Whether you’re looking to grow your career or challenge yourself with a new one. At RCX we care for each other, we support, challenge and promote achieving great things inside and outside of our business.
Interested in joining the team? Check out are Open Positions or send us an email at careers@rcxcorp.com
RCX helps detect suspicious payment trends and target claims with the highest potential for waste, fraud and abuse.
Our Clinical Documentation Integrity Specialists, Certified Coders, and DRG Validators, comprehensively review claims to ensure the accuracy of diagnoses, procedures, coding and DRG assignment submitted on hospital claims.
The total 100+ professionals, consists of Physicians, Clinical Documentation Integrity, Coding and DRG Specialists with a combined 100+ years of Healthcare documentation, coding, and Diagnosis Related Groups (DRG) auditing expertise .
The RCX experience includes partnering with CDI nurses and certified coding and DRG validators to successfully safeguard health insurance companies’ revenue through our strict, yet fair validation process.
RCX maintains a workflow that is not intrusive or disruptive to clients’ processing turnaround time. RCX review process validates every impactful diagnosis and procedure to ensure that DRG assignment on the claim is accurately supported by the clinical documentation in the source document (Patient Medical Record).
RCX has partnered with healthcare payers and payment auditing organizations to assist in payment integrity validation using our clinical and coding classification expertise.
RCX is the perfect payment integrity partner to safeguard your organization’s revenue by helping you reduce paying inaccurate claims, be they a simple provider processing error, fraud or abuse.
RCX has partnered with some of the leading healthcare claim-payers and auditing firms as well as providers over the years.
DRG Claim Integrity Services. Our multidisciplinary approach ensures our recommendations follow established industry / regulatory guidelines, definitions & best practice.
