Revenue Integrity Redefined: Why Coding and HIM Are Now the Frontline of Revenue Protection and Generation

Wednesday, April 8 from 12:00 to 12:45 PM ET

The industry is changing, and Coding/HIM Leaders are at the center. HIM and coding leaders are facing a defining moment in the evolution of the revenue cycle. 

Today’s organizations are placing coding and HIM teams at the center of revenue integrity, responsible for overseeing inpatient, outpatient, and professional coding performance while bridging compliance and financial outcomes. At the same time, the environment is becoming more complex. 

Payers are deploying artificial intelligence to scrutinize claims at scale. Autonomous coding engines are becoming part of daily operations. Regulatory oversight continues to intensify. And coding accuracy and integrity now directly impacts both compliance risk and financial performance. 

In other words, coding/HIM teams are no longer operating behind the scenes. They are operating on the frontline of revenue protection and revenue generation. Organizations that equip these teams with the right intelligence, workflows, and technology will be best positioned to succeed. 

What You Will Learn 

During this session, we will share key insights from the MDaudit 2025 Benchmark Report and explore how coding and HIM leaders can strengthen revenue integrity through data-driven strategies and modern pre-bill coding integrity solutions powered by ‘meaningful AI’ to prevent denials, strengthen compliance, and increase revenue – all while keeping humans in the loop. 

You will also learn:

• The latest denial and audit trends impacting coding teams 

• The most frequently denied DRG, CPT/HCPCS, and E&M codes 

• Why outpatient coding accuracy will define financial performance in the coming years

We will also provide a short demonstration of a best-in-class pre-bill coding integrity solution and show how organizations are achieving measurable ROI. 

Industry Insights: 

• Coding-related denials increased 26% across outpatient and professional settings in 2025, following a 126% increase the year prior 

• HCC audits increased 102% as payers intensified scrutiny around risk adjustment coding 

• Outpatient coding accuracy is emerging as a major financial performance differentiator for healthcare organizations 

• As outpatient volumes continue to grow and coding complexity rises, organizations that implement a closed-loop coding integrity layer will be best positioned to win the race for accurate reimbursement

Who Should Attend: 

This session is designed for healthcare leaders responsible for coding integrity, compliance, and revenue performance, including: 

• VP, Director, or Manager of HIM and Coding 

• Revenue Integrity Leaders 

• Coding Compliance Leaders 

• Revenue Cycle Executives 

Reserve Your Spot