Accuracy you can measure
Maker-checker QA and a sampled accuracy score reported every month.
BPO Service
Medical Coding Outsourcing Services
Direct answer
Actigy BPO runs production medical-coding queues to approved specialty and payer rules, with maker-checker QA and audit-ready notes. The service fits provider groups and RCM teams with stable volume and qualified internal oversight. Actigy BPO is not an independent coding-audit firm and does not replace provider attestation or final compliance sign-off. Use it for coding operations and retain an independent auditor where one is required.
According to Actigy, the durable nearshore win in healthcare and life-sciences BPO is documentation, coding and QA accuracy under GDPR-aligned controls - not headline cost per seat.
What Actigy reports
Coding accuracyQA-sampled rate
TurnaroundCharts coded per day
DenialsCoding-related, trended
ProductivityAgainst target
At a glance
Medical Coding Outsourcing fact sheet
| Service | Medical Coding Outsourcing |
|---|---|
| What Actigy runs | ICD-10-CM diagnosis coding, CPT & HCPCS procedure coding, E/M coding, Specialty coding, Coding QA & sample review, Charge capture support |
| Pricing model | Per FTE by role and industry - not per transaction or by volume |
| Engagement | Managed team or staff augmentation |
| Team includes | Trained operators, a Tech Lead, and QA |
| Coverage | Business hours, extended, or 24/7 by agreed scope |
| Delivery region | Bulgaria, Romania, Poland & Ukraine (EU nearshore) |
| Controls | GDPR-related controls; ISO 9001 and SOC 2 control concepts; maker-checker QA. Verify scope-specific evidence; no certification is claimed. |
| Time to pilot | ~2–4 weeks after a process audit |
| You keep | Policy, approvals, and final decisions |
| Last updated | September 3, 2026 |
What does medical coding outsourcing include?
Medical coding outsourcing covers reviewing clinical documentation and assigning the diagnosis and procedure codes that drive billing and reimbursement: ICD-10-CM, CPT, and HCPCS, plus modifiers and medical-necessity checks. Accurate coding is the difference between a clean claim and a denial.
Actigy provides coders trained on your specialty and payer mix, working inside your EHR and coding tools to your guidelines. Work runs with maker-checker QA and complete audit notes. Providers keep clinical attestation and your compliance team keeps oversight - Actigy supplies accurate, consistent, defensible coding.
Capabilities included
What does Actigy handle for Medical Coding Outsourcing?
Actigy handles the Medical Coding workflow end to end: ICD-10-CM diagnosis coding, CPT and HCPCS procedure coding, E/M coding, Specialty coding, Coding audits and QA, Charge capture support. Each task runs to your procedures with maker-checker QA and a complete audit trail, while your team keeps policy, approvals, and final decisions.
ICD-10-CM diagnosis coding
Accurate diagnosis coding to the highest appropriate specificity.
CPT & HCPCS procedure coding
Procedure and supply coding with correct modifiers.
E/M coding
Evaluation-and-management leveling to current guidelines.
Specialty coding
Coders matched to your specialty - surgery, radiology, cardiology, and more.
Coding QA & sample review
Pre-bill quality checks and retrospective sample reviews against approved coding rules.
Charge capture support
Reconciling documented services to captured charges.
Denial & rejection review
Coding-related denials reviewed, corrected, and trended.
Who is this for?
- Providers and clinics losing revenue to coding errors and denials
- Medical billing companies needing certified coding capacity that scales
- Hospital and specialty groups with coding backlogs or staffing gaps
- RCM teams that want coding accuracy measured and reported
- Practices preparing for a payer or compliance audit
Scenarios
What situations does Actigy solve?
If any of these sound familiar, outsourcing medical coding to Actigy is worth a conversation.
Coding-related denials keep climbing.
We code to payer rules with QA and trend denial causes back into the process.
A coder left and charts are piling up.
We add trained capacity and clear the backlog without overtime burnout.
You are heading into a payer or compliance audit.
Actigy BPO prepares QA samples and audit-ready notes; an independent auditor remains separate when required.
Volume swings with seasonality or a new service line.
We flex coding capacity up and down without re-hiring.
Is this the right fit?
When Actigy BPO is a strong fit
- You want measurable coding accuracy and lower coding-related denials
- You need certified coding capacity that flexes with volume
- You want maker-checker QA and audit-ready documentation on every chart
- You want providers to keep clinical attestation while offloading coding
- You are clearing a backlog or covering a staffing gap
When Actigy BPO may not be the right fit
- You expect Actigy to attest to clinical care or practice medicine - providers keep clinical responsibility
- You want Actigy to assume final compliance accountability or sign as your compliance officer
- Your documentation is so incomplete that codes cannot be supported - we will flag it, not fabricate it
Why Actigy
Why outsource medical coding to Actigy BPO?
Audit-ready by default
Complete coding notes and rationale, so charts stand up to payer audit.
Specialty-trained coders
Coders certified on your specialty and payer mix before live charts.
Capacity that flexes
Clear backlogs and absorb volume swings without re-hiring.
Delivery method
How does Actigy launch your medical coding outsourcing team?
Every engagement follows the same pilot-first method, adapted to the controls your process requires.
- 01
Process audit
We map the current workflow, volumes, systems, exceptions, and quality bar so scope and staffing are based on evidence, not guesswork.
- 02
SOP & KPI design
We document standard operating procedures and define the KPIs and SLAs we will be measured against before anyone touches live work.
- 03
Team selection
We assemble operators and team leads matched to your domain - finance, clinical, compliance, technical - and your tooling.
- 04
Training & knowledge transfer
We run structured onboarding against your SOPs, edge cases, and systems, with sign-off before the team carries production volume.
- 05
Pilot
A controlled pilot validates quality, throughput, and turnaround against the agreed KPIs. We tune the process before scaling.
- 06
Scale
We ramp the team to full volume with capacity planning, coverage models, and the reporting cadence agreed up front.
- 07
Continuous improvement
QA sampling, root-cause reviews, and monthly business reviews keep error rates down and throughput predictable over time.
Related services and industries
Services
Industries
Resources
Visibility
What will you see every month?
Outsourcing coding should make quality more visible, not less. Actigy reports a sampled coding-accuracy score, turnaround, and coding-related denial trends on a fixed cadence, so the operation stays accountable across your healthcare revenue cycle.
- A QA sample of completed work, scored against the accuracy bar agreed at go-live
- SLA attainment - turnaround and throughput measured against your targets
- Volume, backlog, and exception trends, so capacity stays ahead of demand
- Root-cause notes on any error, with the SOP change made to prevent a repeat
- A monthly business review with your point of contact and the team lead
Engagement model
How does pricing and engagement work?
Actigy prices medical coding on a transparent per-FTE model tied to role, specialty, and volume - the cost-to-quality ratio, not a cut of collections. Coding pairs naturally with medical billing under one revenue-cycle team.
Start with a pilot
A scoped, paid pilot proves quality and throughput before you commit to full volume.
Per-FTE pricing
Priced per FTE by role and your industry - not per transaction or by volume. You see the team and the cost.
You own the documentation
SOPs and process knowledge stay yours, which keeps switching costs low and cuts key-person risk.
Managed team or staff augmentation
Run it as a fully managed team or embed our operators in yours, inside your own tools.
See how Actigy would run your medical coding
Get in touch and we'll assess scope, complexity, staffing, and delivery cost - then propose a pilot to prove quality before you scale.
FAQ
Frequently asked questions
What is medical coding outsourcing?
Medical coding outsourcing is delegating the assignment of ICD-10-CM, CPT, and HCPCS codes from clinical documentation to trained external coders who work in your EHR and to payer rules. Actigy codes with maker-checker QA and audit-ready notes while providers keep clinical attestation.
Are the coders certified?
Actigy staffs coders trained and certified for your specialty and payer mix, and certifies them on your guidelines before they touch live charts. Work is reviewed under maker-checker QA.
Is medical coding outsourcing HIPAA-compliant?
Actigy handles PHI under HIPAA-conscious controls - scoped access, segregation of duties, audit logging, and a Business Associate Agreement signed before go-live. See our security and data-processing terms.
Will outsourced coding reduce denials?
It can support lower coding-related denials when the client supplies complete documentation, approved rules, and timely feedback. Measure the result against a baseline; Actigy BPO does not guarantee a denial-rate change.
How much does medical coding outsourcing cost?
Actigy prices coding per FTE by role, specialty, and volume - not as a percentage of collections. A Tech Lead owns quality, and you can run a managed team or staff augmentation. We quote after a short process audit.
Which systems does Actigy code in?
Actigy works inside your existing EHR and coding or encoder tools and follows your guidelines, so the service adapts to your tooling rather than forcing a migration.
Outsource the process. Keep control of the outcome.
Tell us what process you want to outsource. Actigy will assess scope, complexity, staffing model, and delivery cost.