Flexible Support, Consistent Quality: The Role of PRN Coding

Fluctuations in patient volumes, coder availability, and system demands are a reality. Whether due to staffing gaps, EHR conversions, or unanticipated project work, many hospitals face coding challenges that can quickly disrupt revenue cycle operations. That’s where PRN (as-needed) coding support becomes a strategic advantage—not just a short-term fix.

Common Scenarios Where PRN Coding Adds Value

System Conversions and Upgrades

• Switching to a new EHR or encoder can slow internal processes and stretch resources. PRN coders can assist during transition periods to ensure workflows continue without disruption.

Backlog Management

• A sudden rise in patient volume or staffing issues can lead to backlogs. Temporary coding support helps reduce DNFB and stabilize revenue cycle operations.

Overflow Support

• When internal teams are at capacity, PRN coders can provide short-term assistance to keep up with demand and avoid delays in billing and reporting.

Vacation or FMLA Coverage

Planned and unplanned absences can leave coding teams short-staffed. PRN support helps maintain consistency in coverage and productivity.

Special Projects

• From audit preparation to focused reviews or quality initiatives, extra hands with the right expertise can make a measurable difference in outcomes.

Expanding the Scope: Outsourced and Specialized Support

In some cases, facilities may opt for longer-term solutions like total outsource coding support, or need specialized services such as single path coding, where coders are trained in both facility and professional fee coding. These models provide more sustained support, depending on the organization’s needs.

Establishing a contract in advance allows facilities to move quickly when needs arise—ensuring qualified coders are already in place and ready to step in. In other words, we’re there when you need us. 

Health Information Associates offers medical coding services, medical auditing services, and clinical documentation audit services for hospitals, ambulatory surgery centers, physician groups and other healthcare entities in the United States.

The information contained in this coding advice is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.