JustCoding's Practical Guide to Coding Management

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JustCoding's Practical Guide to Coding Management

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JustCoding's Practical Guide to Coding Management

Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS 

ICD-10’s arrival changed more than code selection—it’s also brought challenges related to coder productivity, coding quality and accuracy, staffing shortages, coder education and training, and the increased need for auditing. The old rules and standards for running a department no longer apply, and coding managers must update their efforts, just as coders themselves have. 

This book gives coding managers new benchmarks, standards, and tips to ensure they’re running an effective coding department. It provides strategies for coder retention, best practices to balance internal and outsourced coders, and tips for managing on-site and remote staff. The book also provides much-needed information for managers on how to educate their teams on coding’s role within the revenue cycle. 

Benefits 

  • Strategies for dealing with productivity losses 
  • Findings from HCPro’s productivity benchmarking report 
  • Tips for collecting productivity data from your team 
  • Guidelines for training and hiring staff 


About the Author 

Rose T. Dunn, MBA, RHIA, CPA, FACHE, FHFMA, CHPS, is a past president of the American Health Information Management Association (AHIMA) and recipient of its 1997 Distinguished Member and 2008 Legacy awards. In 2011, she served as the interim CEO of AHIMA and received a Distinguished Service Award from its board of directors. Dunn is the chief operating officer of First Class Solutions, Inc., a health information management (HIM) consulting firm based in St. Louis. 

Dunn began her career as director of medical records at Barnes Hospital, which at that time was a 1,200-bed teaching hospital in St. Louis; it is now the flagship hospital of the BJC HealthCare system. Early in her career at Barnes, she became vice president and was responsible for more than 1,600 employees and new business development. Dunn later joined Metropolitan Life Insurance Company, where she served as assistant vice president in MetLife’s HMO subsidiary. She also served as chief financial officer of a dual hospital system in Illinois and was heavily involved in its successful bond application. 

Her consulting firm, First Class Solutions, focuses on HIM-related services, including coding support, coding audits, and operations improvement. Dunn assists clients with their operational, revenue cycle, compliance, and strategic planning needs. She and her team supported more than 50 hospitals and physician practices with ICD-10 preparation and education. 

ISBN: 978-1-68308-088-6
Pages: 150
Format: 8.5 x 11

Published: October 2016

Table of Contents


Chapter 1: Introduction to Coding and Management 

  • What Is Coding? 
  • When Did Coding Begin? 
  • Who Are Coders? 
  • What Is Management? 


Chapter 2: Effective Coding Work Environment 

  • Organizing the Coding Function 
  • Other Coding Duties 
  • Revenue Cycle 
  • Scheduling 
  • Location and Space 
  • Workspace, Equipment, and Technology 
  • Reporting Structure 


Chapter 3: Staffing the Coding Function 

  • Staffing Considerations 
  • How Much Staff Is Needed 
  • Recruiting Applicants 
  • Interviewing Applicants 
  • Orienting the New Employee 
  • When the Right Applicant Can’t Be Found 
  • Scheduling 


Chapter 4: Coding Compliance and External Forces 

  • Compliance Environment 
  • Personal Compliance Initiatives 
  • Other Coding Compliance Requirements 


Chapter 5: Coding Compliance Policies and Plans 

  • Objectives 
  • Coding Compliance Policy 
  • Coding Compliance Plan 
  • Coding Audits 
  • Implementing the Plan 
  • Selecting the Audit Sample 
  • Calculating Accuracy 


Chapter 6: ICD-10 and Its Impact on Productivity 

  • Transitioning to ICD-10 
  • Addressing the Productivity Loss 
  • Challenges to Coding Within the Period 
  • Using Benchmarks 
  • Collecting Data From Your Team 
  • Communicating the Expectation 
  • What Are Other Organizations Seeing? 
  • Fair Distribution of Work 


Chapter 7: Physician Documentation 

  • At the Office 
  • Helping the Physician Help Us 
  • Clinical Documentation Improvement Programs 
  • Can Technology Help? 
  • Is This Fraud? 
  • CDIP Effectiveness 
  • Summary 


Chapter 8: Unique Challenges and Uses of Coded Data 

  • Hospital and Healthcare Organization Quality Measures 
  • Patient Safety Initiatives 
  • Registry Reporting 
  • ICD-11 


Chapter 9: Coding’s Role in the Revenue Cycle 

  • Coding Connects the Cycle 
  • Coverage Approvals (Precertification vs. Preauthorization) 
  • Patient Access 
  • Case Management 
  • Patient Care 
  • Patient Financial Services 
  • Health Information Management 
  • Denial Management 
  • Decision Support 
  • Managed Care Contracting 
  • Finance 
  • Credentialing 
  • Summary 


Chapter 10: Summarizing Important Points