Health Information Management 230: Classification Systems II
Write a on the electronic applications of clinical coding.
Describe the use and function of computer assisted coding systems (CAC).
Discuss the function of encoders.
Compare the similarities and differences in the coding process with paper/manual systems versus electronic systems. Be sure to outline key advantages and drawbacks of each.
Create a flowchart or diagram on the step-by-step coding process both the paper and electronic coding process
Explain the application of the systems development cycle in the implementation of electronic applications, such as encoders and CACs.
Provide an example of how SDLC can be used in the decision-making process to implement an encoder or CAC.
Sample Answer
Computer-assisted coding (CAC) systems
CAC systems are software applications that help clinical coders to assign the correct codes to medical diagnoses and procedures. CAC systems typically include a database of medical codes, as well as a set of rules and algorithms that help coders to select the correct codes. CAC systems can also provide coders with feedback on their coding choices, and can help to identify potential coding errors.
Encoders
Encoders are specialized software applications that are used to automatically assign medical codes to patient records. Encoders typically use a combination of natural language processing and machine learning algorithms to identify the medical codes that are most likely to be applicable to a given patient record. Encoders can significantly reduce the amount of time that coders need to spend on coding, and can also help to improve the accuracy of coding.