2024 Gastroenterology Reimbursement and Coding Update (Virtual) | November 2023-08 - Leading and Teaching A Coding Team

08 - Leading and Teaching A Coding Team_Vaughn

Pdf Summary

This document is a summary of a webinar presentation on leading and teaching a coding team. The presenter, Kristin Vaughn, is a healthcare consultant and lead auditor. <br /><br />The presentation covers various topics related to hiring and managing coders in a medical practice. It highlights the importance of hiring certified coders and discusses common certifications such as CPC, CGIC, CCS, and QMGC. It also suggests considering work experience and the ability to work well with others when hiring coders.<br /><br />The presentation emphasizes the need for coding accuracy, and suggests routine coding audits to ensure accuracy. The recommended accuracy rate is 90% or higher. Coding audits should be used as educational opportunities for the coders, and productivity standards should be set based on the type of records audited.<br /><br />The document also mentions the importance of developing a compliance plan for the practice, including policies and step-by-step processes for responding to audits. Frequent coder training and provider education are also recommended.<br /><br />The document suggests performing regular internal coding audits on a quarterly basis, and identifies the person who should perform the audit as someone with coding certifications. It advises determining the scope of the review, whether it is prospective or retrospective, and highlights the importance of creating a spreadsheet of findings to track coding errors and financial impact.<br /><br />The importance of communication within the coding team and with providers is emphasized, as well as the need to stay updated on payer policy changes and CMS guidelines.<br /><br />The document concludes with the contact information for Kristin Vaughn and a thank you message for participation.

Keywords

leading and teaching a coding team

Kristin Vaughn

hiring certified coders

coding accuracy

routine coding audits

compliance plan

internal coding audits

communication within coding team

payer policy changes

CMS guidelines