Community Hospital Improves Coding Accuracy
Improve documentation consistency and coding accuracy while reducing clinician burden.
Customer
Community hospital (rural)
A smaller provider organization balancing limited specialist resources with the need for accurate, compliant documentation, coding, and revenue capture.
What changed
Earlier gap detection and standardized, compliant clarifications improved accuracy while reducing unnecessary documentation effort.
The Challenge
Lean teams faced accuracy risk and clinician burden
- 1Limited coding and CDI capacity made it difficult to keep up with volume while maintaining accuracy
- 2Clinicians carried significant documentation burden, slowing downstream coding and increasing burnout risk
- 3Compliant clarification opportunities were hard to identify consistently without adding manual work
Solution
Guided workflows for documentation and coding
Earlier documentation gap detection
Surface documentation gaps earlier to reduce downstream rework and improve completeness for coding.
Standardized compliant clarification patterns
Use consistent, compliant query patterns to improve documentation quality without increasing burden.
Clearer handoffs between clinical and coding teams
Improve coordination with workflow visibility so the right work reaches the right reviewer quickly.
Governed operations
Maintain oversight and auditability to support compliant documentation practices and reliable revenue capture.
Results
Measured outcomes on targeted workflows
Results reflect measured outcomes on targeted workflows and documentation patterns.
Want to reduce documentation burden?
We’ll identify the highest-impact documentation and coding workflows and show how to improve accuracy with appropriate oversight.