Turn clinical documentation into accurate, audit-ready codes without adding pressure to your internal team. We help maintain coding quality as volumes rise and requirements change.
Explore the full range of solutions Helpware divisions provide:
Explore the full range of solutions Helpware divisions provide:
Turn clinical documentation into accurate, audit-ready codes without adding pressure to your internal team. We help maintain coding quality as volumes rise and requirements change.
Send us the backlog and see coding turnaround improve within weeks. We work inside your existing systems, code to your specialty requirements, and maintain the quality standards your team expects.
We recruit, credential, and manage certified coders, removing the burden of hiring and maintaining an in-house team.
Your gain:
Lower staffing costs, no coverage gaps, more budget for clinical hires.
Our senior coders review high-risk charts first. AI flags coding inconsistencies before a credentialed reviewer completes the final check.
Your gain:
Fewer coding-related denials, less rework, more predictable revenue reporting.
We track undercoding and overcoding trends and use the findings to guide weekly coder calibration and quality reviews.
Your gain:
Fewer payer takebacks, stronger documentation, fewer audit surprises.
Every chart undergoes a secondary review before delivery. QA leads audit samples daily and coach coders against your payer requirements.
Your gain:
Fewer rework cycles, cleaner audit trails, defensible documentation at payer review.
We are fully compliant with all necessary data protection protocols and implement advanced security measures across our operations. This approach reduces compliance risks, simplifies audit processes, ensures transparency, and increases customer trust in highly regulated and sensitive environments.
We enforce strict access controls, ensuring security and confidentiality across on-site and remote teams to maintain the integrity of client data.
We collect only necessary personal data, retain it for defined periods, implement multilevel security, and provide full user control over it.
We safeguard protected health information through end-to-end encryption, secure access protocols, and real-time threat detection.
We secure payment data throughout processing and storage, continuously monitoring our systems to identify and address potential risks.
We turn clinical documentation into accurate, billable codes through certified coding teams backed by AI-driven quality checks.
We assign DRG and ICD-10-CM codes from admission through discharge, helping support accurate reimbursement.
We assign E/M levels, modifiers, and procedure codes based on the documentation submitted for each encounter.
Our certified medical coders review charts for documented HCCs, helping ensure risk scores reflect patient acuity accurately.
We code operative reports across surgical specialties, supporting accurate billing for complex procedures.
Our team reviews chart samples to identify undercoding, overcoding, and documentation gaps before they affect reimbursement.
We review denied claims, correct coding issues, and support appeals to help recover eligible reimbursement.
As patient volume grows, coding teams face different challenges across hospitals, specialty groups, and health plans. We match coding capacity, review support, and turnaround expectations to the way your organization operates.
During post-holiday claim surges, coding queues outgrow internal capacity. Our coders absorb the overflow inside your existing workflow and follow the same specialty-specific coding standards. Turnaround remains within 48 hours throughout the surge.
Documentation reviews slow down when clinical records and payer requirements do not align. We route those charts to auditors with risk-adjustment expertise before they reach adjudication. Compliance review timelines stay predictable even under deadline pressure.
Coding consistency becomes harder to maintain as visit volume spreads across larger teams. Our coders work from a calibrated rule set and undergo ongoing quality reviews against your payer requirements. Accuracy remains above 98% even when volume grows.
Specialty coding backlogs grow quickly when qualified coders are difficult to hire or retain. We provide access to certified coders matched to the specialties your clinicians document, helping maintain coverage through vacancies, leave, and volume spikes.
Get ROI projection for current support needs.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
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-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
-40% annually
/monthly costs with Helpware
vs
/internal team costs (approx)
Your requirements fall outside our standard parameters.
Shared Team Leader
Shared L&D Specalist
Shared QA Specialist
Account Executive by default
Shared Ops Delivery Manager
Admin/Finance/Legal support for the agents by default
1-2 Dedicated Team Leaders
Shared L&D Specialist
Shared to 1 Dedicated QA Specialist
Shared Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
Shared Real Time Analyst
2-5 Dedicated Team Leaders
0,5 to 1,5 Dedicated L&D Specialists
1-2 Dedicated QA Specialists
Up to half of a dedicated Ops Manager
Account Executive by default
Admin/Finance/Legal support for the agents by default
1 Dedicated Real Time Analyst
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*These projections are estimates for informational purposes only and do not represent a formal offer. Contact us for a personalized quote.
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AI reviews the chart first and recommends codes based on the documented clinical record. Certified coders then validate, revise, or escalate the result. Every code receives human review before submission, helping maintain accuracy while keeping coding volume moving.
Suggests ICD-10 and CPT codes based on documented clinical detail before a coder reviews the chart.
Flags missing or conflicting documentation before coding begins, helping prevent issues that often lead to denials.
Pre-populates code references, modifiers, and payer requirements, reducing manual lookup time during coding review.
Scores every coded chart against payer edits and internal quality rules before it leaves the workflow.
Review operative notes in context and assign the code supported by the source documentation.
Track payer policy changes and apply the coding rules that govern each contract.
Write documentation queries and work directly with clinicians to resolve missing information.
Prepare code rationale and supporting documentation ahead of payer and RAC audits.
We set accuracy targets, turnaround expectations, specialty coverage, and audit requirements. We establish a starting point for denial and coding error rates.
We assemble AAPC and AHIMA credentialed coders matched to your specialties, run background checks, and confirm licensure before launch.
We train coders on your payer policies, documentation standards, and query protocols. They shadow your team inside the EHR before going live.
We code your daily queue, escalate documentation gaps, and report accuracy and turnaround performance through a shared dashboard.
We review coder performance monthly, retrain against denial trends, and expand support into audits or risk adjustment as your needs evolve.
Medical coding works best with teams that understand healthcare operations. We support providers, payers, and telehealth organizations every day under HIPAA-governed workflows.
Our coders respond quickly, flag documentation issues early, and help keep coding questions from slowing reimbursement.
Higher employee satisfaction helps us retain experienced coders, giving your team continuity and less disruption from turnover.
We add coding capacity quickly, helping maintain specialty coverage and turnaround times without the delays of hiring and training.
Long-term client relationships reflect dependable delivery, giving you a partner that supports coding operations year after year rather than quarter to quarter.
CSAT
ESAT
locations
years average length of client partnership
We hold 30+ industry awards alongside SOC 2 Type II, ISO 27001, and HIPAA compliance, earned across years of coding and back-office work for regulated healthcare clients.
Medical coding providers typically charge per chart, per hour, or as a percentage of collections. Percentage-based pricing usually falls between 4% and 8% of collections, depending on specialty, volume, and scope. Helpware CX uses a per-FTE monthly pricing model instead, which keeps costs predictable as coding volume changes. Compared with a fully loaded in-house coding team, organizations often reduce coding costs by 20–40%.
Most organizations use 95% coding accuracy as a benchmark, based on the CMS payment error rate standard that allows a 5% margin. Helpware CX maintains a 98% quality score through secondary review and ongoing quality assurance before charts are released.
Yes. Helpware CX operates under SOC 2 Type II, ISO 27001, ISO 9001, HIPAA, and GDPR controls. Coders work in secure environments with role-based access, and protected health information remains within the systems you authorize.
Our coders hold AAPC credentials such as CPC and CRC, as well as AHIMA credentials including CCS and RHIT. We align coder credentials with the work being performed, assigning inpatient facility coding, risk adjustment, and specialty coding to appropriately qualified teams.
A pilot team of five to ten coders typically reaches production within 30–60 days. Larger programs scale to full production within 90–120 days. Onboarding includes credential verification, EHR access, payer policy training, and a shadow period before live coding begins.
Coding errors remain a common cause of claim denials, and 41% of providers now report denial rates above 10%. Consistent coding review, documentation queries, and quality assurance help reduce denials tied to code mismatches, missing documentation, and other coding-related issues.
Yes. Our coders work directly inside the systems you already use, including Epic, Oracle Health, Athenahealth, and other healthcare platforms. There is no need to migrate data or introduce a separate workflow, since the team operates within your existing EHR and clearinghouse environment.
