Medical Coding

Precision coding that protects revenue, reduces denials, and keeps compliance audit-ready.

Citrux Health delivers a measurable, clinical-first coding engine: certified coders, automated validation, and a continuous QA loop — designed to convert documentation into correct reimbursement with minimal friction.

  • Targeted accuracy controls and peer review to reduce denials and appeals workload.
  • Configurable turnaround windows — from rapid triage to scheduled bulk cycles.
  • End-to-end workflows with audited access and encryption.

How we deliver value

A blended approach of automation, clinical review, and continuous learning.

Certified, Specialty Coders

AHIMA / AAPC-trained coders with specialty-specific expertise to minimize rework and denials.

3‑Tier Quality Assurance

Automated validation + expert review + targeted remediation to push accuracy toward 95%+.

Security First

Encrypted workflows, secure access controls, and documented compliance processes.

Flexible Turnaround

From same-day triage to scheduled bulk cycles — scale cadence to match throughput needs.

Clinical Documentation Support

CDI-aligned workflows that close documentation gaps and improve RAF capture.

End‑to‑End RCM Partnership

Coding integrated with billing, auditing and CDI for measurable downstream revenue impact.

3‑Tier Quality Assurance

Designed to catch errors early, reduce re-work, and document quality for audits.

  1. 1
    Automated validation
    Rules-based checks, edits and terminology mapping before human review.
  2. 2
    Clinical coder review
    Specialty-trained coders perform clinical interpretation and correct code assignment.
  3. 3
    Audit & remediation
    Peer QA and targeted remediation tracks trends and closes documentation gaps.

HCC / Risk Adjustment Coding & Audit

Service types & specialties

We cover an extensive set of care areas — configured to your operational model.

Acute Care InpatientEmergency DepartmentAmbulatory SurgeryInterventional RadiologyOutpatient DiagnosticsAncillary VisitsPhysician Office VisitsE&M LevelsObservation ServicesRecurring & Series Accounts
Contact
Citrux Health Solutions — Medical Coding Services