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:

  • Orthopaedic-Surgery

CPT 2018 Changes for Orthopaedic Surgery

January 15th, 2018|Comments Off on CPT 2018 Changes for Orthopaedic Surgery

CPT 2018 Changes for Orthopaedic Surgery: It’s all about that Spine……almost

By Heidi Stout, CPC, COSC, CCS-P

 

Not much will change for orthopaedic surgery coding in 2018.  Most of the changes in CPT 2018 to the Musculoskeletal […]

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Repeal of MIPS – Recommendation to Congress, MedPAC 12 to 4 Vote

January 13th, 2018|Comments Off on Repeal of MIPS – Recommendation to Congress, MedPAC 12 to 4 Vote

A top Congressional advisory body has voted to recommend that Congress repeal the Merit-based Incentive Payment System (MIPS) and replace it with a simpler quality reporting system that would not be mandatory in […]

  • SKAFF+DENTIST

Charleston dentist sentenced to five years in federal prison for health care fraud

December 18th, 2017|Comments Off on Charleston dentist sentenced to five years in federal prison for health care fraud

A Charleston dentist who falsely billed West Virginia Medicaid for more than $700,000 was sentenced today to 5 years in federal prison. Skaff, a dentist, admitted that he falsely inflated his billings (a practice commonly known as […]

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Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims

November 5th, 2017|Comments Off on Utah Pain Doctor and Medical Practice Settle Medicare Fraud Claims

On July 21st, 2017, Jahan Imani, M.D., and Intermountain Medical Management, P.C., (IMM), a Utah based pain management specialist and his practice, entered into a $399,895.92 settlement agreement with OIG. This resolves allegations that IMM, […]