As the coding manager, you have just conducted a productivity and accuracy audit
ID: 460893 • Letter: A
Question
As the coding manager, you have just conducted a productivity and accuracy audit of the five coders that report to you. Below are the results of the study
Productivity
Accuracy Rate
Coder One
45 charts in 8 hours
75%
Coder Two
24 charts in 8 hours
98%
Coder Three
30 charts in 8 hours
98%
Coder Four
50 charts in 8 hours
60 %
Coder Five
10 charts in 8 hours
97%
Your department currently receives on the average 300 charts per day.
Research and locate AHIMA’s productivity benchmarking standards.
Your facility compliance guidelines state that coders should maintain at least a 95% accuracy rate. Using the audit results, AHIMA’s benchmarking standard, and compliance guidelines, develop feedback for each of the coders. Your feedback to each coder should be positive and comprehensive. Feedback must address at least productivity, accuracy, and suggestions for improvement.
During this process, the department director has asked you to evaluate if you have enough staff to maintain the workload and to make recommendations for a change in staffing if necessary. Develop a proposal for staffing change if necessary
Productivity
Accuracy Rate
Coder One
45 charts in 8 hours
75%
Coder Two
24 charts in 8 hours
98%
Coder Three
30 charts in 8 hours
98%
Coder Four
50 charts in 8 hours
60 %
Coder Five
10 charts in 8 hours
97%
Explanation / Answer
Benchmark
Daily Coder Productivity Expectations
After checking AHIMA and AAPC sources. Below is the list of information that I have gathered in regards to Coder productivity.
Source:
Type of Charts
Per Day
Per Hour
Time per Record
AHIMA Source
Inpatient Coding
24
3
20
AHIMA Source
Ambulatory, Outpatient and Interventional Surgery & Procedure Coding
40
5
12
AHIMA Source
Emergency Department Coding
120
15
4
AHIMA Source
Ancillary Testing Coding
240
30
2
AAPC Source
Inpatient/Observation
24
3
20
AAPC Source
Same Day Surgery
48
6
10
AAPC Source
Emergency Room
96
12
5
AAPC Source
Outpatients
240
30
2
Field Response
Radiology - no other duties
400
50
1
Field Response
Radiology - other duties
240
30
2
Field Response
Urology
144
18
3.3
Field Response
Ambulatory Multi-Specialty Clinic (125 providers 7 FTEs)
136
17
3.5
Field Response
E&M
160
20
3
Field Response
Orthopedic Surgeries
60
7.5
8
Coder one - Good productivity but needs to improve on accuracy as the current accuracy does not meet the guidelines.
Code Two - Performing very well
Coder Three - Performing Very well.
Coder 4 - Need to improve accuracy as it is much below the accepted standard.
Coder 5 - Increase productivity however the accuracy is really good.
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