C807 – Healthcare Compliance Task 1: Coding Management

] Healthcare Compliance Task 1: Coding Management e C807 – Healthcare Compliance Task 1: Coding Management A1. It is the responsibility of inpatient coders to evaluate the entire medical record for accuracy. Their focus is on acute conditions, inpatient surgeries and procedures. Inpatient coders obtain data by assigning medical codes according to ICD-9-CM and DRG guidelines. Additionally, inpatient coders must be mindful of dates such as admin and discharge dates to support billing regulations when submitting a claim. Inpatient coders must partner with clinical documentation specialist to safeguard accurate documentation by physicians. Proficiency in coding tools/resources to support workflows and processes is important as well as credentialing as a certified coding specialist via AHIMA. (Oachs, 2016) Outpatient coders share many responsibilities and processes with inpatient coders however, they work with services rendered in an outpatient setting such as physician offices, outpatient radiology centers and ambulatory surgeries facilities. Outpatient coders utilize ICD-9-CM, CPT and HCPCS guidelines to support their processes. Certified coding specialist physician (CCS-P) credentialing is mandatory via AHIMA. A2. Acute care hospitals have come to rely heavily on the clinical documentation improvement (CDI) program. Patient care and precise coding combined create reliable documentation. Inaccurate docum