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Codebusters offers both coding and auditing services for inpatient coding. Each coder/auditor whom we present to a client must undergo a thorough background check and proof of skills testing. The candidates' skills are evaluated against tests that are developed in conjunction with the client. Inpatient coding requires sound understanding of a broad range of complex diagnoses, procedures, and lab results. Coders proficient in this area have generally had several years of experience coding in an acute care hospital setting. Strong knowledge of anatomy and body system processes will be of critical importance for ICD-10-PCS. We feel the coding requirements for inpatient encounters contain many compliance challenges. Our coders provide documentation feedback, where appropriate, in order to assist the client in full revenue capture.
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Compliance Reviews
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Coding compliance audits can be performed onsite or offsite through remote access to the facility. Hospitals should consider performing coding reviews prior to billing if practical. This kind of continuous auditing can identify patterns of problems with documentation or poor coding immediately. Otherwise quarterly or annual reviews should be performed on a retrospective basis. In the final report coding errors will be discussed and coding guidelines explained. Problems with physician query and documentation will be reported and can be discussed with physicians and coders through video chat or in person. Training materials will be recommended in order to prevent future errors. Recommendations will also be made regarding coding processes and ongoing monitoring to identify errors in a timely manner. |
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