I was recently told by one of the physicians I work for, that I was to code surgeries on the day they are done, without waiting for either the op note and/or path report. I was told that if I had questions about the procedure performed or diagnosis, I was to ask the surgeon. I was also told that "...you are smart, and should have known to code procedures immediately...". In addition, "...do you really need an op note for ear tubes and T&A's...?" Coding without op notes and/or path reports goes against everything I learned in my coding class. I'd appreciate feedback.
Thanks,
Molly O'Connor, CPC
Thanks,
Molly O'Connor, CPC