Learn seven proven steps medical practices can use to empower coders, improve coding accuracy, and slash claim denials for a healthier revenue cycle.
Facing a critical staffing imbalance, physician practices nationwide are competing for a dwindling pool of qualified medical coders even as payers double-down on documentation audits and pre-payment edits. A 30% national shortage of certified coders is forcing many offices to run with lean teams or rely on overtime that still can’t keep pace with ever-expanding code sets and quarterly guideline updates. The squeeze is felt most acutely in primary care and high-volume specialty groups, where a single backlogged coder can stall the entire revenue cycle.
Technology alone won’t bail practices out. Artificial-intelligence encoders promise speed, but AI still needs skilled eyes to vet outputs and resolve gray areas that trigger telehealth or evaluation-and-management downcodes. As payers toughen prior-authorization rules and expand real-time claim edits, the value of a well-supported human coder, and the risk of losing one, has never been clearer.
The good news: targeted investments in training, tools and career growth can transform an overworked coding desk into a denial-busting, revenue-protecting engine. These seven strategies show how to get there.