Facility outpatient coding refers to services provided by a hospital or hospital-based facility where the patient is not admitted as an inpatient, including: • Emergency Department (ED) • Observation services • Hospital outpatient departments • Infusion centers • Same-day surgery / procedures Billing is facility-based, not professional (pro-fee), and is driven by: • Documentation • Time • EHR workflows • Charge capture processes

This site is for facility-based medical coders who work inside the chart every day and want guidance that reflects real EHR workflows, documentation challenges, and charge capture decisions.

Because much of the available coding content focuses on exams, theory, or ideal documentation. This site was created to address the gaps coders face when documentation is incomplete, workflows are messy, and decisions still have to be made.

No. We Are Medical Coders does not provide coding, billing, auditing, or consulting services. All content is shared for informational purposes only.

No. Content is informational and should not be considered legal, regulatory, or compliance advice. Always follow your organization’s policies and official guidance.