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What department

  1. #1
    Default What department
    Medical Coding Books
    what department does a coder belong in? Billing or Medical Records

  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
    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
    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
    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.

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