The Large Hospital Systems who employ procedural specialty PHYSICIANS and have their hospital owned clinics, do the coding and billing for the PHYSICIANS work. True - PHYSICIANS don’t get much training in medical school about this important aspect of practice, but I’ve struggled with the legality of a hospital coding department, assigning the codes They never see or meet the physician. The Manager’s promotion and bonuses depend on the numbers generated. And these managers have way too much control after the process. Sometimes the physician may under code or code appropriately for the time they spent. But the hospital assigned managers of these clinics, with zero BILLING or Medical experience dictate the process. They should have no say in the process. Period.