Medical Coding Audits

Maximize revenue by minimizing claim denials, penalties and missed coding opportunities

Accurate medical coding plays a critical role in revenue optimization, compliance, and quality of patient care. STAR’s team of experienced Medical Coding Auditors is here to ensure that your coding practices are following regulatory guidelines and industry best practices. With our comprehensive medical coding audit services, you can minimize risks, maximize reimbursements, and drive operational efficiency.

STAR Specializes in All Chart Types

  • Inpatient Facility

    (MS-DRG & APR-DRG)

  • Inpatient ProFee

  • SDS/ASC

  • HCC (All Models)

  • ED Physician & Facility

  • Observation

  • Outpatient Clinic

  • Urgent Care

  • Rural Health Clinic

  • Inpatient Rehab

  • Outpatient Rehab

  • Home Health

  • Long Term Care / SNF

  • Hospice

Our team is experienced in working with all specialties including but not limited to IVR/CCL, Critical Care, Dermatology, Behavioral Health, Pain Mgmt, Chronic Care Mgmt, Medical Oncology, Radiation Oncology, General Surgery, Orthopedic, OBGyn, Anesthesia, Ancillary, Pediatrics and many more.

Comprehensive Approach to Set Your Team Up for Success

STAR’s Medical Coding Audit Services are designed to help your Coders and Providers to be successful at their job so that your organization can mitigate denials and risk, and receive payments from payors in a timely manner. Our audit processes are as follows:

  1. Perform Initial or Routine Audit on a representative sample of charts

  2. Identify Error Trends, troubled areas, and missed coding opportunities

  3. Present Findings to Management and Coders/Providers with detailed rationales

  4. Conduct Focused Education for Coders/Providers to avoid repeating mistakes

  5. STAR Auditors and SMEs further assist your team with post-audit Coding Q&A Support

  6. Rinse and repeat!

STAR offers comprehensive medical coding audt services