I was actually in your exact situation when I first started. I was not only not allowed to change the codes the physicians chose, but I was never allowed to even look at the documentation! Because of that we were constantly billing incorrect charges on patient's since the front office girls did not pay attention when making appointments and they scheduled the appointments on patient's with similar names. This lead to a lot of problems. Administration wondered why I was not catching these issues during the coding process since the notes and charges would not match. So one day me and my supervisor had to go to administration to answer for all of our incorrect work. I was being grilled by five people in administration. When they found out that I was not allowed to even look at the documentation you could hear the audible gasp from several people all over the room. I was told to go back and code with the charts and verify that everything was properly documented. When I did that I noticed that all of the physicians were over coding EVERY E/M. My supervisor who thought it was no big deal to code without ever looking at the charts was now telling me that it was not my problem and that the physicians were responsible for the codes, not me. My supervisor was never a coder and did not realize that coders are also responsible. Since I could not get through to my supervisor that the codes were not supported I started looking for other employment. While I started my job search the company hired an outside coding company to audit the codes. Guess what? Every physician failed their audit! The auditing company let us know that if we did not comply to correct coding rules that we could get in serious legal trouble since almost none of the E/M codes were supported by documentation. I was given 100% control over the codes being billed, and I was expected to follow all coding guidelines. I usually passed my audits with 95% or better. I'm still with the same company after several years, but they learned that not following the guidelines can get them into trouble that they don't want. My advice. Speak to your supervisors and write down the date, time and what was discussed. If they are not open to following guidelines, then look for other employment.