Coding Concepts

Coding Concepts is a national provider specializing in mid-revenue cycle solutions for acute care hospitals and physician practices. The company focuses on medical coding, clinical documentation improvement (CDI), and compliance services, with leadership bringing 30 years of healthcare industry experience.

The firm's service portfolio includes remote coding support for inpatient and outpatient settings, comprehensive auditing across multiple facility types, and revenue cycle consulting. Their team handles specialized reimbursement scenarios including Critical Access Hospitals, Federally Qualified Health Centers, Indian Health Services, Rural Health Clinics, and Teaching Facilities. Services span the entire revenue cycle process from charge capture through claims denial management.

Coding Concepts serves some of the largest hospitals in the country, with particular expertise in multi-state Medicare and Medicaid payer requirements. Their approach combines remote staffing solutions with strategic consulting to address workflow optimization and compliance challenges.

Choose Coding Concepts when you need experienced medical coding professionals who understand the nuances of hospital revenue cycle operations and complex reimbursement environments. Their ability to customize teams for specific organizational needs makes them suitable for both short-term backlog clearance and long-term outsourcing arrangements.

Expect a consultative approach with professionals who can integrate across departments and present to management teams. Their expertise in specialized facility designations makes them particularly valuable for organizations outside standard acute care settings.

Coding Concepts operates exclusively in healthcare, with 100% focus on mid-revenue cycle operations for healthcare providers. Their expertise spans inpatient acute care, ambulatory surgery centers, urgent care, rehabilitation centers, behavioral health facilities, and physician practices. The company demonstrates deep knowledge of healthcare-specific compliance requirements including HIPAA, along with specialized understanding of Medicare/Medicaid reimbursement methodologies across different facility designations and geographic markets.

The ideal client is a mid-to-large acute care hospital, health system, or physician practice group experiencing coding staff shortages, quality concerns, or compliance challenges. Organizations with specialized designations like Critical Access or FQHC status, or those managing complex multi-state payer requirements, will benefit most from their specific expertise and consulting approach.