Revenue Cycle Management Services | CODEMED, Inc.
End-to-End RCM · US-Based Team

Revenue Cycle Management Services

From charge capture to final collections — CODEMED manages every stage of your revenue cycle with credentialed coders, denial specialists, and reporting that shows what's actually happening.

Get a revenue cycle assessment See our services
98%
First-pass clean claim rate
25+
Years RCM expertise
100%
US-based staff
A/R days trend ▼ 20 days
65
45
M1M2M3M4M5M6M7
CLEAN CLAIM RATE
98.0%
DENIAL RATE
▼ 30%
What we manage

Every stage of your revenue cycle

Engage CODEMED for the full cycle or a specific component. Either way, every handoff is owned.

📋
Charge Capture
We reconcile encounters and charges to identify missing revenue before a claim is ever submitted. Off-menu and bedside services get routed to revenue integrity, not lost.
📝
Medical Coding
AHIMA/AAPC-certified coders for inpatient DRG, outpatient APC, professional fee, and specialty-specific code sets. Regular QA sampling and coder education included.
✅
Claims Submission
Every claim is scrubbed for coding errors, eligibility issues, and payer edits before it goes out. We chase clean claims, not rework.
🚫
Denial Management
Every denial is categorized, appealed, and traced back to the upstream cause. We don't just fight denials — we eliminate the patterns that create them.
📈
A/R Follow-Up
Accounts are prioritized by balance, age, payer behavior, and recoverability — not worked chronologically. High-value claims get the most attention.
📊
Reporting & Analytics
Monthly KPI reporting: clean claim rate, denial rate, A/R days, net collection rate. You always know where you stand.
98%
First-pass clean claim rate
30%
Average denial rate reduction after 90 days
1–5%
Net revenue recovered from charge capture audit
45 days
Median A/R days (down from industry avg 65)
Who we serve

RCM for every care setting

🏛
Hospitals & Health Systems

Inpatient DRG coding, CDI, cancer registry, charge capture audits, and revenue integrity programs. We work inside your existing HIS/EHR without migration.

Inpatient DRG CDI Cancer Registry Revenue Integrity
🩺
Physician Groups & Specialty Practices

Professional fee coding, claims, denial management, and A/R follow-up for multi-specialty, oncology, cardiology, and ambulatory groups.

Pro-Fee Oncology Cardiology Ambulatory
Client work

What a revenue cycle engagement actually looks like

H
Helen Hayes Hospital
INPATIENT HIM + CODING

An 80-bed rehabilitation hospital brought CODEMED in to manage inpatient coding after their in-house team couldn't keep pace with IRF-PAI complexity and EHR transitions. We deployed certified inpatient coders within two weeks, maintained coding accuracy above 98%, and provided monthly productivity reports tied to contract benchmarks (2–4 charts/hour for inpatient). Ongoing: SPARCS compliance support and coordination with their EHR vendor on an active code-sync issue.

Coding accuracy
98%+
Time to deploy
2 weeks
LA
LA County DHS
MULTI-SITE OUTPATIENT CODING

Managing outpatient coding across LA General and Harbor UCLA for one of the largest county health systems in the US. CODEMED coders hold to 14–16 charts/hour at 98%+ accuracy, with bi-weekly timesheet and productivity reporting to DHS supervisors.

Accuracy
98%+
Throughput
14–16 charts/hr
FAQ

Common questions

More questions? Talk to our team.

What's included in CODEMED's revenue cycle management services? ⌄

End-to-end: charge capture, coding, claims submission, denial management, A/R follow-up, patient billing support, and monthly reporting. You can engage us for the full cycle or specific components.

Do we have to switch our EHR or practice management system? ⌄

No. We work inside Epic, Meditech, DrChrono, Tebra, Athenahealth, eClinicalWorks, and most major HIS/EHR platforms. No migration required.

How quickly can CODEMED go live? ⌄

Typically 1–2 weeks for a full RCM engagement. Focused audits (charge capture, denial workdown) can begin within days of contract execution.

How is CODEMED different from offshore RCM vendors? ⌄

Every coder and analyst on our team is US-based and credentialed (CPC, CCS, CTR). We don't offshore. Our clients get the same staff, same quality standards, and the same accountability as an in-house team — without the overhead.

What specialties do you support? ⌄

Inpatient, outpatient, professional fee, oncology/cancer registry, rehabilitation (IRF), CDI, and ambulatory surgery. We staff based on your specific code set and payer mix.

Are you HIPAA compliant? ⌄

Yes. BAAs executed before any ePHI is accessed. Administrative, physical, and technical safeguards are in place throughout every workflow.

How is pricing structured? ⌄

Typically a percentage of net collections, which aligns our incentives with yours — we only earn when you collect. Fixed-fee arrangements are available for audit and coding-only engagements.

What reporting will we receive? ⌄

Monthly KPI dashboard: clean claim rate, denial rate by payer, A/R aging, net collection rate, and coding accuracy. Larger engagements include a named operations lead and quarterly executive review.

Ready to stop leaving revenue on the table?

CODEMED's RCM team brings certified coders, denial specialists, and operational accountability — without the overhead of an in-house build.

Schedule a revenue cycle assessment Read: Charge Capture article
Related reading
CHARGE CAPTURE Charge Capture Is Still the Biggest Hole in Your Mid Revenue Cycle Read article → PAYER REVIEWS The Payer Review Process Isn't a Mystery — It's a Documentation Problem Read article → COMPLIANCE SMRC Audits: What Every HIM Pro and CFO Should Know Read article →