Professional Documents
Culture Documents
Coding Audit and Reporting
Coding Audit and Reporting
Coding Audit and Reporting
Part I
In addition to the performance goals and coding quality performance
results, everyone needs to understand what is being reported, how the data
is being used, and how to make sure the information is captured clearly in
the medical record. Also eliminate the vagueness about what is counted on
coding accuracy. The root cause should be collected in order to improve the
quality of coded data to make a clear understanding of what comprises the
error rate. Is the mistake due to failure to apply coding guidelines? Once the
underlying cause for variation is understood, then system wide
improvements can be made to the process, technology, education, or
training.
Part II
Part 2
100%
80%
60%
40%
20%
0%
Quarter 1
Quarter 2
Quarter 3
8
Quarter 4
Mary Jones
Director of HIM
Dear Mary,
It has come to my attention that some of our current coders are not reaching
the quality performance percentage. I have enclosed a graph that indicates
where the coders accuracy level is during each quarter. I am concerned with
coder 5 considering they have been on probation twice. This coder may need
to be re-evaluated and considered for termination. Coder 7 has reached the
end of their probation period and is barely reaching the 80% mark. I would
like to see this coder have some additional training to improve. I would also
like to see some additional training for coders 1 and 4 and monitor what they
are missing in their codes. Is this a physician documentation issue or are
these coders overlooking information in order to properly apply the coding
guidelines? I will be looking forward to hearing from you on this matter.
Warm regards,
Christina Usher