Medical Coding Auditing
This program introduces participants to the purposes and processes of clinical coding auditing.
Clinical coding is the source of information for financial reimbursement, public health, research, and healthcare planning. This program is designed to help all those who work with or use clinical coding data understand what clinical coding audits entail and the procedures required to maximize the benefits of the process.
This program introduces participants to the purposes and processes of clinical coding auditing.
It is suitable for:
Clinical coders who wish to take the first step toward becoming qualified clinical coding auditors.
Professionals responsible for assessing and improving the quality of clinical coding within their organization.
Decision-makers who need to understand the processes and impact of clinical coding audits.
By the end of this training, participants will be able to:
- Explain the purpose. types and processes of clinical coding auditing.
- Understand the resources needed for a coding audit.
Understand the audit design process. - Understand the need for consistency in procedures and policies for Auditing.
- Understand the need for agreement on result management and dispute resolution.
- Understand how audits are validated.
- Understand the pre-requisite experience and qualifications needed for a qualified clinical coding auditor.
- Explain the relationship between a coding audit and billing systems such as DRGs or other forms of service bundling.
- Be able to document a coding query effectively and to analyze standards relevant to the query.
- Analyze the relationship between the health record documentation and the accuracy of coding.
