Discover the pros and cons of AI-augmented risk adjustment and how tech + expertise drive results.

Quality Documentation

Improving Accuracy & Data Integrity

Review

Defensible, Audit-Ready Records

Automation

Automating Clinical Documentation

Education

Training Teams for Documentation Accuracy

Compliance & Risk-Based Training

Risk-Focused Documentation Compliance

Demographic Registration

Accurate Data From First Touch

Prior Authorization

Preventing Delays Before Care

Charge Capture

Capturing Charges Without Leakage

Edits & Rejections

Reducing Claim Errors Early

Denials Management

Recovering Revenue From Denials

Payment Posting

Accurate Payments, Faster Close

Credit Balances

Resolving Credits With Precision

Insurance Follow-Up

Accelerating Payer Responses

Correspondence & Appeals

Strengthening Payer Appeals

Concurrent Coding

Real-Time Coding for Better Outcomes

HCC Coding

Improving Risk Capture Accuracy

Inpatient & Outpatient Coding

Precise Coding Across Care Settings

Ancillary Coding

Complete Coding for Ancillary Services

CPT, DRG & HCPCS Optimization

Optimized Codes for Proper Reimbursement

Revenue Integrity

Protecting Revenue Through Coding

Population Health & RAF Optimization

Optimizing RAF for Population Health

Risk Adjustment Analytics

Analytics-Driven Risk Adjustment

Audit & Quality

Audit & Quality Services

Inpatient Outpatient Coding Services for High-Volume Healthcare Organizations

Chirok Health delivers specialized inpatient medical coding and outpatient medical coding services aligned with payer rules, DRG/APC accuracy, and CDI best practices.

Compliant with Industry Standards
inpatient outpatient coding services

Coding Challenges That Emerge as Inpatient and Outpatient Volumes Grow

Inpatient outpatient coding becomes increasingly complex as volumes rise, regulations change, and documentation gaps persist, putting revenue, compliance, and reporting accuracy at risk.

Inconsistent Clinical Documentation Incomplete or unclear provider documentation makes accurate inpatient medical coding difficult, leading to missed severity capture, DRG shifts, and downstream denials.
Evolving Outpatient Coding Rules Frequent CPT, modifier, and payer-specific changes increase the risk of errors in outpatient medical coding, especially in high-volume ED and clinic settings.
Limited Access to Skilled Coders Finding and retaining a qualified inpatient/outpatient coder is increasingly difficult, resulting in backlogs, rushed coding, and reduced quality assurance.

What Makes Chirok Health’s Inpatient Outpatient Coding Reliable

Chirok Health applies certified expertise, specialty-aligned workflows, and built-in quality controls to deliver dependable inpatient outpatient coding across complex care settings.

Why We are Different:

Certified Coding Experts

Certified Clinical Coders

AHIMA, AAPC & ACDIS certified professionals

Specialty-Focused Coverage

Specialty-Focused Coverage

Supporting 30+ healthcare specialties

Reliable inpatient outpatient coding

Inpatient & Outpatient Coding Across Payment Models

Inpatient outpatient coding services structured to support accurate reimbursement, quality reporting, and risk performance across payment models.

Fee for service coding

Fee-for-Service Coding

Accurate inpatient and outpatient coding focused on DRG, APC, modifier use, and medical necessity to support compliant reimbursement.

value based care coding

Value-Based Care Coding

Coding that supports risk adjustment, quality measures, and complete clinical capture across inpatient and outpatient encounters.

Core Components of Our Inpatient Outpatient Coding Services

Chirok Health’s inpatient outpatient coding service covers the full coding lifecycle, from documentation review to final code assignment, across inpatient and outpatient settings.

Clinical Documentation Review

Clinical Documentation Review

Review of provider documentation to support accurate diagnosis and procedure coding across inpatient and outpatient encounters.

Inpatient Coding

Inpatient Coding (ICD-10-CM/PCS)

ICD-10-CM and ICD-10-PCS coding aligned to DRG logic, severity capture, and inpatient reimbursement requirements.

Outpatient Coding

Outpatient Coding (CPT/HCPCS)

CPT and HCPCS coding with correct modifier use to support APC assignment and compliant outpatient billing.

Coding Quality Validation

Coding Quality Validation

Multi-level quality checks to validate code accuracy, consistency, and compliance before claim submission.

How Our Inpatient Outpatient Coding Services Process Works

Chirok Health follows a structured inpatient outpatient coding workflow that ensures documentation accuracy, compliant code assignment, and quality validation before claims move forward.

Inpatient Outpatient Coding Services Process

What Organizations Gain from Our Inpatient Outpatient Coding Services

Chirok Health’s inpatient outpatient coding services deliver measurable improvements across accuracy, compliance, reimbursement, and reporting.

Reliable inpatient outpatient coding
Coding Accuracy You Can Rely On

Improved accuracy across inpatient and outpatient encounters reduces rework and downstream corrections.ent coding ensures patient complexity is fully and accurately reflected.

Reimbursement Aligned to Payment Models

Consistent code assignment supports compliant reimbursement under fee-for-service and value-based care.

Stronger Clinical and Severity Capture

Complete clinical capture improves DRG severity, APC assignment, and quality reporting outcomes.ive reviews improve continuity and accuracy of chronic condition capture.

Lower Denial and Audit Exposure

Alignment with payer rules and coding guidelines reduces denial and audit risk.ports equitable benchmarking, shared savings, and performance-based payments.

Cleaner Billing and Revenue Insights

Reliable coding output supports cleaner billing, analytics, and revenue cycle decision-making.ms without increasing internal staffing or operational burden

Measured Outcomes from Expert Inpatient Outpatient Coding

Our inpatient outpatient coding services deliver consistent, measurable improvements in accuracy, turnaround time, and reimbursement performance across complex care settings.

Increase in E/M and Procedure Volume
0 %
Increase in Overall RAF Scores
0 %
Increase in Work RVUs (wRVUs)
0 %
Coding Accuracy Rate
0 %

Our Coders Work Directly Inside Your EHR

Chirok Health delivers inpatient outpatient coding services directly within your EHR, without parallel systems or manual workarounds.

Why EHR Adaptability Matters:

Who we serve

Chirok Health supports healthcare organizations that rely on accurate inpatient and outpatient coding to strengthen reimbursement, compliance, and operational performance.

Hospitals and Health Systems

Hospitals & Health Systems

Supporting accurate inpatient medical coding and outpatient medical coding to improve DRG integrity, APC assignment, and audit readiness at scale.

Outpatient Care Organizations

Outpatient Care Organizations

Delivering consistent outpatient coding across clinics, EDs, and ambulatory settings without compromising accuracy or turnaround time.

Risk Bearing Entities

Academic Medical Centers

Managing complex, high-acuity inpatient and outpatient encounters with clinically validated coding that supports teaching environments and compliance.

Payors and TPAs

Medical Groups & Physician Practices

Improving documentation alignment and code accuracy across specialties to support compliant billing and reliable revenue performance.

Payors and TPAs

ACOs & Risk-Bearing Organizations

Ensuring accurate inpatient and outpatient code capture to support quality reporting, financial performance, and value-based contract requirements.

Value-Based Care RCM Staff Augmentation

Dedicated Chirok Health specialists extend your value-based care revenue cycle, supporting risk, quality, and contract performance across your organization.

Hear from Organizations We’ve Helped

Chirok Health’s partnership has been invaluable, demonstrating remarkable adaptability in meeting our needs. Their comprehensive chart reviews ensure chronic conditions and potential health conditions are brought forth to our providers on time, enabling us to establish tailored care plans that truly meet our patients' needs.

Chief Financial Officer

Our Chirok partnership over the years has been amazing. The depth of knowledge and expertise is a given for Chirok, but their dedication to getting things right, working with us to improve each day, and the warmth of their people has set them apart. They are close colleagues and friends as well as coding partners, and we are very grateful for that.

Medical Compliance Officer

The Chirok team consistently puts quality at the forefront, maintaining an unwavering dedication to compliance. Their commitment to accuracy is unparalleled, ensuring that our organization benefits from the highest standards without compromise. They are prompt, supportive, and a joy to work with. We are grateful for a partnership that blends excellence with efficiency.

Chief Operations Officer, Ambulatory Services

Get in Touch

Let’s optimize inpatient and outpatient coding accuracy and performance.

Whether you manage inpatient or outpatient coding at scale, Chirok Health helps improve accuracy, compliance, and turnaround time. Start a conversation for a tailored coding solution.

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Got Questions?

We’ve Got Answers!

Medicare Advantage plans struggle with incomplete HCC capture from inconsistent documentation, impacting RAF scores and revenue. Chirok Health's certified coders ensure 23% RAF uplift through comprehensive chart reviews and prospective coding.

We deliver ICD-10-CM coding aligned with CMS guidelines, multi-level QA, and EHR-native workflows to maximize risk adjustment while minimizing audits. Schedule a RAF optimization consult.

ACOs need complete severity capture across inpatient/outpatient encounters for quality measures and shared savings. Our specialty-aligned coding boosts RAF scores 23% and supports HCC/quality reporting.

Full coverage for MSSP, Next Gen, and global risk models with accurate risk adjustment, DRG/APC validation, and payer-specific compliance.

Yes—our AHIMA/AAPC certified team manages 25% E/M volume increases with 99% accuracy, DRG integrity, and modifier expertise across 30+ specialties. Direct EHR integration eliminates backlogs.

EHR-native setup enables fast onboarding (days, not weeks) with minimal disruption, supporting hospitals, EDs, and clinics at scale.

Multi-level quality checks align with AHIMA, AAPC, ACDIS standards and payer rules, reducing denial exposure by validating DRG/APC/modifiers pre-submission. 99% accuracy proven.

Clients achieve 26% wRVU growth, 25% E/M volume increase, 23% RAF uplift, and cleaner revenue cycles. Finance leaders gain reliable billing insights

Our scalable team of certified experts eliminates hiring/retention issues, delivering consistent quality without backlogs or rushed coding.

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