Offering End-to-End Revenue Cycle and Consulting Services

Winjay Solutions provides a full suite of end-to-end revenue cycle management services for hospitals, professional billing, and ambulatory surgery centers. Utilizing our deep knowledge of best practices in revenue cycle management, we deliver high-quality and cost-effective solutions for our clients. Our highly specialized teams work to streamline operations, decrease insurance claim denials and maximize revenue while maintaining compliance with industry regulations. With turnaround times between 24-48 hours, our clients are assured of accurate, timely, and balanced results.
With a powerful blend of people, processes, and technology-enabled solutions, combined with an undying commitment to our clients, we provide the necessary tools that give your organization an edge over the competition.

Offering End-to-End Revenue Cycle and Consulting Services

  • Credentialing
  • Scheduling & pre-registration
  • Eligibility & benefit verification
  • Patient demographic entry
  • Transcription
  • Medical coding
  • Charge entry
  • Claims edits
  • Claims rejection management
  • Payment posting
  • Credit balance review
  • Correspondence & denial management
  • Robotic Process Automation (RPA)
  • Risk adjustment management
  • RAPS to EDPS conversion
  • Charge capture optimization
  • Coding audits
  • Clinical documentation improvement
  • Clinical abstraction
  • Consulting services

Coding/Health Information Management (HIM)

Compliant medical coding must be accompanied by fair and optimum rendered service payments. With the volatile regulatory market, emerging shifts in care based models, a shifting self-pay patient base, and increasingly complex requirements of federal audits, the stakes have never been higher.

Our specialized coding expertise optimizes our client accuracy rates, turnaround times, productivity and need for flexibility. Within a regulated, HIPAA compliant environment, Winjay Solutions delivers extraordinary coding results, in a value-effective manner.

Winjay Solutions owns and runs a University-based coding school based upon AHIMA and AAPC standards. Coders train on ICD 10-CM, ICD-10-PCS, CPT, HCPCS, National Correct Coding Initiative policies, and payer-specific billing rules.

Our specialized coding services can be packaged in our end-to-end Revenue Cycle Management offering or as a standalone service.

We follow these processes to accomplish quality-driven results for our clients:

  • Hiring and development of industry-best coders
  • Sponsoring of coders’ AHIMA or AAPC certifications
  • Growth and development of a team entirely trained in medical, nursing, para-medical and life sciences
  • Investing in teams of clinicians and nurses for DRG validation and HEDIS
  • Utilizing proven multi-step quality assurance processes
  • Utilizing process improvement tools like HKPD (HoshinKanri Policy Deployment) and Six Sigma
  • Experience with numerous HIS and coding systems, including EPIC, Cerner, Siemens, MEDITECH, 3M, Sorian, Optum and eClinicalWorks
  • Producing one of the lowest employee turnover rates in the industry due to investments in our Winjay Solutions team
  • Millions of charts coded/reviewed every year for acute care hospitals, academic hospitals, urgent cares, physician groups ACOs, and payers

Provides the following services in Provider Health Information Management

  • Clinical Documentation Improvement
  • Coding audits
  • Clinical abstraction
  • Remote coding