The Ultimate Coding Audit Check List

Designed to simplify and strengthen your audit process, this ultimate checklist helps healthcare professionals systematically review medical records for coding accuracy, documentation quality, and regulatory compliance. Use it as a proactive tool to catch errors early, support audit readiness, and promote continuous improvement in coding and reimbursement practices.

Key Features

• General Information Capture: Tracks audit date, auditor name, provider, and patient identifiers.
• Documentation Review: Verifies legibility, provider signature, service dates, and history.
• Code Validation: Confirms accuracy of CPT, ICD-10, HCPCS, and modifier use.
• Medical Necessity Checks: Ensures services and diagnoses align with necessity criteria.
• Billing & Compliance Review: Covers billing accuracy, correct forms, HIPAA, and code set use.
• Error Identification: Notes types and frequency of errors with space for resolution plans.
• Final Sign-Off: Includes accuracy rate, improvement notes, and re-audit planning.