A medical coding audit is a structured review of medical records and assigned codes to identify coding errors, documentation gaps, inconsistencies, and potential compliance concerns. Coding audits can evaluate whether ICD-10, CPT, and HCPCS codes accurately reflect the services and diagnoses documented in the patient record.
Regular medical coding audits can help healthcare organizations identify recurring medical coding errors, improve coding accuracy, strengthen documentation practices, and support medical coding compliance. Audit findings can also be used to develop targeted education and quality improvement processes for coding teams.