Audit;
This assessment involves investigating and writing a report based on a Coding Benchmark Audit. You will be provided with 40 cases that need to be coded by yourself by week 8 at the latest. The resulting coding outcomes will be known as Coder A. For audit purposes from these records you will regard the answers that you have coded as being those provided by Coder A.This information then needs to be sent in a spreadsheet to Sharon who will then make Coder B’s results available to you through Blackboard. Therefore you need to have two lists of coded answers for each medical record, the first list will be your answers (Coder A) and the second list will be the answers provided to you (Coder B). These two lists will form the basis of your audit analysis.
The audit will be carried out in accordance with industry standards provided by the Australian Coding Benchmark Audit (ACBA). You are now Coder B.
To analyse and write the report on the audit you need to have reviewed the data from the 40 medical records so you have a large enough sample size to analyse.
You are writing the report for the Chief Executive Officer and therefore you need to include an Executive Summary before your Contents page, followed by a full and complete report including possible variances between Coder A and Coder B. The report should also contain:
1-Executive summary
1.1 Aim of the project
1.2 Scope
1.3 Summary of statistical results
1.4 Issues arising from the coding audit
1.4.1 Non compliance with Australian Coding Standards + Recommendation
1.4.2 Coder education +recommendation
1.4.3 Clinical engagement +recommendation
1.4.4 Practice Documentation + recommendation
1.4.5 Quality control+ recommendation
2-Introduction
2.1-Define what audit is (two different sources)
2.2-why we need audit
2.3-Justification
2.4-theses
2.5-Purpose of this essay
• 3- Rationale
4-Audit Scope and Methodology
4.1 Scope of the audit (Make it up)
4.2 Audit methodology
4.2.1 (Sample size . Random sample. Sample made during the season)
4.2.2 Sample team ( External auditor)
• 5-Reporting Categories
• 6-Scoring ( see appendix 1)
• 7-Results (appendix 2)
• 8-Interpretation of results
• Financial cost (appendix3)
• 9-Recommendations
• 10-Follow-up
• 11-Dissemination of results
• 12-Conclusion
• 13 References
• 14 Appendices
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