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

General Resources
  • Completing Coding on an Account - (Handout) When coding is complete, this must be designated within Epic.
  • Enter Dialysis Start Date - (Handout) The dialysis start date can have an impact on the Medicare ESRD payment. Enter the dialysis start date on the Hospital Account Maintenance Abstracting activity.
  • Initiating Coding on an Account - (Handout) To begin coding an account, the coding must be initiated within Epic
  • PB Coding Assistant - (Handout) The Doc Review tab in the PB Charge Review sidebar shows codes that might be relevant to the session you’re working on. From the tab, you can easily add codes, swap a new code in for an existing one, or jump to the source documentation to confirm a code is correct. You can open related notes or results directly from the sidebar.
  • PB Coding Queries - (Handout) The Queries tab in the PB Charge Review sidebar lets coders send a query to one or more providers.
  • Using Charge Capture (for Coders) - (Handout) Charge Capture can be used to enter charges that are not automatically generated by clinical workflows. The Charge Capture navigator section is set up differently by specialty in order to reduce the number and types of charges appearing in the list.

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