Computer-assisted coding (CAC) using NLP proposes a list of ICD-10-CM codes from the inpatient record. What is the coder’s essential next step?
Select an answer to reveal the explanation.
Short Explanation
CAC is a helpful first draft, not a signed chart. Every suggested code still needs a human eyeball against the record and the guidelines.
Full Explanation
CAC systems propose codes from clinical text using NLP and related methods. They do not replace coder validation. Each suggestion must be confirmed or rejected based on the legal documentation and Official Guidelines to maintain accuracy and compliance.