Medical Record Coding

Cotiviti's Medical Record Coding services and technology platform deliver high-quality results that enable health plans to accurately capture their population risk.

Our Medical Record Coding services leverage machine learning and natural language processing (NLP) technologies to augment coding efficiency, combining them with expert leadership, proven best practices, and industry-leading, multi-layered quality assurance to help improve accuracy and compliance. 

With consistent high accuracy and 100% project completion, we deliver excellence at any scale and help our clients meet their targets with the highest quality, thanks to our strong capacity planning and expert processes.

Plans can also add Second Level Review for charts previously coded, enabling an added layer of protection to support improved results.

Plans can also add Second Level Review for charts previously coded, enabling an added layer of protection to support improved results. For organizations looking to empower internal teams with the right tools, our Retrospective Review platform can also be added to Medical Record Coding to support improved RAF capture, compliance, and productivity.

Medical Record Coding results

Driven by deep industry expertise

Our Medical Record Coding services boast an industry-leading annual accuracy rate of over 97% across all lines of business, driven by a combination of advanced, purpose-built AI and expert oversight. To support the highest standards, 100% of coded charts and NLP findings are reviewed by our coders, all of whom are AAPC- and AHIMA-certified employees.

Our industry-leading, multi-layered quality assurance approach includes real-time communication and feedback, daily audits, and ongoing responsive training. We continuously monitor progress and opportunities to support timely performance improvements.

We also emphasize adaptability and strategic support, tailoring our quality framework and optimizing coding guidelines to match each client’s priorities and evolving needs.