Full-Service Remote Coding
Comprehensive remote chart coding across inpatient DRGs, outpatient surgical encounters, emergency room visits, and specialty clinic encounters.
Turnkey Encounter Coding A trusted healthcare revenue cycle & operational partner info@primepulsehealthcare.com +1 (904) 638-3934
CERTIFIED CLINICAL DOCUMENTATION & CODING
Certified medical coding
built for compliance & precision.
PrimePulse provides hospital-grade, certified medical coding that captures true patient acuity and protects reimbursement integrity. With AAPC and AHIMA certified specialists across inpatient, outpatient, and surgical disciplines, we maintain an audit-proof 95%+ accuracy standard.
95%+ Guaranteed accuracy
100% AAPC & AHIMA certified
24–48h Turnaround time
Medical Coding Commitment
Accuracy, Compliance & Audit Defense
Credentialed AAPC & AHIMA coders (CPC, COC, CIC, CCS) aligned with current CMS updates
Comprehensive ICD-10-CM/PCS, CPT, and HCPCS Level II assignment with dual-review checks
Clinical Documentation Improvement (CDI) query workflows bridging physician notes and compliant claims
Routine random sampling and quarterly blind peer audits safeguarding OIG and RAC compliance
FLEXIBLE CODING MODELS
Tailored coding solutions shaped around
your facility's case mix.
Whether you need turnkey outsourced encounter coding, overflow backlog relief, or CDI support, our certified medical coders integrate directly into your workflow.
Coding Backlog Clearance
Dedicated task forces deployed to eliminate Discharged Not Final Billed (DNFB) queues, clearing multi-week backlogs and restoring cash flow.
DNFB Rapid ReliefClinical Documentation Improvement (CDI)
Specialized CDI nurse liaisons working with clinicians to clarify chart ambiguities, capture true patient acuity, and optimize HCC risk scoring.
Acuity & Case Mix IndexIndependent Coding Compliance Audits
Comprehensive pre-bill and retrospective coding quality audits identifying upcoding, undercoding, unbundling vulnerabilities, and documentation gaps.
Risk & RAC Audit Defense CLINICAL CODING SPECIALTIES
Deep subspecialty expertise across
complex diagnostic sectors.
From high-acuity inpatient surgical DRGs to high-volume outpatient evaluation and management (E/M), our coders master the specific rules governing your specialty.
Inpatient & Procedural Coding
Complex hospital facility and professional coding requiring deep knowledge of DRGs and surgical procedures.
Outpatient & Ambulatory Surgery
Fast-turnaround ambulatory surgery center and hospital outpatient facility and pro-fee coding.
Diagnostic & Specialty Pro-Fee
Multi-specialty professional fee coding and diagnostic interpretation validation.
HOW WE DELIVER
Our disciplined 5-step
coding quality framework.
Every encounter passes through a structured workflow that combines credentialed coder scrutiny, automated NCCI edit cross-checks, and supervisory audit oversight.
01
Secure Chart Intake & Queue Retrieval
Our certified coders access completed encounters directly inside your EHR or electronic coding queues with full HIPAA audit security.
02
Comprehensive Code Assignment
Assigning ICD-10-CM diagnosis codes, secondary comorbidities, CPT procedural codes, and precise modifiers adhering to current CMS/AMA rules.
03
CDI Physician Query Initiation
When documentation lacks clinical specificity, non-leading query templates are generated for attending physicians to validate diagnoses.
04
Two-Tiered Quality Assurance
Senior coding supervisors conduct automated rules validation and manual peer reviews on randomized and high-dollar encounter batches.
05
Direct EHR Sign-Off & Bill Drop
Approved coded charts are finalized in your EHR and released immediately to the billing scrubbing queue for clean clearinghouse submission.
EHR PLATFORMS & ENCODERS
Native integration across
leading healthcare EHRs & encoders.
Our coders log directly into your hospital or clinic EHR, operating inside your existing user roles and maintaining complete HIPAA and audit trail compliance.
Epic & 3M 360 Encompass
Deep fluency across Epic HIM, Resolute, and 3M computer-assisted coding (CAC) environments.
Oracle Health (Cerner) CAC
Proven efficiency in Cerner PowerChart, SurgiNet, and integrated clinical coding workflows.
AthenaHealth & NextGen
Rapid outpatient clinical chart review, E/M coding validation, and automated superbill sign-off.
eClinicalWorks & TruCode
Specialty coding suites, optum encoders, and multi-facility practice management interfaces.
REQUEST A CODING AUDIT
Strengthen coding accuracy
and protect reimbursement.
Tell us about your facility's encounter volume, unbilled chart queues, or upcoming specialty expansion. We'll prepare a sample chart audit and customized proposal.
Complimentary 25-chart coding quality audit
100% AAPC & AHIMA certified coding workforce
Dedicated quality manager and transparent monthly audit scorecards
Rapid 48-hour onboarding for urgent backlog clearance
Coding inquiry formA coding quality director will respond within one business day.
FREQUENTLY ASKED QUESTIONS
Medical coding questions
answered clearly.
Find direct information on our coder certifications, quality review benchmarks, turnarounds, and encoder integrations.
What certifications do your medical coders hold?
100% of our medical coding specialists hold active credentials from the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA). Credentials include CPC, COC, CIC, CRC, CCS, and CCS-P, with continuous annual education on ICD-10 updates.
What is your guaranteed coding accuracy rate?
We guarantee an audit-tested coding accuracy rate of 95% or higher. Our dual-tiered quality assurance process subjects chart batches to rigorous pre-bill checks, verifying modifier logic, bundling edits (NCCI), and medical necessity.
How do you handle physician documentation questions or ambiguities?
Our coders and CDI specialists utilize compliant, non-leading query protocols aligned with ACDIS and AHIMA standards, enabling clinicians to clarify diagnoses without administrative disruption.
Can your team help clear an unbilled coding backlog (DNFB)?
Yes. We specialize in rapid-deployment surge coding teams capable of ramping up within 48 to 72 hours to eliminate Discharged Not Final Billed (DNFB) queues, reducing unbilled days and accelerating reimbursement.