Coding Services

Capture Revenue, Accelerate Cash Flow.

Dedicated teams of certified coders to reduce coding backlog and improve quality.

Your Full-Service Coding Provider

Coding support across mid-cycle revenue cycle

Risk Adjustment & HCC Coding

Risk Adjustment & HCC Coding

Proficiently identifying revenue integrity issues and opportunities through HCC Risk Adjustment guidelines

CDI & Provider Education

CDI & Provider Education

Enhance revenue from improved documentation and accurate CPT coding through identifying key clinical documentation gaps, recognizing query opportunities, and educating physician providers

Outpatient Coding, Facility & Professional Fee

Outpatient Coding, Facility & Professional Fee

Ensuring codes and modifiers are driving the correct payment (i.e. from Outpatient Facility, ProFee, Clinic, Labs & Diagnostics, Recurring conditions, to those most complex Obs, SDS, ED, etc)

Home Health Coding

Home Health Coding

Maximizing Home Health payments based on PDGM through accurate coding, OASIS assessments, as well as Plan of Care (POC) reviews

InPatient Coding

InPatient Coding

Reduce AR (accounts receivable burden) through accurate and timely completion of diagnosis, PCS coding, and DRG assignment

Coding Quality Auditing

Coding Quality Auditing

Customized Audits save you time and money (e.g. DRG audits)

Reduce Coding Backlog & Improve Quality

Above 96% Accuracy by 3rd Party Audits

compared to offshore industry average of 91%

AHIMA or AAPC Credentialed Coders

All of our coders are certified and many are dual certified BSNs

Poor Quality is Costly. At Shearwater Health, Quality is Our Top Priority.

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Accuracy by 3rd Party Quality Audits

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Client Satisfaction

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Experienced & Certified Coders

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Charts Coded Annually

Robust Project Management Framework

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Technology
Proficient with 35+ IT integrations with our secure contact centers
Staff Onboarding
Deliver progressive method to ensure accurate and efficient delivery
Training
We train our staff on your content, you certify that your content is understood
Quality
Measures of success are defined, and remediation process is established

Quality RCM Coding

Our Accreditations & Certifications

Health Utilization Management Certification
08/01/2027
Workers' Compensation Utilization Management
04/01/2027

Still Unsure? See Us In Action!

Review our real-life examples of custom solutions we have created for coding clients just like you.