Wiki Billed DX's vs. chart note for visit

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I have a provider who does not think that each DX used on a claim has to be documented in the chart note. Does anyone know of something in writing that could help me clarify?
Thank you in advance.
 
I am not sure you will find anything that will state specifically what you are looking for. However you can find many resources that state the coder can only code from the encounter note for that encounter and that should work. Also the payer when they audit the claims will look only at the encounter note the claim is for to obtain the information to verify what was submitted. I tell all of the coders I teach that they should consider the claim to be like a summary of the encounter. How does the provider ecpect the coder to code a claim if the information is not documented in that encounter note?
 
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