Healthcare Staffing Solutions

A. Virtual Assistants – Remote Healthcare Support

Preauthorization

• Insurance authorization submissions
• Referral management
• Prior authorization tracking & follow-ups
• Denial prevention coordination

Medical Transcription

• Physician dictation transcription
• SOAP notes documentation
• Operative and consultation reports
• Quality-reviewed, timely delivery

Documentation Improvement

• Chart completeness review
• Identification of missing documentation
• Clinical Documentation Improvement (CDI) support
• Compliance-focused record enhancement

Medical Coding

• ICD-10-CM, CPT, HCPCS coding
• Specialty-based coding expertise
• Risk Adjustment & HCC coding
• Audit-ready documentation practices

Medical Billing

• Charge entry & claim submission
• Payment posting
• Denial management
• AR follow-up & reporting

Medical Coders (AHIMA / AAPC / AMBA Certified)

Inpatient DRG (IPDRG)

• Accurate MS-DRG assignment
• MCC/CC validation
• Complex inpatient case coding

Emergency Department (ED)

• Facility-based ED coding
• CPT & ICD-10 compliance
• Trauma and critical care coding

Surgery Coding

• Inpatient & outpatient surgical coding
• CPT, HCPCS, modifier application
• Surgical documentation validation

Ancillary Services

• Radiology coding
• Laboratory coding
• Therapy services coding
• Diagnostic services coding

Clinical Documentation Improvement (CDI)

• Concurrent & retrospective reviews
• Physician query support
• Severity of illness & risk of mortality capture

Denial Specialists

• Clinical denial review
• DRG downgrade appeals
• Root cause analysis
• Appeal documentation preparation

IP DRG Auditors

• Comprehensive inpatient coding audits
• DRG accuracy validation
• Compliance risk assessment

IP DRG Validation Specialists

• MS-DRG validation review
• Clinical documentation cross-verification
• Overpayment and underpayment detection

Multi-Specialty Coding Auditors

• Professional & facility coding audits
• Specialty-specific coding validation
• Quality score improvement initiatives
• Compliance and regulatory adherence

Contract Staffing
Ideal for organizations that need skilled professionals for a specific project or temporary requirement. Contract staffing allows businesses to maintain flexibility without long-term commitments.

Temporary Staffing
Temporary professionals support organizations during peak workloads, employee absences, seasonal demands, or special projects.

Remote Staffing
Remote professionals work from our secure infrastructure while collaborating with your team virtually. This model significantly reduces overhead costs.

Dedicated Resource Model
Clients can hire a dedicated professional or team that works exclusively for their organization on an ongoing basis.

  We provide end-to-end revenue cycle consulting focused on identifying inefficiencies, reducing revenue leakage, and improving overall financial outcomes.

Key Focus Areas:

• Denial root cause analysis 
• Accounts receivable (AR) aging      improvement 
• Clean claim rate optimization 
• Workflow bottleneck identification 
• Standard Operating Procedure      (SOP) development and standardization 
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Our Approach:

We go beyond recommendations by implementing actionable solutions and continuously measuring performance to ensure sustainable results.

Our expert consulting team supports healthcare organizations in maintaining high standards of coding accuracy, compliance, and audit readiness.

Core Services:

• Internal coding audit programs 
• DRG validation and accuracy reviews 
• HCC gap analysis and risk adjustment support 
• Compliance risk assessment and      mitigation strategies 
• Targeted education and    retraining programs 

Audit Readiness Support:

We help organizations confidently prepare for:

• External audits 
• Payer reviews 
• Regulatory and compliance inspections 

  AMS Health helps streamline healthcare operations by redesigning workflows and improving performance across departments.

Key Outcomes:

• Increased productivity and efficiency 
• Reduction in rework and error rates 
• Enhanced reporting accuracy and transparency 
• Improved interdepartmental communication 
• Implementation of measurable performance metrics (KPIs) 

  We leverage data analytics to provide actionable insights that drive informed decision-making and continuous improvement.

Key Focus Areas:

• KPI dashboard development and monitoring 
• Productivity and accuracy tracking 
• Revenue trend analysis 
• Denial and reimbursement analytics 
• Performance benchmarking

AMS Health delivers strategic consulting designed to improve operational and financial performance.