PDN of Chicago provides medical coding audits for private/public sector and government agencies nationwide. Quality and compliance are of the utmost importance in medical coding and auditing for all patient settings. Our credentialed/certified personnel and auditors can assist with general healthcare and medical coding audits as well as quality control procedures. Licensed personnel and auditors from PDN receive continuing training and education in medical coding, records keeping and data compliance requirements regarding applicable federal and state rules and regulations. Our educational programs and training comply with ISO 9000 requirements.
General Medical Coding Audits
General audits offer visibility into departmental operations and coding processes. Medical coding auditing is so valuable to accurate data collection, record keeping, and billing that providers are advised to conduct external audits at least once a year. External audits objectively analyze operations, and uncover deficiencies.
By following through in three key steps – preparing for the audit, managing the audit, and implementing the recommendations, HIM departments can make the most of external audits, and achieve a clear return on investment.
Internal Medical Coding Audits
First party audits (internal audits) declare organizational compliance with the ISO 9000 standard. This internal audit is a “self-declaration,” and external organizations perform audits to guarantee compliance, find deficiencies, and offer recommendations for improvement.