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:

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Pakistani transcriber threatens UCSF over back pay

June 18th, 2018|Comments Off on Pakistani transcriber threatens UCSF over back pay

A woman in Pakistan doing cut-rate clerical work for UCSF Medical Center threatened to post patients’ confidential files on the Internet unless she was paid more money. To show she was serious, the woman sent […]

  • Termination of employment

Missouri hospital allegedly fired coder for refusing to ignore improper billing

June 15th, 2018|Comments Off on Missouri hospital allegedly fired coder for refusing to ignore improper billing

Debra Conrad, a medical coder sued Mosaic Life Care Medical Center in St. Joseph, Mo., May 25 for wrongful discharge, unlawful retaliation and age discrimination. She alleges Mosaic Life Care fired her for disclosing the […]

  • Guilty-Gavel

Woman convicted for filing false medical claims

June 13th, 2018|Comments Off on Woman convicted for filing false medical claims

Lajuana Scott was sentenced to one year in jail and five years on probation following her conviction of three felony counts of embezzlement from a nonprofit or charitable organization. The former clinic biller made Medicaid […]

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Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

June 10th, 2018|Comments Off on Cambria County Plastic Surgeon Pleads Guilty to almost $300K in Medicaid and Insurance Fraud

Josh Shapiro, Attorney General, announced that a Johnstown plastic surgeon pleaded guilty today to two felonies. The surgeon bilked private insurers and the Medicaid program out of almost $300,000 by routinely billing Medicaid and private […]