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

HIM Coding
  • Coding an Account (HIM018) - (eLearning: 7 min) Access a list of account workqueues, review clinical information, and complete coding on an account.
  • Coding Workspace - (Handout) Learn about the Coding workspace.
  • Customization for HIM Coders - (Handout) This document covers customization options and recommendations for HIM Coders. Topics included: Making Coding and Doc Review Activities Stand Out, Moving the Coding Activity: Floating Window, Moving the Coding Activity: Sidebar, and Customizing the Queries Sidebar.
  • Customizing the Queries Sidebar - (Handout) The Queries Sidebar is customizable. Topics include: Collapsing/Expanding the Queries Sidebar, Opening the Queries Sidebar in a Separate “Floating Window,” Returning the “Floating Window” to the Sidebar, Setting Default Workflow, Setting Group By Default, and Applying filters.
  • Entering Coding Comments - (Handout) Keep track of information related to the current account using the Comments tab in the Coding activity.
  • Entering Dates and Performing Providers for Procedures - (Handout) The dates the procedures were performed and the names of the providers that performed the procedures need to be entered directly into Coding Info.
  • Inpatient Query Opportunities for CDI Staff (HIM Coders) - (Handout) Queries are messages sent by coding staff to CDI (Clinical Documentation Improvement) Staff when more information is needed to complete coding on an account. They may be accessed and sent from the Queries Sidebar when coding an account. Sections included: Starting and Pending Queries, Viewing Queries, Replying to CDI Queries, and Deleting Queries.
  • Sending Coding Queries and Viewing Responses - (Handout) Coding Queries are messages sent by coding staff to providers when more information is needed to complete coding on an account and/or documentation-related deficiencies require resolution. They may be accessed and sent from the Queries Sidebar when coding an account.
  • Using the PasteBoard Activity - (Handout) PasteBoard is an activity that allows coders to copy and store information from notes and reports available within the Doc Review activity.
  • Working the Interim Billing Workqueue - (Handout) HIM coders may be responsible for working accounts that fall to the Interim Billing workqueues.
  • Workflow: Coding an Inpatient Account - (Handout) Inpatient accounts are grouped into workqueues based on different criteria set up within Epic. Supervisors determine which workqueues users will need to access. This document outlines the process used to code an inpatient account.
  • Workflow: Coding an Outpatient Account - (Handout) Outpatient accounts are grouped into workqueues based on different criteria set up within Epic. Supervisors determine which workqueues users will need to access. This document outlines the process used to code an outpatient account.
  • Workflow: CPT Coding Process for MOR/ASC Inpatient Procedure Coding - (Handout) Once an anesthesia log is posted for an inpatient account, the account will then fall to the UIHC HIM - ANESTHESIA CPT CODING: 2192 workqueue for specialized coding.
  • Workflow: HIM Coder/CDI Communication - (Handout) HIM Coders and CDI use Account Activities to communicate back and forth on accounts.

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