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Coding Audit and Reporting

Part I summarizes the importance of understanding coding audit reports, the data being collected, and ensuring medical records are clearly documented to reduce coding errors. The root causes of errors should be identified, such as failures to follow coding guidelines, so that system-wide improvements can be made to processes, technology, education, or training. Part II is blank. Part III is a memo from an assistant director to the director of HIM noting that some coders are not meeting quality performance targets based on a graph of coder accuracy by quarter. The memo expresses concern over one coder who has been on probation twice and recommends re-evaluating them for termination. Another coder is recommended for additional training to improve their accuracy above the

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31 views2 pages

Coding Audit and Reporting

Part I summarizes the importance of understanding coding audit reports, the data being collected, and ensuring medical records are clearly documented to reduce coding errors. The root causes of errors should be identified, such as failures to follow coding guidelines, so that system-wide improvements can be made to processes, technology, education, or training. Part II is blank. Part III is a memo from an assistant director to the director of HIM noting that some coders are not meeting quality performance targets based on a graph of coder accuracy by quarter. The memo expresses concern over one coder who has been on probation twice and recommends re-evaluating them for termination. Another coder is recommended for additional training to improve their accuracy above the

Uploaded by

api-310207135
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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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

Memo Part III

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

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