Get Coding Audit Template 2020-2025

The Coding Audit Template is a crucial document for ensuring accurate coding in inpatient care. This guide provides step-by-step instructions to help you effectively complete the template online, ensuring all necessary fields are accurately filled.

Follow the steps to complete the Coding Audit Template online.

1. Click the ‘Get Form’ button to access the Coding Audit Template and open it in your preferred online editor.
2. Begin filling out the 'DMIS/Facility' section by entering the relevant facility information.
3. In the 'Attending Provider' field, input the name of the attending medical provider.
4. Enter the 'MR #' (Medical Record Number) associated with the patient in question.
5. Provide the 'Registration #' for the patient, which is often found in hospital records.
6. Fill in the 'MEPRS' (Medical Expense and Performance Reporting System) code relevant to the case.
7. Record the 'Date of Service' when the patient was treated.
8. Enter the name of the coder responsible for coding the services in the 'Coder Name' field.
9. Indicate the 'Date Coded' when the coding was completed.
10. Mark 'Coded w/in 15 Days' with 'Yes' or 'No' to indicate if the coding was completed within the required time frame.
11. Provide the name of the auditor in the 'Auditor Name' section.
12. For 'Coding Change', select 'Yes' or 'No' to indicate if any coding changes have been made.
13. In the 'Audit Date' field, enter the date when the audit was conducted.
14. Answer 'Provider Query' with 'Yes' or 'No' based on whether queries were raised during the coding process.
15. Fill out 'Patient Age/Sex', providing the patient's age and selecting Male or Female.
16. Use the 'Comments' section to add any additional notes or observations relevant to the coding.
17. Proceed to 'MS-DRG Coding' and fill in the necessary pre-audit and post-audit details.
18. In the 'Diagnosis Coding' section, input the relevant diagnosis codes, specifying principal and secondary diagnoses.
19. Address any opportunities for provider queries if necessary.
20. Complete the 'Procedure Coding' section by providing both pre-audit and post-audit information for each procedure.
21. Review all entries for accuracy and ensure every field is filled out properly.
22. Once all information is entered, you can save the changes, download, print, or share the completed form.

Complete your Coding Audit Template online today to ensure accurate and efficient coding!