Our Coders & Auditors

All of our coders are single-specialty coders and must:
  • Be certified by either AAPC, RCCB, AHIMA and/or ACMCS
  • Have a minimum of 3 years of single-specialty coding experience
  • Live and work in the United States
  • Pass an internal coding skills assessment examination
  • Participate in a training program where 100% of their work is individually reviewed by a coding trainer
  • Pass the review training period with a minimum 90% accuracy rating and maintain that accuracy rate on continuing periodic internal compliance reviews
  • Keep their coding certifications current by continuing their professional education
  • Stay abreast of coding and regulatory changes and issues identified in our internal compliance audits
  • Attend a variety of compliance education courses every year

All of our auditors are single-specialty auditors and must:

  • Be certified by either AAPC, RCCB, AHIMA and/or ACMCS
  • Have a minimum of 5 years of single-specialty auditing and coding experience
  • Live and work in the United States
  • Pass an internal coding skills assessment examination
  • Participate in a training program where 100% of their work is individually reviewed by a coding trainer
  • Pass the review training period with a minimum 90% accuracy rating and maintain that accuracy rate on continuing periodic internal compliance reviews
  • Keep their coding certifications current by continuing their professional education
  • Stay abreast of coding and regulatory changes and issues identified in our internal compliance audits
  • Attend a variety of compliance education courses every year

The Coding Network also monitors all of its coders via our comprehensive compliance program.  Each quarter:

 

  • Every coder has a random sample of charts reviewed by our internal Q/A reviewer
  • Each coder must demonstrate a 90% accuracy rate or undergo remedial training
  • In the event of remedial training, the coder must achieve and maintain a 90% accuracy rate or face dismissal

 

All results of our chart review are recorded for compliance purposes.  Additionally, our coding staff is often reviewed by the Compliance Offices of many of our clients as part of their own compliance review programs.

(For multiple specialty clients, where different single-specialty coders will be utilized, The Coding Network will assign a team leader to manage the account. Team leaders become the operational liaisons that coordinate each coder’s contributions with the client to facilitate easy and effective communication with the coding/auditing team supporting that client.)

 

Latest Blog Posts:

Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

October 17th, 2018|Comments Off on Update: CMS’s Proposed Changes to the Physician Fee Schedule for 2019

Following up on our September 4th, 2018 post “MGMA Opposes Proposal to Consolidate E/M Codes”, The Coding Network has been actively tracking the status of the sweeping changes to the Physician Fee Schedule for 2019 proposed […]

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Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

October 16th, 2018|Comments Off on Stuart Doctor Charged in Twenty-Six Count Federal Health Care Fraud Indictment

A specialist has been accused of submitting social insurance misrepresentation out of her training in Stuart, Florida. The U.S. Lawyer for the Southern District of Florida, Shimon R. Richmond, Special Agent in Charge, U.S. Division […]

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Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

October 12th, 2018|Comments Off on Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements

OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for […]

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Batesville Lady Blamed for Overbilling Medicaid for Preferred Family Health

October 10th, 2018|Comments Off on Batesville Lady Blamed for Overbilling Medicaid for Preferred Family Health

A previous charging assistant at Preferred Family Health has been captured on doubt of Medicaid extortion. Vicki Chisam, 65, of Batesville is blamed for purposely putting forth false expressions to the Arkansas Medicaid Program from […]