Tools and best practices to reduce costs, increase revenue realization and improve quality metrics.

Our founders and leaders are industry recognized HIM veterans. They understand the unique issues you are facing and have created a full range of healthcare solutions crafted with the HIM department specifically in mind. We can help streamline processes and amplify your investments to turn your department from an overburdened and under resourced department into a data driven leader within your organization and community. We’ve successfully helped customers of all shapes and sizes increase efficiency and reduce costs with our scalable LEAN methodology and subject matter expertise.

e4 offers our clients a unique set of traditional HIM services alongside coding and clinical documentation tools and best practices.


Service Closer Look:

Auditing Services

Whether you are doing internal audits or already using an external partner, having a fresh set of eyes can greatly help to improve your operations.


e4 combines expert auditor staff, industry-leading quality reporting tools and customized education approaches to deliver a full suite of comprehensive Coding, CDI and DRG quality auditing services. By involving client stakeholders in the auditing process, e4 is able to train internal staff to drive initiatives forward, developing customer-specific solutions and targeted education. By utilizing focused data capture, e4 helps each client to direct educational resources to the practices that could have the greatest impact on opportunity growth.

e4’s team includes inpatient coders, outpatient coders, emergency department coders, outpatient ancillary professional coders, coding quality auditors, interim managers and educators. e4 is proficient in both facility and professional coding, and all experienced team members are credentialed through AHIMA/AAPC/ACDIS. AHIMA Approved ICD-10-CM/PCS Trainers are also available. All team members are onshore W2’s,  and e4 does not utilize any coding partnerships.

Pre-Bill Review & Auditing

  • Working DRG Support & DRG Validation
  • Coding Quality Auditing
  • Emergency Room E&M Auditing
  • Ongoing Coding Quality Auditing
  • Outpatient Provider Coding Auditing
  • CDI Quality Audit


  • Interim Coding Educator
  • Coding Apprenticeship
  • Emergency Room E&M Education
  • CDI Guided Clinical Mentorship
  • e2e Physician Coding Education
  • Coding Education Consultant

Consultative Services

  • Interim Coding Manager
  • Documentation Quality & Education Manager
  • e2e  Pro-Fee Physician Education
  • Inpatient/Outpatient Coding Quality Specialist
  • Coding Consultative Services

Case Study: One e4 client felt they had an issue with coder consistency of E/M level assignment, and reached out with a very limited timeline. e4 immediately intervened, got access and had the first audit completed in 5 days. e4 identified that the client had a 36.2% E&M level error rate. e4 used our audit findings to develop customized education, and gave a two-hour presentation to impacted staff one week later. One month later e4 did a Post-Education Audit, which was turned around in less than one week.  That audit demonstrated that the error rate improved to 11.9% – which is a 67% reduction in error rate in 5 weeks. This improvement has contributed to a net revenue impact of $900k per year.