AAPC - Back to school
Results 1 to 5 of 5

Thread: What department

  1. #1
    Join Date
    Apr 2007

    Default What department

    AAPC: Back to School
    what department does a coder belong in? Billing or Medical Records

  2. #2

    Default coding departments

    I am in the billing department but our inpatient coders are in HIM.
    California Cowgirl
    Patient Financial Services Coder

  3. #3
    Join Date
    Apr 2007
    Columbia, MO


    Either or both! A few years back CMS advocated that billing and med record departments be merged into one department. Maybe not the definitive answer you were seeking but it does make sense.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Join Date
    Apr 2007
    Columbus GA


    When I was working in a hospital I was in medical records but in radiology I work for a billing company with several centers so we are all a billing dept.

  5. #5
    Join Date
    Apr 2007
    Louisville, KY

    Default No "right" answer

    In my experience, there are several models I've seen successfully deployed.

    The old standard is that coding belongs to HIM (e.g., medical records). Historically, that is where the coding unit reported.

    Newer models employ a "divorce", where the coding section actually reports through the CFO. In other words, it becomes part of revenue, not part of HIMS.

    Another popular model has coding reporting through the business office or patient accounts. There are actually quite a few facilities I'm familiar with that take this approach.

    As for coding reporting through billing, I cannot imagine why this would be done. A.) That does not support separation of duties. (In other words, coders should not be reporting to a billing manager as this is a conflict of interest.) B.) Coding should have an ability to be unbiased and capable of remaining "revenue neutral". C.) A compliant environment supports the two disciplines being separate in that a senior manager cannot be in a position of intimidation to the coding professional.

    Now, realize these are just my thoughts.
    Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I

Similar Threads

  1. ER Department Visits
    By em2177 in forum Emergency Department
    Replies: 0
    Last Post: 03-23-2012, 05:06 PM
  2. Department structure
    By karah*1976 in forum Employment General Discussion
    Replies: 3
    Last Post: 07-21-2011, 09:38 AM
  3. Replies: 5
    Last Post: 01-25-2010, 07:08 AM
  4. us department of labor
    By buckeyes8106 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-21-2008, 07:32 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.