what was the criteria on the mistakes ?. Can you tell me what the check points are on the quality. What is the mistakes on a 95% quality review. I work at a Radiology billing service and missing 1 out of 10 mistakes is a 90% quality review. Do they mark you off on diagnosis,cpt,modifiers and auditing.When I used to code radiology it was required to code 400 notes in a 8 hr/day with a 95% accuracy.
Now I'm working for urology/auditor its required to code 150 notes in a 8hr/day with 90% accuracy.
HiDoes anyone have any productivity standards for e/m and surgical coding in the ortho office? Thanks in advance! lauren
How I can get home coding , Anybody can suggest me about it?I am the Site Manager and have 7 certified coders and 2 certified auditors. We code for 125 physicians. The specialties run from Family Practice, Pediatrics, General Surgery, Cardiology, OB, Gyn, Internal Medicine, Urology, Plastic Surgery, Neurology, Nephrology, Mental health. Gastroenterology, Orthopedics, Podiatry, Chiropractics, PT, OT,Pediatric Cardiology, Pediatric Endocrinology, Rheumatology and Oncology
I perform Second Level Review for a bill review company . For E/M bills the average production rate is 12-20 per hour depending on the length of report and the specialty, it averages out to 3-5 minutes per bill. For procedures with modifier 59 codes it can range 1 -3 minutes. This includes documenting the rationale for the coding analysis result. ...
I agree. 3 - 5 minutes per bill seems like a miniscule amount of time to read and abstract a note, look up the correct ICD9 and CPT codes, create feedback and deliver it to the provider, review the provider response, delete incorrect entries and then enter the correct codes, and file your records--in addition to the other work one must do beyond this, such as general emails, phone calls, education and training, file organizing, meetings, ordering charts, printing workfile lists, updating notes on the status of pending feedback responses, traveling to get charts, deliver written feedbacks, etc.I have a question regarding the coding productivity. As far as the response from the EM coders, are you actually reading the chart, abstracting the information and determining the level or are you entering the EM codes the doctors select? I do EM coding (outpatient new and established, office consults, ER) and it really surprises me that a coder in a 7- 7 1/2 hour day coding that many EM's with 95% accuracy. Just curious to know. Same with some of the other cases that some of the coders speak of, are they actually reading the charts, abstracting the information, derterming the ICD-9 code and CPT codes themselves, or inputing codes that a provider selected. I am not trying to insult anyone, but I am really curious.
Thanks to anyone who can give me some insight to their coding day and their Productivity
I'm doing some research for my job about coder productivity standards. I haven't found any specifics on the internet, so I'm guessing each employer sets their own standards for productivity. I'm asking you as my peers to give a little feedback.
My questions are: Will you please respond with the productvity standard (number of encounters that you are required to code - either by the hour, or 8 hour workday) for your clinic or facility? Also, what percentage of coding accuracy are you required to maintain?
Thanks in advance!
I'm in the same scenario, except that I have to retake the exam since I didn't pass it last October. I would like to know if this is expected of a certified coder without experience.I have just finished CPT ICD-9 and am looking for a job right now. I take the certification exam june 14th. I love coding but oh man my stomach is turning reading all your stories. Does it come easy when you get hired. Do they train you on the software? I only know how to code from just going to the book. Will it be hard finding a job being I am a beginner? I have sent resumes out and have not heard from anyone!!!
would you give me your experiences when you were first hird
Thanks for providing a detailed explanation. As someone with no experience, your comments are beneficial to me.Hello,
First you need to make sure you are comparing apples to apples. All standards need to be based on your particular situation.
If your coders have to flip through pages and pages of hand written notes you should not expect them to be as efficient as one that has a very sharp templated electronic note system.
You need to take into account the types of procedures they are having to code. A complicated cardiothoracic case is definately going to take longer than a tonsillectomy. Coders that code the same thing day after day should be more productive than perhaps a Trauma coder.
Another factor that can play a role in coding ED can be the facility coding. My coders code both the physician and the hospital services, so their productivity looks low compared to ED coders that only code the professional side if you are comparing charts per hour.
You really need to determine what levels of coding you have occurring in your establishment. Look at your best coders and consider them above the standard and then rank all of your coders by length of time coding and experience. Then I would try to sort through either giving a weight to CPT codes or using an overall charts per hour scale.
Hang in there!
Thanks for your input.Productivity standards are based upon specialty and Company requirements. You need to take in consideration the fact of work flow, enviroment and tools-material provided to coders and auditors to performed their assigments.
(eg- if the coder-auditor is performing straight coding without the need of searching for information missing on the record, it would take less time than coders that have to request and search for information).
Coding for XRays, EKG's, PFT and similiar coding is more straight forward than coding for surgeries and family practice. The used of "cheat sheets" are very helpfull. As you could see the lady who coded 400 reports for radiology went down to 150 reports for urology coding. That is because you need to read more and make sure the coding is supported by documented information including lab and path reports.
Our coding team productivity is 150-200 per day, for Family Practice and Specialties, and 400+ for Radiology Coding with a 95% accuracy.
Ruth Egipciaco, CPC, PCS
I agree Nancy and ShawnScarbrough!! - We are all working specialty, and case specific... If I'm in office - I can get a whole day done for all Orthos easy - 200 or more...
If I'm coding the ambulatory surgeries - definately less - but I'm so familiar with their procedures - doesn't take me too long anymore. Then I have the trauma cases from the hospital... 1 case could take what feels like forever!!
Have a great day everyone!
Thanks for breaking this down. I guess as a trainee we need to pace ourselves when it comes to coding from operating reports.I currently manage the ED coding for seven hospital ED's in Oregon. We do both the facility and the Physician coding for all ED patients. Here are our productivity and quality standards:
PRODUCTION AND QUALITY STANDARDS FOR ED CODERS
Definitions for Coders:
Experienced Coders = Coders who have been coding ED accounts for greater than three (3) years:
Intermediate Coders = Coders who have been coding ED accounts for greater than two (2) years, but less than three (3) years.
Beginning Coders = Coders who have been coding ED accounts for less than two (2) years
Trainee Coders = Coders who are currently being trained by a preceptor and are not yet coding on their own.
Meets = Average 7.0 to 8.9 charts per hour
Exceeds = Average 9.0 or more charts per hour
Needs Improvement = Less than 7.0 charts per hour
Meets = Average 6.0 to 7.5 Charts per hour
Exceeds = Average 7.5 or more charts per hour
Needs Improvement = less than 6.0 charts per hour
Meets = Average 5.0 to 6.5 charts per hour
Exceeds = Average 6.5 or more charts per hour
Needs Improvement = Average less than 5.0 charts per hour.
No set amount of chart
Meets = Codes and abstracts with an average of higher than 95% accuracy rate
Exceeds = Consistently 97% or higher accuracy
Needs Improvement = consistently less than 95%
Meets = Codes and abstracts with a consistent accuracy rate of 90% or higher
Exceeds = Codes and abstracts with a consistent accuracy rate of 92% or higher
Needs Improvement = Codes and abstracts with a consistent accuracy rate of less than 90%
Meets = Codes and abstracts with an average of 85% or higher accuracy
Exceeds = Codes and abstracts with an average consistently higher than 87%
Needs Improvement = Codes and abstracts with an averages consistently less than 85%
Must have average 80% or higher accuracy during first year
QUALITY STANDARDS FOR ED CODING
Quality will be measured by a five (5) point per chart system.
One (1) point each for the following chart elements
ProFee level Code
Facility level Code
All other CPT Codes (including observation, procedures, etc.)
Chart Abstracting (Correct disposition, physician, etc.)
Than you Sonjagirl for reprinting the information from Rodriguj. It explains a lot about the coder and how you grow. I clearly am a trainee. How does a trainee find a job?