respectively. 

Automated medical coding is the modern medical coding software that helps in speeding up the coding process workflow and ensure better accuracy. Most healthcare coding software companies are focusing on the medical coding solution automation to replace the traditional, paper-based coding system. It eliminates manual handoffs and improves staff productivity by driving accurate and efficient coding for the ambulatory health care industry segments. 

OSP can develop a custom encoder software for medical coding, that ensures in-depth review and scrubbing of each claim before submission. This custom solution incorporates payer-specific rules, conducts cross-reviews for patients and health plan identification, and verifies accurate coding. OSP’s custom encoder software features a user-friendly interface, providing a simple and intuitive experience for users. Besides, the software includes strong reporting functionalities to monitor performance effectively.  

Hierarchical Condition Category (HCC) coding model was initiated by CMS for risk adjustment and evaluate future health care costs for patients. Due to the shift to the value-based payment models, the HCC coding is highly prevalent. Our HCC risk adjustment coding relies on hospital outpatient, principal hospital inpatient, secondary hospital inpatient, physician, and trained non-physician. 

OSP’s medical coding software can comprehensively assess your organization’s HCC capture rates through claims data analysis and medical record review. This identifies gaps in optimum HCC capture to improve coding quality and revenue. Our software incorporates focused chart reviews, audit summary reports, HCC validation through RADV audits, and missing/embedded code reporting. In summary, our customized HCC coding solutions boost capture rates to maximize reimbursements in value-based care through rigorous data analysis and coder expertise. 

Today’s healthcare provider organizations and medical practices struggle to ensure a good quality medical coding system that provides complete and accurate documentation and compliant coding process. With highly complex ICD-10 codings, government legislation, and regulations, the best medical coding software is in demand. To comply with all the required compliances and reduce claim denials, medical coding solutions should incorporate periodic medical coding and documentation audit module. 

OSP can customize a HIPAA-compliant automated audit module in medical coding software. Our system streamlines workflow with accuracy scoring and reporting to minimize risk and ensure appropriate reimbursement. Coding audits help coders follow new regulations, implement best practices, and enhance performance. In short, customized automated audits in medical coding software help healthcare providers improve documentation, meet requirements, and receive proper payments. 

A real-time and intuitive medical coding solution dashboard can promote the qualitative coding, analysis and reporting at a better scale. The process workflow management, performance monitoring, coding audits, HCC coding analysis can be understood and enhanced with an easy-to-use dashboard for encoder software for medical coding. 

OSP can streamline the computer-assisted coding process, which offers a simplified and efficient solution to enhance productivity, With OSP’s custom system, users gain access to real-time dashboards that provide a clear picture of coding performance and accuracy. All modules are easily accessible from one convenient screen. This will allow you to visualize your performance and manage process workflow seamlessly. OSP’s solution can increase productivity and time savings by keeping users and staff focused on performance metrics. 

Denial Management is a vital feature of custom medical coding solutions, that aims to streamline the process of identifying, analyzing, and resolving claim denials in healthcare. With real-time denial tracking, customizable workflows, and robust data security measures, OSP can efficiently integrate with existing systems, including EHRs.  

Manual process automation, custom solutions for specialties, and data analytics help to reach OSP goals of lowering administrative costs, improving net revenue collection, and improving the overall experience for patients. OSP’s customizable templates and user-friendly interfaces offer adaptability to evolving healthcare requirements, making their denial management solutions a key element in improving revenue cycle management. 

OSP’s custom medical coding software system prioritize seamless integration with Electronic Health Records (EHR), offering numerous benefits to healthcare organizations. OSP can significantly enhance accuracy and efficiency by reducing human errors and manual processes through the seamless transfer of patient data to the billing system. This integration fosters improved interoperability, ensuring timely information sharing among caregivers and consistent patient engagement.  

Moreover, OSP’s EHR integration services can lead to higher revenue generation by minimizing claim denials and rejections. It will also enhancing patient satisfaction through streamlined billing processes. With robust reporting features and HIPAA compliance, OSP can  empower clients to analyze financial operations and optimize workflows, ultimately improving productivity and ensuring successful data migration during EHR implementation. 


OSP can develop software to digitize and automate the typically manual, paperwork-heavy medical billing and coding process. By converting paperwork to digital and using automation to handle repetitive coding tasks, the software increases speed and accuracy. Fewer errors means claims can be filed faster and more accurately. This improved efficiency and productivity is the key benefit of OSP's medical billing and coding software solution.

OSP can streamline the computer-assisted coding process, which offers a simplified and efficient solution to enhance productivity. With OSP's custom solution, users gain access to real-time dashboards that provide a clear picture of coding performance and accuracy. All modules are easily accessible from one convenient screen. This will allow you to visualize your performance and manage process workflow seamlessly. OSP's solution can increase productivity and time savings by keeping users and staff focused on performance metrics.

Medical coder software makes it easy to apply standardized medical codes for filing insurance claims. OSP can develop such software with features for rapid and automated conversion of medical reports into codes and minimizes the chances of mistakes by minimizing the need for human intervention. This goes on to streamline the entire coding process and enables a single person to code the clinical visits of numerous patients.

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Medical Coding Software Development Services


Integration of Medical Encoding Software With Other Medical Platforms

  • The Software For Medical Billing And Coding Will Be Integrated With Broader Hospital Systems
  • Integration With EHR To Streamline Coding Workflows
  • Inclusion of Charge Capture Feature Within Clinical Coding Solutions To Help Speed Up the Process
  • Scalable Integration To Accommodate Future Additions
  • Leverage Automation to Remove the Need for Manual Repetitive Activities

Improved Revenue Cycles With Medical Coding Software

  • Faster Coding For Large Hospitals With Automation
  • Medical Coding Solutions With Automation Features Prevent Mistakes and Reduce Claim Denials
  • The Latest Coding Standards Uploaded Within the CPT Coding Software
  • Coding Audits For Improved Accuracy of Claims
  • Payer-Specific Compliance Verification For Denial Prevention

Medical Coding Tools Designed Specifically According To Provider Needs

  • Assessment of Provider’s Requirements
  • Coding Features Designed For Dentists, Physiotherapists, Psychiatrists, Psychologists, and Others Specifically
  • The Software for Medical Billing and Coding Will Feature Provider-Specific Codes
  • HIPAA Compliant Software for Medical Coding
  • Solution Can Either Be Cloud-Based Or Installed On-Premises Based on Provider Needs

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Frequently Asked Questions

The key features of a robust medical coding software solution are medical billing, medical coding, insurance verification, claim management, secure inventory, reporting, patient data management, etc. The medical coding services automate the claim management processes and eliminate workflow inefficiencies to streamline the billing process. The custom software generates electronic codes, submits claims, and keeps track of reimbursement. It uses advanced algorithms and natural language processing (NLP) techniques that analyze medical documentation and assign accurate codes.

Medical coding software solutions are modern technology referred to as ‘encoders.’ The encoder streamlines the coding process by providing an updated data database and adhering to evolving coding compliance. It ensures strict compliance with regulatory requirements, such as ICD and CPT codes, minimizing the risk of audits and penalties. Hence, it helps healthcare organizations stay updated with evolving coding standards and regulatory changes.

Medical coding software improves coding productivity by automating code suggestions. It verifies the clinical document and, accordingly, suggests codes. It reduces the time and effort of manual coding. The automation tool utilizes sophisticated algorithms and NLP techniques to assign accurate code by analyzing medical documentation. The software provides real-time updates on coding guidelines that minimize research time. Medical coding software systems reduce time, enhance operational productivity, and help healthcare organizations allocate resources efficiently.

Yes, medical coding software solutions can significantly contribute to improving communication. The standardized medical codes facilitate communication among healthcare stakeholders like regulatory agencies and insurance companies. The custom software integrates with existing EHR systems, a centralized platform for accessing and updating patient information.

Medical coding solutions help providers to deal with the complex medical coding process. The software is designed to comply with the continuously changing policies and guidelines of payers. It ensures that your practice stays up-to-date with the ever-evolving coding regulations to avoid compliance issues and minimize the risk of claim denials. We provide access to certified coders with specialties and extensive knowledge to validate the assigned codes, ensuring high-quality coding.

Effective medical coding efficiently contributes to RCM optimization by handling claims processing, payment, and revenue-generating. It ensures brief documentation of patients encountered, which helps provide accurate codes to facilitate precise and timely billing. Proper medical coding adheres to compliance and regulations, reduces claim denials, accelerates the reimbursement process, and ultimately improves the revenue cycle for healthcare providers and organizations.

Accurate and compliant medical coding is essential for risk mitigation because it ensures timely and proper reimbursement, avoids compliance-related penalties, and enhances patient care. It identifies complications to take preventive measures, determines the correct cost towards provided care to ensure fair reimbursement, establishes clear documents with accurate billing to optimize revenue generation, reduces billing errors and claims denials to maintain financial stability, and more.

Medical coding data can be leveraged for advanced analytics and reporting to optimize financial performance, categorize services provided, and identify areas of improvement and revenue opportunities. Through data mining, it identifies patterns and trends and unveils insights into patient outcomes and resource utilization. Medical coding data helps to identify high-risk patients, provide personalized treatment plans, predict epidemics, and improve patient outcomes. Further, it facilitates evidence-based decision-making and enhances operational efficiency.

Yes, we can provide training for healthcare coding professionals to use the software effectively and keep up with changes in coding standards. We may include onboarding sessions, provide user guides and educational resources, and conduct webinars. We aim to ensure that coding professionals are efficient enough to utilize the software and address the required concerns accurately. Additionally, OSP may offer ongoing support to help healthcare providers adopt the updates or changes in coding standards.

Evolving healthcare regulations have a significant impact on medical coding practices. It ensures efficient and accurate processing of medical claims for reimbursement. The changes in the healthcare regulations are implemented to enhance patient care and data accuracy and streamline the billing process. The evolving guidelines, code sets, and compliance require the medical coding software to update continuously. OSP, as an efficient medical software development company, closely monitors regulatory updates and collaborates with industry experts to implement the required changes. We provide regular software updates and training modules to educate the end-user on evolving regulations.

OSP regularly updates its database and software infrastructure to ensure compliance with industry-standard code sets such as ICD-10, CPT, and HCPCS level II. We have a group of experts who responsibly monitor the changes made by authorities and update the software with the latest code sets. This ensures accurate code assignments for medical procedures and diagnoses. We run rigorous testing to validate the changes made in the code sets of the software, promoting precision in record keeping and healthcare billing. Additionally, our software provides a user-friendly interface to help medical coders efficiently select codes while adhering to the continually evolving industry standards.

OSP follows rigorous quality assurance processes to ensure adherence to coding guidelines and minimize errors. We ensure that the responsible professionals are trained regularly and up to date with the current coding rules. Robust error-checking mechanisms are followed within the software. Codes are routinely revised, and thorough internal audits are performed to catch inaccuracies, promoting precision in code assignments and minimizing non-compliance risk. Further, we seek unbiased insights to validate the results and resolve concerns.

OSP provides advanced, customized solutions that streamline the coding process and help address the unique coding challenges healthcare organizations face. We develop custom medical coding software solutions with desired features. The standard features are real-time error detection, automatic code suggestions, adaptable codebase for rapidly changing codes, integration with electronic health record (EHR) systems, comprehensive reporting and analytics tools, etc. Our software ensures compliance with evolving industry standards, helps reduce claim denials, and improves overall operational efficiencies.

OSP tracks several key performance indicators (KPIs) to measure the efficiency and effectiveness of provided solutions. We understand that using KPIs efficiently becomes the deciding factor in maintaining a proper revenue cycle and reducing claim denials. Hence, we initially measured the two key factors: productivity and accuracy. These two form a solid basis. Then we move on to the other KPIs: average daily charge, A/R days, total number of claims remitted, discharged, not final billed, etc.

We address interoperability challenges by ensuring our tailored software solutions support standard data exchange formats like HL7 and FHIR. It facilitates seamless integration with diverse healthcare systems. For smooth data flow, we provide application programming interfaces (APIs). Our software is customized with a user-friendly interface that offers seamless integration with the existing workflows and is compatible with EHR systems. By implementing these features, our software provides efficient communication between different healthcare systems, promotes interoperability, and streamlines the coding processes.

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