MEDICAL AUDIT SERVICES

Protect Your Revenue. Perfect Your Process. At CodeCure, our Medical Audit Services are designed to identify gaps, correct errors, and enhance the accuracy of your billing and coding practices. From compliance checks to documentation audits, we empower healthcare providers to minimize risks, avoid penalties, and optimize revenue through smarter, data-driven insights.

8,500+

Charts Audited Monthly

60%

Reduction in Coding Errors Post-Audit

95%

Compliance Accuracy Rate

$4.6M

Revenue Recovered from Audit Findings

Your First Line of Defense in Billing Compliance

Proactive Auditing. Preventative Power.

CodeCure’s medical audit process dives deep into your clinical documentation, coding, and billing submissions. Our certified auditors detect inaccuracies, uncover over-/under-billing trends, and flag compliance concerns before they become costly issues. We perform both random and targeted audits, based on payer activity, provider behavior, and specialty-specific risk profiles.

  • Retrospective & Prospective Audits
  • Documentation Accuracy Reviews
  • Billing & Coding Error Analysis
  • Audit Schedules Customized to Your Needs
Why Providers Rely on CodeCure for Audits

Compliance-Driven. Revenue-Smart.

With years of experience and deep payer knowledge, CodeCure provides not just audit reports, but real solutions. Our audit teams consist of certified coders, billing experts, and compliance officers who deliver actionable insights that reduce audit risks and elevate operational performance.

  • Certified Professional Medical Auditors (CPMAs)
  • Payer Policy & Regulatory Expertise (CMS, OIG, etc.)
  • 1:1 Feedback with Providers & Staff
  • Clear Corrective Action Plans
Long-Term Compliance Through Continuous Improvement

Audits That Do More Than Correct

At CodeCure, audits are not just about catching errors; they’re about building better systems. We help you implement preventative strategies, train staff, and ensure each audit cycle leads to measurable improvement. Our monitoring systems and feedback loops keep you compliant and competitive.

  • Medicare, Medicaid & Commercial Plans
  • Follow-Up Audits & Compliance Monitoring
  • Audit Summary Reports with Financial Impact Metrics

Trusted by 800+ Healthcare Providers

What Makes CodeCure’s Medical Audit Services Different?

Insightful. Impactful. Indispensable.

Our audits do more than flag mistakes; they help you grow smarter, faster, and safer.

End-to-End Audit Coverage:

From documentation and coding to billing and compliance.

Compliance-First, Revenue-Focused:

Balanced auditing approach that aligns legal safety with financial performance.

Interactive Dashboards & Trends:

Real-time views into audit outcomes, error patterns, and provider-specific metrics.

Secure & Confidential Auditing Environment:

All documentation is handled within HIPAA-compliant frameworks

Staff Education & Coding Feedback:

We don’t just report, we help you correct and educate.

Customer Success Story

Thanks to CodeCure, we saw a 60% improvement in credentialing timelines and a dramatic reduction in enrollment errors. Our revenue cycle stabilized, and we had real-time visibility on every provider’s status.

Rachel Barbeito CEO

40% decrease in denied claims due to proactive revalidation.

AuditShield™ – Our End-to-End Compliance Audit Program

AuditShield™ is our comprehensive audit & compliance framework built to help practices get audit-ready at all times. From baseline risk assessments to continuous auditing and education, it's a full-circle service designed to safeguard your practice.

Quarterly & Annual Audit Plans Available

Custom Alerts for Compliance Gaps

Track Audit Results & Improvements Over Time

Our Medical Audit Services

At CodeCure, our audit services are built to uncover errors, improve accuracy, and keep your practice audit-ready year-round.

Retrospective Chart Audits

We review past encounters and billing submissions to identify coding errors, overpayments, and compliance gaps.

Prospective (Pre-Bill) Audits

Prevent errors before they reach payers. Our team audits charts before claim submission for real-time corrections.

Risk Adjustment & HCC Audits

We perform audits specific to Medicare Advantage and risk-based contracts to validate HCC coding and ensure complete capture.

Documentation Integrity Reviews

We assess provider documentation against coding guidelines and payer requirements to ensure it supports billed services.

Audit Training & Provider Education

We conduct training sessions and provide ongoing feedback to your staff, improving knowledge and reducing repeat errors.

Compliance Monitoring & Follow-Ups

Our team performs scheduled re-audits and compliance checks to ensure continuous improvement and adherence to protocols.