Coding, Documentation & Revenue Integrity

Strengthen coding accuracy, safeguard reimbursement, and reduce audit risk with integrated documentation and revenue integrity expertise.
Explore the information below for a deeper look at our full capabilities and approach

Coker's Coding & Revenue Integrity Team Areas of Expertise

Healthcare organizations rely on accurate documentation and compliant coding to protect revenue and reduce audit exposure. Coker’s Coding, Documentation & Revenue Integrity consultants work alongside your HIM and clinical teams to improve accuracy, strengthen documentation integrity, and ensure every claim stands up to payer scrutiny.

From coding audits and CDI programs to HIM optimization and remote coding services, we provide comprehensive solutions that enhance accuracy, prevent denials, and strengthen reimbursement performance.

Coding Accuracy & Audit Readiness

Identify and correct documentation gaps before payors do with proactive audits and education programs that enhance compliance and reduce exposure.

Clinical Documentation Improvement (CDI)

Strengthen clinical documentation integrity and ensure accurate coding, risk adjustment, and reimbursement through comprehensive CDI support.

Revenue Protection & Optimization

Optimize charge capture and coding processes to safeguard revenue and prevent underpayments.

HIM Program Support

Our HIM services (spanning HART technology, interim management, operational assessments, and revenue cycle analysis) deliver actionable insights for stronger performance.

Technology-Enabled Compliance

Integrate analytics and HIM systems for real-time compliance tracking, audit response, and performance reporting.

End-to-End Coding Partnership

From remote coding and data submissions to accreditation readiness, Coker delivers scalable solutions tailored to your team’s capacity and compliance needs.

Challenges We Solve

How Coker Protects Your Documentation and Revenue Integrity

Audit Prevention & Defense

We identify risk areas and support defensible documentation that withstands audits and appeals.

Coding Accuracy & Consistency

We standardize processes across facilities, coders, and service lines for consistent results.

Revenue Leakage & Optimization

We uncover lost revenue opportunities while maintaining full compliance.

HIM Efficiency

We bring leadership, data, compensation, and governance into alignment so investors can activate the value-creation plan immediately after closing.

Accreditation & Data Reporting

We ensure data accuracy for Joint Commission, OSHPD/MIRCal, and other regulatory requirements.

Services

Explore the service offerings within Coker’s Coding, Documentation & Revenue Integrity capability.
Coding & Claims Due Diligence Audits

Coker’s expert audit team can perform the coding and claims due diligence review in your M&A transactions.

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Compliance Audit Due Diligence

Our experts examine the effectiveness of the target organization’s compliance program.

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Compliance Program Effectiveness Review

We comprehensively evaluate your existing compliance program against industry and governmental agency guidance and recommendations to improve the program's effectiveness.

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Provider Coding Audit & Education

Our team of certified coders and auditors can ensure your billing providers stay in compliance.

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HIM Services - CDI – Clinical Documentation Improvement

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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Coding Compliance Reviews - Inpatient MS-DRG Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - HIM APC Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - ICD-10-CM / PCS Clinical Documentation Review

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Medical Necessity Reviews

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - HCC Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - OIG High Profile Cases

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Long Term Acute Care Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Outpatient Audit - Full APC Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Professional Fee Coding Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - RAC and Third-Party Claim Review and Appeals

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - PACT Accuracy Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Itemized Charge Detail Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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Coding Compliance Reviews - Interventional Radiology Audit

A structured coding and billing validation audit program performed by an external, unbiased third party.

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HIM Services - Healthcare Audit Resource Technology© (HART)

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - Interim Management

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - Revenue Cycle Analysis

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - Joint Commission Preparedness

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - Operational Assessment

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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HIM Services - OSHPD/MIRCal Data Corrections/Submissions

Healthcare Cost Solutions (HCS) specializes in helping facilities in times of transition by providing key leadership professionals to help manage day-to-day operations and/or to perfect operational efficiencies and strategies.

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Coding Services - Remote Coding

Healthcare Cost Solutions (HCS) coders are credentialed, receive ongoing educational support, and are regularly audited for adherence to accuracy expectations.

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Clinical Medical Necessity Reviews

Ensure appropriate, evidence-based care with clinical medical necessity reviews that reduce risk, improve documentation, and strengthen reimbursement integrity.

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Need expert support for coding accuracy and compliance?

Fill out the form to connect with our advisors and learn how Coker can help you strengthen documentation integrity, protect revenue, and stay audit-ready.

FAQs

What makes Coker’s coding and documentation advisory unique?

Our team blends clinical and compliance expertise to deliver defensible coding practices that protect revenue and ensure accuracy across all settings.

Do you provide both remote and onsite coding services?

Yes. We offer flexible support models, including remote, hybrid, and onsite coding to meet your operational and compliance goals.

Can Coker help us prepare for an external audit?

Absolutely. We provide comprehensive audit readiness assessments and corrective action planning to ensure your documentation withstands review.

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