I have to say this is surely a problem in a lot of settings. I am a coder that works for a group that codes for many different specialities. One situation is for hospitalists. They code their own work at the moment. I basically am just data entering their codes. If something is way out of line, I question it. But..... I have been working very closely with compliance mgmt and have been auditing all of their work. I have been keeping track of all the drs and their errors. The problem is probably lack of knowledge. As Tessa said, know what your job duties include, document things and bring forward your concerns. If this gets you no where, be ready to find a job that more suits your comfort level. Through a lot of auditing and pushing upper mgmt, I will be educating our drs on what is lacking and where they can use some help. Approach is everything!