Surgery Center Coding & Your Bottom Line


Use Audits and Training to Stay on Top of Contracts

When it comes to evaluating your ASC’s billing processes and addressing its concerns, compliance is key. Incorrect coding can lead to increased claims denials, increased payroll costs, decreased reimbursement as well as legal action with potential penalties and fines.

It is no secret that payers have increased their scrutiny prior to paying claims. On average, denial rates are between 11 and 24 percent, in some cases, denials can reach up to 40 percent. It is due to this that correct coding is essential to optimally running your revenue cycle operations.

In this article, Jessica Edmiston, CPC, CASCC, AHIMA Approved ICD-10 Trainer, discusses coding and the ramifications that incorrect coding can have on your surgery center’s bottom line. They also offer tips on how to address these issues, to ensure that your staff and your center succeed in today’s healthcare environment.

Click here to read more

By Jessica Edmiston, Senior Vice President, Coding

This post was first published April 28, 2017 and was updated July 29, 2020.


Jessica Edmiston, Senior Vice President, Coding

Jessica Edmiston BS, CPC, CASCC AHIMA Senior Vice President, Coding Jessica leads National Medical's outstanding coding team that is comprised of the most experienced and skilled surgical coders in the country. She obtained her Bachelor of Science in Education from the University of Missouri in St. Louis and has been credentialed with the highly acclaimed Certified ASC Coder (CASCC™) Credential. Additionally, Jessica is an approved ICD-10-CM trainer through AHIMA. Nationally renowned for her coding expertise, Jessica is requested by name to speak at large conferences and authors numerous articles in medical trade journals and publications. Working closely with National Medical’s Performance Review department, Jessica identifies coding compliance issues and areas of missed revenue while proposing best practice coding solutions. Jessica also ensures the coding team receives continuing education to remain abreast of the medical coding updates while deepening their coding expertise. In her free time, Jessica enjoys traveling to beaches as well as camping and exploring several of the beautiful national parks of Utah.

Read more by this author

Recent Posts