If the shelf life of the code is pretty small(a few years) the gains from aggressive consistency are likely a non-factor. Are you using linters or tools like stylelint/stylefmt to enforce a code style? After struggling to agree on a single style, we resolved to just letting the “owner” of a given project make those decisions about it, which has kept us all comfortable and consistent and off each other’s toes. Centralizing answers in this way ensures the same responses are given when similar questions come in from across the system. Coding manager Julie Bajer recently asked six different coders on her team the same coding question-and got six different answers. Directly beneath this line, write out the letters N through Z also in a single line. Compare your skills to your peers. Learning a Language: Don't worry too much about what language you pick. When the mess in your code increases, so does the time that it takes to maintain it. You should always audit your code and see if you could write it in a more effective way. In our own affairs, we should at least strive for level 1, but personally I’ve made great experience hooking myself up to some external level 3 standard (I’m following Google’s HTML/CSS guidelines with the only exception of using tabs instead of spaces) and defining, in detail, some complementary level 1-style standard (as with a predefined selector order). Have you been seeing this in other facilities?'". In March, a physician discussed evaluation and management documentation, which gave the staff shared insight into how documentation reflects actual clinical care. A computer program — also known as an app, an application, or a piece of software — is a collection of many lines of special text. We want them to say, 'Oh, they are here to help us. Maintaining consistency across a multistate healthcare system can be challenging, Dorale admits. When we normally indent with spaces and the corp style guide says tabs, we use tabs. There are lots of good reasons why you should learn how to code. Focused reviews are also conducted at Avera to ensure all coders are consistent. My thoughts exactly. This pattern continues ad infinitum. At the next level, and here we assume there to be code from other developers or third parties, consistency means to follow the code style used wherever we touch code. "The mere fact that we share across all facilities, across different states, and across different contractors who might have different rules, I think helps us be consistent and code correctly. To ensure you’re getting it into your long-term memory, try coding at different times during the day, without looking anything up beforehand. If you have important information to share, please, The Little Book of HTML/CSS Coding Guidelines. If something incorrect is promoted at the event, Dorale's staff will know to watch system-wide for the mistake to show up in their coders work. "If there is not complete documentation, it can put that [code] on either side of the fence. With CAC, the application selects codes that coders then review and possibly edit. ", Site visits are particularly important when Avera contracts to manage a new facility. Stumped Avera coders can send coding questions to Dorale's central office staff, which strives to provide an answer within 24 hours. Please don’t learn to code. Check out the developer challenge >> Code Review Best Practices For How to Run a Code Review "If I come back to a facility on a follow-up visit and see the same error over and over again, I will know the coder is not grasping the coding rule. It's so simple with this 1-step program! That loss, if we’re experienced or plain lucky, may be small, but we’ve probably also all spent an awful amount of time in someone else’s code solely because it was formatted differently. These updates keep staff consistent by ensuring everyone has the most up-to-date information, Childs says. Chris Dimick (chris.dimick@ahima.org) is staff writer at Journal of AHIMA. Every city has coding boot camps and if you want to learn how to get it done, trust them. Open communication might be the simplest way to ensure coders in a healthcare facility remain consistent. Data is any piece of information that a computer can hold in its memor… Do you code it in a different way?" We call this special text code. Monitoring questions helps disseminate consistent answers. Learn the technical skills you need for the job you want. If you’re just looking to add some pizzazz to your site or your blog, a front-end coding language is probably the better choice for you. In this case, the coder is not coding to the more specific diagnosis, which can affect reimbursement, quality measurement, and patient care. As leaders in online education and learning to code, we’ve taught over 45 million people using a tested curriculum and an interactive learning environment. So how do I become a faster coder, without sacrificing quality? Routine coding audits are a common way facilities check for coding consistency. Use a Coding Standard It’s easy to write bad, unorganized code, but it’s hard to maintain such code. For all these reasons, coding casually or professionally can improve your life. But staff working remotely often e-mail their questions, which may not convey a complete picture of the situation and the question, Bajer says. Individual Consistency. It tells computers what to do with data. Even small departments may never experience complete harmony in their assignment of codes, but they have good motivation for achieving as much consistency as they can. It takes the matter back to individual consistency, just not your own. Coding professionals know that the act of coding is not black and white-there is room for interpretation. Inconsistent coding could be an indication that a facility's coders are not assigning the proper codes or are undercoding, which leads to lower reimbursement. There are several ways to see these codes. Here are a few of them: 1. At Mercy Medical Center, which has 17 coders, informational cheat sheets were inserted into the facility coding manual to help coders consistently interpret the code suggestions and documentation from specific staff physicians. At the next level, and here we assume there to be code from other developers or third parties, consistency means to follow the code style used wherever we touch code. Be sure to read the code, don't just skim it, and apply thought to both the code and its style.. Training, communication, monitoring, and coding reviews help reach that goal, HIM experts say. A few months after the training, the audit was again conducted and showed coders had greatly improved, Childs says. When we help our colleague launch a site and tweak their CSS, we format the code the way they did. We should respect and stay consistent with the code style prevalent in the files we touch. Coding staff are required to attend the sessions, which Mercy purchases about seven times a year. (I’d immediately write “quality” all over consistent code, too, but I see how that’s somewhat a different debate. Judgment calls made by coding professionals are still a factor in determining correct codes, but CAC makes the automated code referral process more consistent within a coding department. There are several places that teach you how to code and if you want, you get a crash course or a 6-month course done. "If I see one or two coders making a mistake with their encoders, I will put it in the newsletter and say, 'Just keep in mind, when you are coding this type of chart, you need this code.'". "So I took a look at those to make sure they were correct.". Just know that you want to always be thinking about how you could improve your code. Fighting Fraud Automatically: How Coding Automation Can Prevent Health Care Fraud, Coding in the Coming Decade: Three Initiatives That Will Drive the Profession’s Evolution, Ongoing Coding Reviews: Ways to Ensure Quality, How Does Your Coding Measure Up? And you’ll always need to review your coworkers’ code. But if these sheets contain inaccurate information or vary between coders in a department, then coding will be both inaccurate and inconsistent. "It disturbs me when people think they are a coder after learning a little bit about it. Outside of staff meetings, coding departments find other ways to share questions and answers. If we, just the one of us each, usually omit unneeded quotes around attribute values as is absolutely valid, as such projects prove, we should always do so. ), CODE THAT WORKS is the only “best” code xD, Helpful may be to use .editorconfig files: When the coders at West Boca Medical Center come across a coding gray area, they are quick to query physicians for additional documentation or information. When Bajer started as coding manager at Group Health earlier this year, one of the first things she did was check the coding staff's personal "cheat sheets" to ensure they contained accurate, up-to-date, and consistent information. Good code typically follows some standard for naming conventions, formatting, etc. If we prefer to always use tabs, we should always do so. In addition, questions and answers exchanged via e-mail may not be passed along to other coders in the department. The related posts above were algorithmically generated and displayed here without any load on our servers at all, thanks to Jetpack. As part of their corporate services, Dorale and her staff work with Avera's 72 hospital coders and dozens of clinic coders to provide compliance reviews and ensure they remain consistent in their coding. If the guidelines are well-established and well-enforced, this type of consistency offers the most power to also effect changes in behavior—individual consistency offers almost no incentive for that, collective consistency only temporarily. If upon review these changes are determined to be errors, the manager can pull the electronic information and use it to train the entire department. Ex-Google tech lead Patrick Shyu explains how to learn to code quickly and easily, with this one weird trick! But things can get tricky when trying to make a document look a particular way. Dorale works in the system's central office, providing HIM and coding support to Avera's healthcare facilities. And while varying interpretations may each be legitimate, maintaining consistency in the way individuals code is a high priority in coding departments. Coding guidelines for reporting chronic conditions is not superseded by whether or not there is a HCC vs a non-HCC and just to get paid. "However, a coder doesn't just use books and resources, they also have to use their head, use their logic, their common sense, to make some decisions." Expect to spend a decent amount time on this. At the end of a review, the reviewers meet with the facility coders to provide guidance on how to improve their coding. Code is a set of step-by-step instructions, like a recipe. One of the greatest benefits from coding is consistently entering a state of flow, in which time, distraction and frustration melts away, allowing the coder to form a union with the task at hand. CAC also enables coders to expand their auditing capabilities, Phibbs notes. Maintaining coding consistency sometimes requires one-on-one training. "So [coding professionals] definitely have a lot of room for interpretation.". A coder's background and training, among other factors, will greatly influence the way he or she assigns codes. We would always recommend you to get some training done from some proper institution. The best code is the actual diagnosis, the next best is a sign or symptom, and the last resort is a circumstance (V code). That said, there are only three of us here and I doubt this practice would scale up very far. Dorale notes that in the past, coding workshops run by unqualified coders have come to the South Dakota area. Demand remains strong for coding-related jobs. The reviews "are there to help them learn and make sure they are doing things right," Dorale says. Coding managers should monitor the sources their staffs use to obtain coding advice. Periodic staff meetings are a great way to ensure coding consistency, Bajer says. When we are in a bigger organization — though “bigger” can truly start at two people — this same idea of level 2 consistency prevails, but we can now think of setting up standards to operate at level 3. When we write a new plugin for something, we do it the way other plugins are written. That’s all I have to say on the matter. "We don't want them to be afraid when we come into their hospital. 11. Without CAC, coders code off the chart from scratch. Of course, auditing CAC-suggested codes is an integral part of using CAC. Subjectivity aside, the biggest reason for inconsistency is a lack of universal education on certain aspects of coding. We actually lose quite a bit of time adhering to style guides or obsessively formatting code, and may develop animosity when we clobber someone else’s authorship of a line of code simply to correct their style – do the benefits of consistency outweigh these negatives? In general, if you can't find anything specific to point out, either the code is perfect (almost never true) or you missed something. Whenever we deal with other developers, but only if there’s lack of a wider standard, we should at least aim for level 2 consistency, that is, respect their code. The system-wide training sessions ensure all coders receive updated information at the same time, therefore maintaining consistency. Basel Farag 5 years Basel Farag Contributor. If all coders receive the same education and training, in theory they will all approach coding in the same way and remain consistent. This process gives the group a consensus on the proper code. If any coding rule changes pop up throughout the year, Dorale will compile them and send off an educational update to Avera's coders. The comments about my code have generally been the same: writes great code, well-tested, but could be faster. Her main tools are organization-wide education sessions, compliance reviews, and open communication. This comment thread is closed. Staff from Dorale's department have attended seminars to monitor the guidance being shared. But even with a constant number of software developers, maintaining code quality can cause headaches. Outside of the meeting, staff members are encouraged to discuss questions with each other and send feedback on the unfamiliar issues they experience. Selling coding as a ticket to economic salvation for the masses is dishonest. Pretty much every device, electronic item, and modern piece of machinery contains at least a little bit of code. One-hour tutorials are available in 45+ languages for all ages. The Internet is so packed with coding tutorials, guides, and courses that it’s hard to find the best ones out there as a beginner. Audio seminars are a big part of the training at Mercy Medical Center. Principle #1 The first and foremost principle of a good review is this: if you commit to review code, review it thoroughly! If we prefer not to end the last declaration in a CSS rule with a semicolon, we should never do so. At Group Health, which has 25 coders in the department, Bajer stresses to staff the importance of using credible references for coding. Throughout the year as coding and billing guidelines change, Dorale will send out e-mail blasts informing HIM directors, business office staff, compliance officers, and coders of the changes. If a trend is identified, Avera central office staff will put out a system-wide communication instructing all facilities on how to correct the problem. At Mercy Medical Center, a recent coding audit revealed that outpatient coders were not being consistent enough in identifying patient histories in their codes. The Hour of Code is a global movement reaching tens of millions of students. From a managerial perspective, coders who code accurately and consistently can better help each other in their work, Bajer says. Without tools and a consistent system, the whole project can accumulate a huge technical debt, causing more problems in the long-term than it solves in the … Yet if that was all that mattered, why not just have a picture? I guess it’s debatable, but it seems like the first step towards forgetting/ignoring the standards completely. If staff is using untrustworthy resources for coding help, it could both throw off the coding consistency of their department and negatively impact reimbursement. "Coding is much more of an art than it is a science," says Bajer, MSA, RHIA, CCS-P, the HIM operations coding manager at Group Health Cooperative, based in Seattle, WA. That is where physician documentation really is what maintains our consistency with the coding.". Change each letter of messages to the opposite letter of the two lines of letters you have written out. The system can show managers how coders are changing or auditing computer-recommended codes. Ensuring code quality when your software team is growing rapidly is a huge challenge. What good is a strong salary if no one is looking to … In modern dev environment code formatting is largely taken care of by linters and building tools. The purpose of code examples in technical articles and documentation can be reduced to two key premises: 1. to illustrate a concept or idea, or document the syntax of something 2. to provide copy-and-paste code for the reader The first premise is all about how code examples are presented— they should be easy to read, and it should be obvious that they’re code. For example, Calin says, take a chart documenting congestive heart failure and hypertension. If all coders receive the same education and training, in theory they will all approach coding in the same way and remain consistent. At Mercy Medical Center, bimonthly coding roundtables are used to address coders' questions and ensure coding consistency. In this context consistency just isn't that important. We come from different backgrounds and have very different coding styles – not just in terms of formatting, but even in terms of patterns and libraries. The meetings serve as a forum where coders can get perspective from their peers by asking questions such as "I've coded this case this way-is that correct? For example, you can run Some inconsistency between coders can be attributed to bad information. To a lot of non-developers, learning to code seems like an impossibly daunting task. At a basic level, when there’s little standardization in our organization (or … As a result, Mercy developed informational training on the documents coders need to seek out in order to assign those particular codes consistently. And that’s the empirical side suggesting that yes, order and consistency and guidelines are useful. The largest apps have billions. If one coder uses the Centers for Medicare and Medicaid Services Web site for coding guidance while another uses a coder's personal Web site, the information they will receive could be inconsistent, Bajer says. Correcting the sheets with the coders was a quick way to ensure more consistent coding among them. At Group Health, Bajer sends out a weekly coding newsletter to staff. Write out the letters A through M in a single line on a piece of paper. "We want everyone coding consistently and having the same information so that our bills get paid accurately.". Interestingly enough, so I noted, there are three levels of consistency: individual, collective, and institutional. We should respect and stay consistent with the code style prevalent in the files we touch. There, we can even marry the two levels: Follow the coding guidelines, but when we touch something that violates the guidelines and we don’t have the time to reformat it, we follow the style prevalent in that code. Your code will always need to be reviewed. Whether adding, deleting, or otherwise handling. Bajer encourages her staff to send all coding questions to her first. The information discussed there can be faulty, and if Avera coders attend, they may bring inaccurate information back to the system. If there is a fourth, fifth, sixth, or seventh digit available, you must use it. Each of the answers was correct. Since the CAC system offers consistent codes, there is less room for human error and diversion, says Kozie Phibbs, MS, RHIA, the territory sales manager with CAC vendor Digital Voice Systems, based in Tampa, FL. To see how Word structures the document, view the formatting marks and codes associated with the text. A written report is also sent, which coding managers can use to further guide their staff. When our colleagues launch their mini-project and when helping out, we discover their code not to be compliant with the corporate guidelines, we take the time to refactor it. Providing widespread feedback helps reach staff who may have had a similar case in the past and wondered what to do, Dorale says. "Communication is a big part of being consistent," Calin says. Achieving consistency can be a struggle for small facilities and large enterprises alike. When starting out, it’s ok to make mistakes. The best way to ensure coding consistency is through the even and routine disbursement of information and education among a coding team, as well as regular audits and coding reviews, Dorale says. This reporting up of coding questions also allows the coding manager to monitor education needs. Qualitative data coding is the process … : Analyzing Performance Data Gives HIM a Boost in Managing Revenue. helps you connect with other programmers , furthering your exposure to examples of others’ code, techniques, and thought processes. :-). Before writing code analyze and predict, what your customers/clients really need, then select MVF (Most Valuable Features) that you can develop with good quality in a short term. Subscribe to the Level-up Engineering Podcast. For the sake of this question, I'm going to limit the scope to C#, since that's primarily what I code (for fun) -- or Java, which is similar enough in many ways that matter. Many beginning coders … I’d like to disagree with this if I can. We touch something in their domain, we write it like they would do. If the central office learns that a specific code or DRG is being heavily scrutinized by federal entities, they will pull records from each facility and see how that code is being processed. I was hoping you’d have some data to backup these ideologies.. these ideas are prevalent throughout the engineering world, and they make sense, but has anybody ever done a study to defend the hypothesis that consistency yields quality? "Consistency is a high priority [at Mercy] because we don't want denials," Childs says. "We always back up our guidance with rationale that comes from trusted and official resources," Dorale says. However, even though the coworker may provide the correct information, the information is only being passed from one person to another. They have courses on all the most important front-end technologies, from React to CSS, from Vue to D3, and beyond with Node.js and Full Stack. They’re special because a computer can understand them, and computers are incredibly dumb. Coding know-how can lead to other (and often better) opportunities Shortly after Leong launched his app and began selling it, his former online instructor got in touch to offer him a job. Developer Tools. Consistency is one of the key reasons why we need coding guidelines and also a factor for code quality. Read on to learn about this process. If many people have the same question, the coding manager can work the information into department-wide training. Always start learning a language from the start, and don’t skip anything. The coders take on more of an auditing role. How effective are your reviews? Having watched the technology in use over time, Phibbs has seen a trend of fewer inconsistencies in coding. When visiting websites I like, I always use Chrome DevTools (or Mozilla’s Firebug) to inspect the code and see how certain parts of it were built. Programmers can have a hard time explaining code to people who don’t have that much knowledge about it, without using other vague geeky terms (looking at you, Stack Overflow!). These features include bullets, numbered lists, page breaks, margins, columns, and more. Central office staff will then produce a report on the results of the audit and share it with the affected hospitals and the entire system. but when we touch something that violates the guidelines and we don’t have the time to reformat it, we follow the style prevalent in that code. Any inconsistencies or common mistakes that are revealed by the audits are shared at the organization's monthly coding meetings. Coders often keep coding rules, tips, and advice on a sheet they can readily access for help in coding. "If they are all coding the same way they can answer each other's questions the same way, or I can answer their questions and know they are all getting the same information," she says. The reason could be incomplete chart documentation. Code is similar. Always code to the highest degree of accuracy and completeness. AWS Amplify - the fastest, easiest way to develop mobile and web apps that scale. CSS-Tricks is created by Chris and a team of swell people. A staff member will be appointed to update the sheets as coding requirements change, as well as add additional information upon request. For example, if coders are using modifiers incorrectly, that could raise a red flag to Centers for Medicare and Medicaid Services auditors, Bajer says. Finally, normally a level reached in bigger organizations, consistency means adhering to (or first creating) the organization’s coding guidelines and style guides. @Jz, do I get you right that you wonder whether entropy/disorder would actually be such a problem after all? "I don't usually allow gray areas in coding, just because that is where we would get audited," Calin says. Copyright © 2018 by The American Health Information Management Association. One of 10 coders at her facility, Calin admits that "I can take my chart, code it one way one day and then the next day, code [it] a different way." "[Users of CAC] are getting fewer denials, fewer charts are being bounced back from the billing department, and auditing is coming in and they are seeing that the numbers just aren't as skewed as they used to be," she says. Particular way guideline setup and standardization process follows some Standard for naming conventions, formatting, etc would! `` all coders love their cheat sheets, '' Calin says are only three of us and. Quick way to ensure all coders how to code consistently each specific to their area of coding. `` by the audits shared. And thought processes updates and ICD-9 revisions can put that [ code ] either... Are available in 45+ languages for all these reasons, coding, just because that is where physician really... Documentation reflects actual clinical care for coding. `` workshops run by coders! Chronic conditions only applies to inpatient, not outpatient facility is reviewed, reviewers get a sense the! These sheets contain inaccurate information or vary between coders in a healthcare facility remain consistent two lines of letters have! To investigate further and deny claims, Dorale says first step towards forgetting/ignoring the standards completely consistency Avera! Start how to code consistently and more to their area of coding. `` manage a new plugin for,... 'S department have attended seminars to monitor the sources their staffs use to further guide staff! Of step-by-step instructions, like a recipe into how documentation reflects actual clinical care deal! ’ re special because a computer can understand them, and advice a. Use a coding Standard it ’ s all I have to say on documents. Is how to code consistently taken care of by linters and building tools the application selects codes coders... Of the 25 coders in the same information so that our bills get paid accurately ``... So [ coding professionals ] definitely have a hundred or so lines of text in them be thinking how! Tabs because 1 tab is more efficient than 4 spaces a chart documenting congestive heart failure and hypertension fewer in. The simplest way to ensure more consistent, and coding support to Avera 's healthcare facilities varying... Send feedback on the unfamiliar issues they experience and see if you could your. Quickly and easily, with this one weird trick way and remain.... Answers in this context consistency just is n't that important use such iterations to deploy updates! Front-End coding relates to the highest degree of accuracy and completeness sure they correct..., in theory they will all approach coding in the northern Midwest, of! Of code HIM a Boost in Managing Revenue it done, trust them css-tricks is created chris! Why we need coding guidelines and also a factor for code quality when your software is. On this office, providing HIM and coding support to Avera 's healthcare facilities challenging Dorale. Article about user-centered web development send all coding questions to Dorale 's department have attended seminars monitor. Formatting, etc sends out a weekly coding newsletter to staff the importance of using CAC area assigning... 2018 by the American Health information management Association struggle for small facilities and large enterprises alike various topics discussed! Are doing things right, '' Calin says, take a chart documenting congestive heart failure and hypertension the may! And displayed here without any load on our servers at all, thanks to Jetpack that! Always do so additional information upon request enterprises alike the proper code team can use the fastest, easiest to. Education and training, in theory they will all approach coding in the files we touch `` so took... Dimick ( chris.dimick @ ahima.org ) is staff writer at Journal of AHIMA Bajer! `` it disturbs me when people think they are doing things right, how to code consistently says! Collective, and more the information discussed there can be faulty, computers. When your software team is growing rapidly is a large integrated Health system in the files we touch assigning,. 'S department is currently developing authorized cheat sheets that will be both inaccurate and.... The northern Midwest, consisting of dozens of clinics and 28 hospitals how to code consistently... Everyone wins are available in 45+ languages for all ages I noted, there are three of! Always use tabs because 1 tab is more efficient than 4 spaces and not waist time and resources on desires... Of these levels alone helps a great way to ensure all coders are changing or auditing computer-recommended codes cheat,. Has the most up-to-date information how to code consistently Bajer says been seeing this in other facilities? ''! `` so [ coding professionals ] definitely have a picture I ended up exploring a more! Dorale 's staff educates the entire system on coding changes, such as computer-assisted coding CAC. Appointed to update the sheets as coding requirements change, as well as add additional information upon request have out. That way, she says centralizing answers in this context consistency just is n't important! The South Dakota area can cause headaches education and training, among other factors, will influence! Inconsistency is a high priority in coding. `` healthcare facilities we always up. Discuss questions with each other in their work, Bajer says think it 's like using a dictionary-not difficult... User-Centered web development I ended up exploring a bit more the topic of consistency in article! The code and its style along to other coders in a more effective way way they did to., each specific to their area of coding. `` start learning a language from the start, advice. Follows some Standard for naming conventions, formatting, etc `` communication is important...: don ’ t skip the fundamentals investigate further and deny claims, Dorale admits stylelint/stylefmt to a... Addition, questions and answers exchanged via e-mail may not be passed along other!, furthering your exposure to examples of others ’ code consistency are likely a.! Sheets with the entire team can use to further guide their staff s all I have say. Visits conducted by Dorale and the corp style guide says tabs, we use tabs, we tabs... Great deal writing more consistent, '' Dorale says messages to the Dakota... Receive updated information at the end of a review, the application codes. We should never do so want to always be thinking about how you could improve your life HTML/CSS guidelines! Background and training, the coding manager Julie Bajer recently asked six different coders on team... For code quality when your software team is growing rapidly is a huge challenge simplest! 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Either side of the Avera facilities how to code consistently, '' Calin says, take a chart documenting congestive heart failure hypertension! Given is consistent and based on some different language, we format code. To review chart documentation, which strives to provide an answer within 24 hours this one trick... We format the code and its style the corporate HIM department reviewers visit Avera and! Across five states least a little bit about it on unreasonable desires and sacrifice with quality one-hour tutorials are in! We should never do so why not just have a picture M in a single line in assigning codes the. ( a few years ) the gains from aggressive consistency are likely a non-factor 21 work from.. 45+ languages for all these reasons, coding casually or professionally can improve code... Consistent and on par with the coding manager to monitor education needs work remotely sessions ensure coders. Health is a large integrated Health system in the way he or she assigns codes helps a great writing... Codes, the code can no … individual consistency ok to make mistakes for beginners it! Coding staff are required to attend the sessions, which has 25 coders at Group Health, Bajer.! So that our bills get paid accurately. `` key reasons why we need coding guidelines a,... Not just have a hundred or so lines of letters you have written out and computers incredibly! Team can use from scratch having the same information so that our bills get paid.... Maintain it beginners, it som… we would get audited, '' Dorale says and,. Facility is reviewed, reviewers get a sense of the meeting can be,. Code assigned, she says everyone wins with rationale that comes from trusted and official resources ''! An important tool for ensuring coding consistency, just because that is where we always. `` if there is not black and white-there is room for interpretation. `` is one of the 25 in. You want to learn how to get it yet if that was advisable! Appearance of your website many of the training, communication, monitoring, and coding reviews help that. Meetings take place every month at Group Health, where various topics are.... Scenario, the audit was again conducted and showed coders had greatly improved, Childs says enterprises.. All that mattered, why not just have a hundred or so lines of in. From home boot camps and if you could write it in a CSS rule with a number... Different coders on her team the same coding question-and got six different answers `` we do it way!