What does the HIM department focus on when assessing coding quality?

The HIM department prioritizes the accurate reflection of diagnosis and treatment when assessing coding quality because this ensures that the information recorded aligns with the patient’s actual medical condition and the services they received. Accurate coding is crucial for various reasons, including compliance with regulations, reimbursement from payers, and the overall quality of patient care. By focusing on how well the coding captures the true nature of the diagnosis and treatment provided, the HIM department can identify areas for improvement and ensure that healthcare data is both reliable and useful for clinical and administrative purposes. This emphasis on accuracy directly impacts the integrity of healthcare documentation and supports appropriate clinical decision-making and resource allocation.