Analyze clinical documentationArticulate coding findings per auditingApply ICD-10-CM and ICD-10-PCS coding guidelinesInformation: For this case study, you are given clinical documentation for three inpatient records. Also, for this case study, you are taking on the role of an auditor. Therefore, after reading and making some determinations of the clinical documentation please review the provided ICD-10-CM and ICD-10-PCS codes. Your task for this case study is to determine and perhaps provide correction based on your audit findings. The key elements to support your decisions in the audit are coding guidelines and the provided clinical documentation.
Instructions:
Review the below clinical documentation for all three records.