The coding process begins when an operative report or charge sheet is batched and arrives on the desk of a coder. The medical coder’s job is to extract relevant information like diagnosis, surgical procedure, or a drug name from the Physician’s report on the charge sheet and code it according to specified guidelines.
BuiltAbility’s certified medical coders handle Procedural and Diagnostic Coding using references such as ICD-10-CM, LMRP, CPT Assistant, CDT and HCPCS Level II.
At BuiltAbility, our certified coders regularly monitor the work of our junior coders. The compliance experts periodically audit the coding department in order to avoid costly compliance errors.