ClariqHealthcare

Revenue cycle / stage 04

Coding is where clinical work becomes a defensible financial claim.

Our coding staff are AAPC and AHIMA certified and work across specialty-specific code sets, translating physician documentation into the ICD-10, CPT, and HCPCS codes that determine what a claim is worth and whether it survives payer review.

This is also where compliance risk concentrates. Under-coding leaves revenue uncollected; over-coding or unsupported code selection creates audit exposure. Both are avoidable with disciplined, well-supervised coding.

What we handle

01

ICD-10, CPT, and HCPCS coding across primary care and specialty documentation.

02

Specialty-specific coding for surgical, behavioral health, radiology, and other complex service lines.

03

Coder-level quality audits with documented accuracy scoring.

04

Query workflows back to providers when documentation does not support a code.

05

Ongoing compliance review against payer and CMS coding guidance.

06

Coding staff certification tracking and continuing education oversight.

Why it matters

Compliance risk cuts in both directions.

A practice that under-codes is quietly leaving money on the table every day. A practice that over-codes, even unintentionally, is building exposure to payer audits, recoupments, and reputational damage. Consistent, audited coding protects revenue and protects the organization at the same time.

Next in the cycle

A correctly coded claim moves through submission to posted payment.

See payment posting