In the How Well Do Your Coders Really Know ICD-10, ICD10 Monitor article from August 2015, I identified five best-practice steps to take during ICD-10 coding reviews and audits. As ICD-10 trouble spots emerge in November and December of 2015, coding managers should consider the following strategies to closely monitor coder knowledge, proficiency and performance.
Consider these general auditing tips to closely monitor coder knowledge, proficiency and performance:
- Ask coders to code the same cases so you have an apples-to-apples comparison using real cases and live documentation.
- Establish and use consistent answer keys with your entire coding team.
- Focus primarily on the accuracy of the principal diagnosis, as this drives MS-DRG assignment.
- Once coders have mastered the principal diagnosis, begin to audit CCs and MCCs.
- Finally, move beyond CC and MCC capture to audit any additional/secondary diagnoses.