Surgery Coding

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Surgery Coding

  • We provide our clients with direct access to a team of specialty-focused, credentialed medical coders—ensuring accurate, compliant, and high-integrity coding support across even the most complex surgical procedures.

    Each engagement is guided by a designated Project Manager, who acts as a strategic liaison to:

    • Assess your surgical specialties and payer mix
    • Assign the right number of coders with matching domain expertise
    • Design a tailored Coding Profile that incorporates your organization’s specific rules, edits, and payer requirements
    • Establish a scalable workflow for seamless integration with your clinical and billing teams

    Expertise Across Surgical Subspecialties

    Surgical coding represents the most intricate segment of the CPT code set, demanding mastery in:

    • Modifier application for bilateral, staged, or bundled procedures
    • Multi-layered procedural sequencing and documentation evaluation
    • Accurate diagnostic code mapping using ICD-10-CM

    Our certified surgical coders possess deep experience in focused domains such as orthopedics, cardiothoracic, general surgery, neurosurgery, OB/GYN, urology, and more. Every coder on our team must not only hold at least one national coding credential but also pass rigorous skill validation in their subspecialty before joining a client project.

    Uncompromising Focus on Quality and Accuracy

    • Coders must maintain a minimum 95% accuracy rate as verified through random Quality Assurance and Continuous Accuracy Improvement reviews.
    • We proactively monitor and resolve documentation gaps and coding inconsistencies before submission—minimizing denials and compliance risks.
    • You receive detailed QA feedback, trend analysis, and education opportunities to support internal coding integrity.

    With us, you’re not just outsourcing surgical coding—you’re empowering your organization with a precision-driven team that delivers scalable expertise, operational efficiency, and continuous quality assurance tailored to your practice’s unique needs.

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Ready to Elevate Your Healthcare Operations?

Partner with Spy Health for expert medical coding and revenue cycle management solutions. Our team is here to support your growth with precision and reliability.

Our Services

Medical Coding Services

Accurate. Compliant. Certified.
We provide precise medical coding solutions by certified professionals to ensure clean claim submission and faster reimbursements.

We offer risk adjustment coding which required highly skilled coding professionals to work together to capture the health status of their patient

We offer risk adjustment coding services for both Payers and Providers. By provider risk adjustment coding we contribute on

We specialize in designing and implementing Clinical Documentation Improvement (CDI) programs tailored to the needs of hospitals, physician groups, and healthcare

We providing complete full service, end-to-end coding and billing for ED visits. In addition to offering a complete ED revenue cycle management solution, we also

We offer targeted and effective HEDIS coding services that support healthcare plans in achieving excellence in quality reporting. Developed by the (NCQA)

We recognize that every denied claim tells a different story—and resolving it demands more than just routine follow-up. Our approach to (A/R) and Denial Management

We providing highly trained & efficient team for pathology coding services, By utilising Current Procedural Terminology (CPT) codes to describe medical procedures,

We provides expert radiology coding services for our clients with fully knowledge in relevant CPT codes for radiology procedures, such as X-rays

RCM Services

Streamline Your Billing. Maximize Revenue.
From patient registration to final payment, our end-to-end RCM services help healthcare providers boost cash flow and reduce denials.

Eligibility and Insurance Verification services stand as linchpins in ensuring the

Effective Patient Scheduling is not just about managing Patient Appointments. Effective capture

The primary reason for claim denials is because a patient is not eligible for services billed to the insurer by the provider.

In the realm of effective medical billing, administrators often highlight coding and clinical documentation

Healthcare organizations often grapple with administrative stress caused by outstanding claims and

As the foundation of any healthcare insurance claims, patient’s demographic entry is very important

The process of claims submission involves parsing of claims information from the RCM

Denial management services serve as an indispensable pillar in upholding the

We provide comprehensive patient statement services. We generate patient

Our certified coders are trained across multiple surgical specialties including general surgery, orthopedics, cardiothoracic, urology, neurosurgery, ENT, and OB/GYN.

We ensure precise use of surgical modifiers (e.g., 59, 51, 78) and correct CPT sequencing when coding multi-site, staged, bilateral, or repeat procedures.

We require detailed op notes that include pre/post-op diagnoses, surgical techniques, anatomic sites, devices used, and intraoperative findings to ensure complete code capture.

Yes. We handle inpatient, outpatient, and ambulatory surgical center (ASC) coding with tailored workflows for each setting.

Absolutely. Our coders are experienced with identifying bundled services and justifying unlisted CPTs with complete documentation.

Our coders undergo regular subspecialty assessments and QA reviews, and must maintain ≥95% accuracy through continuous performance audits.

FAQ

Got questions? We’ve got answers.

Have questions about our services or how we work? We’ve compiled answers to the most common queries to help you better understand what Spy Health offers and how we can support your healthcare organization. Whether you’re new to medical coding and RCM or looking to switch providers, our FAQs are here to guide you.

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+1(978) 502-4707

Mail Us

sales@spyhealthrcm.com