Coding managers: Assess the type, timing of your facility’s coding audits

September 18th, 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is for coding managers, compliance officers, auditors, and inpatient coding leaders who need to plan and report coding audits. It discusses how to think about audit scope for inpatient, facility, and observation reviews, how timing and working conditions can affect audit efficiency, and what types of compliance-related issues should be watched for during review. It also covers how to summarize audit findings for leadership in a clear, objective way.

Why This Topic Matters

Audit planning affects accuracy, efficiency, and compliance oversight in inpatient coding operations. Understanding how to tailor audit type, timing, and reporting helps organizations focus review effort where risk is highest and communicate results effectively to leadership.

Article Sections

  1. Audit types

    Overview of audit scope considerations for inpatient records and the main categories of audit review discussed in the article.

  2. Audit timing

    Discussion of factors that influence how long an audit may take, including workflow, environment, and documentation review effort.

  3. Identifying compliance-related issues

    Broad categories of documentation and record-review concerns that may warrant attention during audit work.

  4. Summary

    Guidance on preparing an audit summary for leadership, including organization, reporting style, and presentation considerations.

What You Will Learn

  • How inpatient audit scope can vary by review type
  • What operational factors can affect audit timing
  • What general compliance concerns auditors should watch for
  • How to present audit findings to leadership in a concise format

Who Should Read This

  • Coding managers
  • Compliance officers
  • Inpatient coders
  • Coding auditors
  • Revenue cycle leaders

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