Some administrators may think that it will eliminate a coder’s position, however, coding is extremely complex, and a coder’s role may in fact change when using a CAC system. The reality is that while CAC is excellent at analyzing keywords and suggested codes, human intervention is still a necessity. By implementing a CAC a coder’s role may be reassigned to ensure the suggested codes from the CAC are valid and appropriate for the encounter. 

Coders understand the general guidelines of code assignment and also have the knowledge to make sure the documentation is supported for the final code assignment. The CAC is really a tool to help coders perform their job better. This can be a useful tool in teaching coders with the suggested codes provided by the CAC. The tool can also be used to ensure there are no missed or overlooked procedures.  An AHIMA study indicated that coders that used a computer-assisted coding system (CACS) spent 22% less time on code assignment than coders who didn’t use a CACS. 

As always any successful implementation comes down to three things: people, process, and technology.

Human coders will still be needed to analyze, decipher and use their expertise to make the correct code decisions.

Susan West, RHIT
aceadmin@aceauditors.com