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Coding and Documentation in Healthcare Essay


It is imperative to note that the role of coding in health care has been increasing over the years. It has become a vital part of most processes, and its primary goal is to enhance the level of efficiency of operations and increase the number of positive outcomes. The problem is that many professionals are reluctant to accept this approach because of many factors.

One of the primary reasons that should not be overlooked is that clinicians already have many tasks and responsibilities that they have to deal with in the workplace. Furthermore, the introduction of coding is not met with approval because such changes are quite significant. Many health professionals are used to standard approaches, and it may not be an easy task to change their opinion. The issue is that they are not provided with additional time for learning most of the time, and it complicates the situation. Another issue that needs to be highlighted is that the level of understanding of coding is not sufficient because health care professionals do not understand that it makes the process of documentation much easier (Jurek, Mosay, and Neris 4).

The problem is that errors are possible, and one may have to lose significant amounts of time when checking if everything is correct (DeVore 170). Also, they may think that it is the responsibility of medical coders, but it is not the case. Numerous issues can be introduced during the process of coding. For instance, it may not be an easy task to identify how procedures should be sequenced on paper (Buck 696). Clinicians may need assistance in such situations because the process is quite complicated and they may be too worried about making mistakes. The fact that it is necessary to remember such enormous amounts of information is quite problematic.

Moreover, it is important to provide clinicians with materials that would make the process much easier and may help to prevent possible mistakes. Also, need to utilize modern technologies should not be overlooked because they have enormous potential that is not yet fully realized in healthcare. Any issues related to coding compliance should be reported because it may lead to severe consequences and can hurt the institution (Becker 102). It may be necessary to conduct pieces of training, and the level of knowledge that has been gained by health care providers needs to be assessed. It is paramount to explain that one should keep track of the latest techniques to stay competent (Johnson and Linker 6). They should be informed that this field is actively developing, and professionals that have an understanding of these approaches are highly valued (Aalseth 215).

In conclusion, it is evident that the situation is quite problematic and necessary measures should be taken to ensure that clinicians are aware of the benefits of coding and understand why it is so important. Overall, most attention should be devoted to education and development of guidelines that would help health care professionals to get used to such processes.

Response 1

It is necessary to mention that I agree with the points raised, and I think that outstanding knowledge has been shown in this case.

Response 2

The information provided is convincing, and I believe that much more attention should be devoted to this subject matter because this is an area that is relatively understudied.

Works Cited

Aalseth, Patricia T. Medical Coding. Burlington, MA: Jones & Bartlett Learning, 2014. Print.

Becker, Joanne M. Guide to Coding Compliance. Boston, MA: Cengage Learning, 2012. Print.

Buck, Carol J. Step-by-Step Medical Coding. Philadelphia, PA: Elsevier Health Sciences, 2015. Print.

DeVore, Amy. The Electronic Health Record for the Physician’s Office for SimChart for the Medical Office. Philadelphia, PA: Elsevier Health Sciences, 2015. Print.

Johnson, Sandra L., and Robin Linker. Understanding Medical Coding: A Comprehensive Guide. 4th ed. Boston, MA: Cengage Learning, 2015. Print.

Jurek, Jean, Stacey Mosay, and Daphne Neris. Conquer Medical Coding: A Critical Thinking Approach with Coding Simulations. Philadelphia, PA: F.A. Davis, 2016. Print.

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IvyPanda. (2020, August 24). Coding and Documentation in Healthcare. Retrieved from https://ivypanda.com/essays/coding-and-documentation-in-healthcare/

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"Coding and Documentation in Healthcare." IvyPanda, 24 Aug. 2020, ivypanda.com/essays/coding-and-documentation-in-healthcare/.

1. IvyPanda. "Coding and Documentation in Healthcare." August 24, 2020. https://ivypanda.com/essays/coding-and-documentation-in-healthcare/.


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IvyPanda. "Coding and Documentation in Healthcare." August 24, 2020. https://ivypanda.com/essays/coding-and-documentation-in-healthcare/.

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IvyPanda. 2020. "Coding and Documentation in Healthcare." August 24, 2020. https://ivypanda.com/essays/coding-and-documentation-in-healthcare/.

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IvyPanda. (2020) 'Coding and Documentation in Healthcare'. 24 August.

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