Audit & quality assurance
Automated sampling + human review
We combine statistical audit sampling with deep human analysis.
Coding error root-cause analysis
identify whether issues stem from documentation, charge entry, or coding interpretation.
Actionable provider feedback
Concise, clinical-focused notes your providers can use immediately.
Reports outcomes
Monthly coding scorecards and trend reports.
Comprehensive medical coding services
Experts translate clinical documentation into precise diagnosis and procedure codes for outpatient, inpatient, and pro fee billing.
ICD‑10, CPT & HCPCS Coding
Complex cases in surgical reports, interventional specialties, oncology, and radiology are coded by experts with peer review and dual-coding when necessary.
Complex Case & Specialty Coding
Internal audits and validations reduce compliance risk and improve reimbursement accuracy.
Coding Audits & Compliance Reviews
Remote access, clean data entry, and optional AI-assisted tools support efficient, secure EHR/PM workflows.
Integration with Your Workflow
Avoids denials by checking NCCI edits and mutually exclusive procedure pair rules.
Payer Edit Validation
We check records for medical necessity, detailed documentation, and defensible coding.
Clinical Documentation Improvement (CDI)
Our processes fast, predictable, and low-friction
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Free baseline coding audit — we sample your charts and produce a baseline scorecard showing revenue risk and quick wins.
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Customized plan & onboarding — Select either complete outsourcing, coder augmentation, or audit-only for a bespoke plan and onboarding. We plan access rules, EHR/PMS integrations, and workflows.
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Parallel run (if requested) — we code alongside your team for a transition period to validate accuracy and TAT.
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Go-live & steady state — daily operations, weekly check-ins, and direct access to your account coder.
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Continuous improvement — monthly performance evaluations, focused education, and denials/coding correction sprints are all part of ongoing development. showing revenue risk and quick wins.
Why Partner with Us?
Certified Medical Coders (AAPC‑CPC, AHIMA‑CCS)
Deep experience in over 25 medical disciplines.
AI‑Enhanced Quality Review
We use tools that complement human expertise for precision and compliance.
Full HIPAA, CMS & OIG compliance
We ensure compliance including NCCI edit checks and payer‑specific policy updates.
Fast Claims Turnaround
Faster claim turnaround and fewer corrected claims.
Reduce Denials
Reduced coding-related denials and audits.
Forecasting
Improved charge capture and more accurate revenue forecasting.
Medical Coding Services
We don't just find problems - we fix them and keep them fixed. At Sirius Solutions Global, our medical coding service combines certified human coders, rigorous QA, and AI-assisted tools to make coding accurate, fast, and defensible - so you collect more, appeal less, and spend time on patient care.
How our Sirius AI helps - automation that supports humans
AI isn’t a replacement - it’s a force-multiplier for skilled coders. We use secure, healthcare-grade AI features to speed accuracy and find revenue opportunities:
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NLP documentation parsing: converts clinical notes into structured suggestions so coders don’t miss billable elements.
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Smart code suggestion: proposes CPT/ICD/HCPCS candidates with confidence scores — coders confirm final choice.
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Automated audit flags: surfaces likely missing modifiers, unbilled visits, or inconsistent diagnoses.
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Predictive denial analytics: identifies claims with high denial probability so we can remediate before submission.
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OCR & document ingestion: rapidly extract chargeable events from scanned notes, faxes, and referral forms.
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Continuous learning loop: AI suggestions improve over time using anonymized, consented practice data and coder feedback.
Bottom line: AI reduces low-value manual work and highlights exceptions - certified coders make the final, defensible coding decisions.
Our team & quality controls
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Certified Professional Coders (CPC / CCS / CCA / RHIA) assigned by specialty.
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Dual-review QA: High-risk or high-dollar charts receive secondary review before claims submission.
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Ongoing education: Monthly coder training aligned to your specialties and payer changes.
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SLA-driven turnaround: Agreed TATs for outpatient, inpatient, and urgent coding needs.
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Audit-ready documentation: Every coded chart includes source references and an audit trail for defense.
Certified Coders
AAPC‑CPC, AHIMA‑CCS certified
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