Coding and Abstracting is part of Epic's Health Information Management system and used to identify and define hospital services based on diagnoses, procedures, level of care, and other factors.

Coding and Abstracting (HIM) Resource Pages

General Resources |  HIM Coding  |  ED Coding

ED Coding
  • Abstracting Workspace - (Handout) Learn about the Abstracting workspace.
  • Accident-Related Encounters (Claim Information Record) - (Handout) For accident-related encounters, additional information needs to be collected regarding the accident. Claim Information Records keep track of information related to an encounter that is accident-related. A Claim Information Record must be created for the accident and attached to each encounter related to that accident.
  • Creating a Past Ambulance Encounter - (Handout) ED coders may be responsible for adding ambulance charges to accounts with Ground Ambulance Transportation charges. This document outlines the process for creating the encounter for these charges when the transportation occurred on a day prior to the day the coder is coding the account.
  • HB Coding Claim Edits - (Handout) How to work a HB Coding Claim Edit workqueue.
  • Initiating Abstracting on an Account - (Handout) To begin abstracting an account, the abstracting must be initiated within Epic.
  • PB Coding Claim Edits - (Handout) How to work a PB Coding Claim Edit workqueue.
  • Override a Price for an Unlisted Dental Procedure - (Handout) This document outlines the process for overriding a price on an unlisted dental procedure. This process can be started after coding has been started and ED Charging has been launched.
  • Updating Admission Type for Trauma Alerts/Activations When Coding an ED Account - (Handout) ED Coders may need to update the Admission Type when a Trauma Alert or Activation code is added to an account.
  • Workflow: Coding a Pure ED Account - (Handout) Accounts that have been admitted and discharged from the Emergency Department can be found in the UIHC ED - Uncoded Emergency Accounts : 12 workqueue.
  • Workflow: Coding an ED to Admit Account - (Handout) When a patient is seen initially in the Emergency Department but is ultimately transferred to an Inpatient or observation unit, the account can be found in the UIHC ED - Charge Capture Emergency : 157 workqueue.
  • Workflow: Creating and Coding a Past Ambulance Encounter - (Handout) ED coders may be responsible for adding ambulance charges to accounts with Ground Ambulance Transportation charges. This document outlines the process for creating the encounter for these charges when the transportation occurred on a day prior to the day the coder is coding the account. Once the encounter has been created for patients that were transported by ground ambulance, ED Coders are responsible for adding the ambulance charges.

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