Well except it will make a HUGE difference in reimbursement eventually. (Already does for us, in the managed care patients) The codes that "Risk Adjust" muse be coded, and the note must back it up when you are audited. (Don't even get me started on if any of this applies even one aspirin tablet to single headache).
I have a word document on my word processor that I open every day when I arrive at work. It has all of my coding notes on it. They are grouped by organ systems and include all of the little tips that I think might help. (few are actually helpful but it amuses me to read them at a later time, and marvel at what might have made me think it would ever be significant or useful). Sometimes this leads to awkward laughter when I am with a patient and in that case I forward the chart to myself and code it when I am back at my desk.
At least once or twice a day I am able to use it to find some code that I should have memorized long ago but still have to look up, like for abnormal liver test or mammographic microcalcifications etc.
