Orthopedic Chart Coding & Audit for a New York-Based Healthcare System
Orthopedic Chart Coding & Audit for a New York-Based Healthcare System
Client: A large healthcare system based in New York City, NY-USA
Partner: Addnectar—Specializing in Risk Adjustment (Medicare HCC, HHS
HCC, Medicaid CDPS), RCM services (Medical Coding, Billing, AR Followup), and end-to-end healthcare outsourcing solutions.
In November 2022, the client approached Addnectar with a critical requirement:
to code and audit 1,200 orthopedic surgical charts within four weeks, utilizing a
platform new to our teams.
The Challenge
This engagement brought several operational and technical hurdles:
- The client mandated use of a custom coding software unfamiliar to
Addnectar’s staff, which required quick adaptation. - The project called for a team of coders with in-depth knowledge of orthopedic surgical procedures, each with a minimum of 3 years’
experience. - Accuracy was crucial: the client emphasized compliance and documentation precision due to internal and external audits.
- A strict four-week timeline for project completion.
The Solution
Addnectar deployed a strategic, multi-layered approach to deliver on time and with high quality:
- Mobilized a Specialized Ortho Coding Team experienced orthopedic surgery coders were immediately allocated to the project. The team was led by a project manager and supported by senior QA auditors.
- Rapid Training on Client’s Coding Tool Our training team worked round-the- clock to onboard coders onto the new platform within 48 hours of project kick-off.
- Regular Sync-Ups with the Client Frequent communication with the client helped ensure alignment, calibration, and fast resolution of any issues during the coding and audit phases.
- Strong QA and Review Workflow Our internal Quality Assurance team reviewed every batch of charts before final submission to ensure compliance with coding standards and client expectations.
Results
Metric Outcome
Total Charts 1,200 Orthopedic Surgical
Completion Time 4 Weeks (On Schedule)
Accuracy Rate 98.5%
Client Feedback Very Satisfied
Thanks to a combination of expertise, process discipline, and proactive communication, Addnectar delivered 1,200 high-complexity charts within the required timeframe and with exceptional accuracy. The client reported zero issues during their compliance review.
Conclusion
Addnectar once again demonstrated the ability to adapt quickly, staff efficiently, and execute flawlessly—even under tight deadlines. This project reinforced our reputation as a trusted partner for high-volume, high-complexity medical coding and audit services.
