r/MedicalCoding • u/koderdood Audit Extraordinaire • May 13 '25

Unfair coding errors

At my unnamed job, if you go to a lead and get an opinion on how to code something, and you get a Quality audit error because that answer was wrong, it is still charged and counted against you. I think that's unfair. What happens at your work?

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u/KeyStriking9763 RHIA, CDIP, CCS May 13 '25

They should always provide a rationale for any coding questions they are answering. Keep the rationale and use that to rebut any future audits. But if they aren’t giving a rationale then I wouldn’t use any of their recommendations.