Achieve Your Medical Coding Certification with Just Coding Consultants, LLC

CPC stands for Certified Professional Coding. We are responsible for medical coding in healthcare agencies, and as coders, we ensure that institutions comply with the billing and coding regulations. The American Association of Professional Coders (AAPC) approves us. Some of our responsibilities as Certified Professional Coders include:

• Accurate coding: We determine accurate codes for procedures within the healthcare facility.
• We review medical records: To ensure the integrity of our billing and coding processes, we review all medical information to check if they are in line with the CMS guidelines and current reimbursement policies.
• Updates: We update patient information and their forms regularly, as determined by the appropriate authorities. A CPC is always informed on the latest medical compliance policies.
• We interact with healthcare workers: As part of our audits and integrity appraisals, we interact with physicians to determine their level of compliance using our analytical skills.
• We implement guidelines: We enforce new coding guidelines and update healthcare practitioners on the possible application of modern strategies promptly, using our accurate coding.

In summary, we exhibit problem-solving skills and analytical abilities directed towards reimbursement, patient care, and healthy hospital practices. JCC carries out all of these responsibilities.

A higher risk adjustment score for a patient comes with a greater disease burden for that patient in CRC. For instance, a patient with a terminal disease has a greater disease burden than someone who has a mild fever.

Thus, health patients have the lowest risk adjustment scores. Since a patient’s health status is a reflection of their healthcare need costs, a competent CRC must ensure proper documentation. This way, the HCC coding will correspond to the disease burden, and the risk adjustment models can be followed.

As a CRC organization, we operate in a much greater capacity than non-credentialed coders do. We have a clear understanding of all the disease processes and clinical picture. Thus, we can make proper documentation of such medical records.

In addition, we have a clear understanding of regulations, guidelines, and coding concerning risk adjustment. In terms of earning, CRCs earn much more than regular coders do. For people seeking to enter the line of a CRC, Just Coding Consultant offers professional national certified courses to interested parties. In summary, the responsibilities of a Certified Risk Adjustment Coder include:

• Review and assignment of accurate and appropriate medical codes for diagnoses carried out by physicians in an in-patient setting.
• To understand audit processes to employ in risk adjustment models.
• To identity and communicate loopholes in any documentation. This includes compliance, reimbursement, and the effect of diagnostic coding on the risk adjustment models to help providers make more accurate decisions.
• Thorough understanding of medical coding guidelines and ethics.
• Having a strong medical background on the human anatomy, pathophysiology, and management of disease conditions. In addition, a competent CRC should understand medical terminology to allocate codes correctly.

Risk Adjustment Coding/HCC coding was designed to assign scores to Medicare Advantage members based on their chronic health conditions. HCC coder’s job is to find and encode the chronic conditions that are actively being treated by a physician. 79 HCC categories of chronic diseases come with thousands of diagnostic codes. Thus, the ability to read in between the lines and through several styles of documentation is what makes a great risk adjustment coder.

JCC prepares students for national exams concerning risk adjustment models, and the curriculum covers compliance, diagnosis coding, medical courses and terminology, quality care, documentation, and risk adjustment models.

Medical billing and coding are similar fields in our modern health care system. Both aspects are crucial to the reimbursement cycle, and they ensure that healthcare workers receive payment for their services. Accurate billing and coding practices ultimately mean that patients are not overcharged and that the healthcare workers give the best administrative care.

Medical billing is the process of reviewing records, identifying diagnoses, and patient management steps to submit the claims to insurance providers, programs, or patients for reimbursement.

Medical coding, on the other hand, is the transformation of the medical billing information into universal alphanumeric codes. The codes are taken from case files, doctors’ notes, radiological and laboratory investigations and transformed into codes that are applied correctly for reimbursement by the appropriate body.

At Just Coding Consultants, we provide coding services in all aspects of the Revenue Cycle Management process, including credentialing, auditing, and denials management.

Our team has experience in virtually all departments of patient care from family practice, obstetrics and pediatrics to cardiology, oncology, outpatient, and in-patient care. In essence, a career in billing and coding guarantees one of a competitive salary, a quick launch, and a long career filled with opportunities.

Revenue integrity is any approach taken to establish and support ethical business practices, while also compelling the hospital’s staff and associates to do the same thing, irrespective of the situation that they face. To prevent any revenue loss, internal control measures have to be geared towards sound financial practices and proper documentation, such that whenever audits are carried out, the hospital will not be found wanting.

Diligent billing and coding practices greatly reduce any risks of expensive downstream, for instance, external audits and management of payment denials. To ensure smooth operational efficiency, revenue integrity must be a priority for any healthcare institution. In fact, a recent survey has revealed that more than 25% of hospital CFOs list revenue integrity as their topmost priority.

Technological plays a major role in an organization that seeks to achieve its revenue integrity goals. For instance, automated RCM solutions, scanning, analytics, and several other modern tools help to strengthen your revenue integrity. Our company utilizes top technological solutions to minimize your risks.

With our medical coding educational services, you no longer need formal education to become a coder. Our classes cover all the essentials you need to have a successful and lifelong career in coding and billing. In a few months, you could kick-start your own career.

The online courses give you a solid medical foundation and give you hands-on experience with medical records and reports using our industry-standard encoding software.

We have AAPC approved instructors with almost three decades of experience in coding, auditing, medical insurance, and billing. Our provider education services provide opportunities for medical sectors such as legal offices, pharmacy, prisons, dental clinics insurance companies, and many more.

The classes prepare individuals for the National Certification Exam, and they answer questions that are common to all coding enthusiasts. For example, questions on how coding affects your schedule, career rewards, and the possible achievements from being a coder. The classes and other educational platforms actively engage students to bring out the best in them.