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Medical Coding Workflow

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Medical Coding Workflow
1. Purpose
In order to maintain the coding workflow at acceptable and adequate levels, each member of the coding team is expected to meet the established patient type daily health record productivity standard on a monthly basis. Productivity standards have been developed using a data collection through management observation and employee reporting.
2. Scope
This Policy applies to all HIMT Medical Center medical coders and personnel responsible for performing and supervising medical coding.
a. The HIM coding staff are required to code 80 charts per day.

b. The HIM coding staff is expected to meet a weekly minimum of 95% coding accuracy on inpatient and outpatient coding.

c. Employee performance both quantitatively and qualitatively, will be monitored monthly or in a more frequent basis when deemed appropriate by supervisor.

d.
…show more content…
Productivity figures will be calculated by dividing the output by the amount of time to complete the task.

e. Coding staff will responsible to report their weekly productivity totals (amounts of records coded and the amount of coding time).

f. Based on these evaluations, employee performance will be assigned one of the following ratings:
M: Standard has been met
U: Standard not met
N/A: Not applicable

g. Productivity/Quality will be monitored on a monthly basis. If productivity/quality is not met, the employee has 90 days to increase to 95%, in the event the employee is not able to he/she will be subject to disciplinary action. The coder will not be eligible to train on a new coding job until productivity and quality standards have been consistently met on the current coding job.

h. The established productivity standards will be re-evaluated at least semi-annually and revised appropriately in accordance with the above-described

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