Built on over 25 years of Excellence:
"Excellence in Revenue Cycle Solutions – Your Partner in Precision and Performance"
QualCode is a comprehensive revenue cycle management company that’s is dedicated to specializing in revenue integrity and compliance
As our name suggests, quality is in our DNA, and it drives everything we do. At QualCode, we’re all about revenue integrity, and we don’t just talk the talk. Many of our clients will tell you that walk the walk as well.
We understand the enormous amount of pressure our clients face in today’s uncertain times. Many healthcare organizations continue to struggle with medical coder shortages and are unable to maintain productivity and accuracy standards. That’s why we strive to provide customized revenue cycle management services to meet the needs of every client we serve. We know it has become increasingly more difficult to ensure medical coding compliance, and we’re here to help.
The 5 Cs of Building Stronger Relationships With Your Coding Vendor - by Natalie Williams
Let’s face it—choosing the right coding vendor for your organization can be overwhelming.
There are so many options out there, and it’s easy to get caught up in focusing on productivity, accuracy, and cost. But here’s the thing: while those factors are crucial, what really makes a difference is the relationship you build with your vendor.
At QualCode, Inc., we turn challenges into opportunities.
Review our updated capability statement for details.
Your Challenges
Quality Metrics Falling Short: Inaccurate or incomplete clinical data resulting in lower performance rankings, including U.S. News & World Report scores.
Workforce Strain: Increased coder burnout, nationwide staffing shortages, and ongoing difficulties attracting and retaining specialized talent.
Gaps in Coding Quality Oversight: No unified or standardized process for coding validation—leading to missed revenue, compliance vulnerabilities, and exposure to post-payment audits and recoupments.
Insufficient Clinical Validation: Documentation and coding misalignment that weakens claim defensibility and increases denial risk.
Growing DNFB Backlogs: Rising discharge-not-final-billed volumes due to limited internal resources and competing operational priorities.
Our Solutions
Enhance Quality Performance: Accurate capture and sequencing of secondary diagnoses to strengthen clinical profiles and elevate quality rankings.
Protect Revenue With Clinical & DRG Validation: Comprehensive clinical validation and pre-bill DRG reviews to reduce overpayments, prevent denials, and ensure compliant reimbursement.
Improve Documentation Accuracy: Targeted inpatient and outpatient documentation support that reinforces medical necessity, acuity accuracy, and overall revenue integrity.
Stabilize HIM Productivity: Flexible, scalable coding resources to reduce DNFB backlogs, minimize coder burnout, and improve retention.
Optimize Compliance With QCTracker®: Automated CPT/HCPCS/ICD updates, real-time workflow integration, and smart quality checks to prevent early-year denials and support consistent coding accuracy.
…and much more—customized to meet your organization’s unique needs.
InfoCode
The more you know, the better you code
In The News:
QualCode Partners with Decision Point Software to Deliver Next Generation QC Tracker®️ for NYC Hospitals.
Featured | Press-Release:
QualCode announces a strategic partnership advancing quality control tracking for hospital coding operations—improving accuracy, audit-readiness, and revenue integrity across complex inpatient workflows.
Clients Who Trust QualCode
