Certified Coding Associate (CCA) Practice Exam

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What is a type of coding that is a natural outgrowth of the electronic health record?

Manual coding

Computer-assisted coding

Computer-assisted coding is a form of coding that utilizes computer software to assist medical coders in translating healthcare diagnoses, procedures, and services into standardized codes. This method is a natural evolution of electronic health records (EHR) because EHR systems capture vast amounts of patient information electronically, including clinical documentation and treatment histories.

The integration of EHR with coding processes allows for automated suggestions of codes based on the data entered in the health record. This not only streamlines the coding process but also enhances accuracy and efficiency by reducing manual input errors. By leveraging the structured data from EHRs, computer-assisted coding improves the overall workflow for coders, enabling them to focus on more complex coding tasks that require their expertise.

Other types of coding, like manual coding, require coders to interpret patient records without the aid of computer algorithms, which can be more time-consuming and prone to errors. Remote coding refers to the practice of coding from a location other than the healthcare facility but does not inherently utilize EHR data in the same way as computer-assisted coding. Abstract coding involves collecting data from various sources to create summaries or statistical data but is not as directly linked to the functionality of EHR systems as computer-assisted coding.

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Remote coding

Abstract coding

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