Kelley is a new coder who has never held an HIM job before. She is right out of college and just passed her RHIA exam. She was hired by a local clinic and is excited to start working. A few weeks later, her manager asked to meet with her. The manager closed the door and proceeded to tell her that she wanted Kelley to code charts for a particular procedure using two codes instead of one so the reimbursement would be higher. Kelleys manager then proceeded to divulge that the clinic was struggling financially, so anything extra would help out a lot. Kelley got the impression that if she did not do as she was asked, they would let her go. This is a great job that she really needs. She also feels that since it was her supervisor asking her to do it, that she is obligated.

Answer the questions below:

Main Post: Describe the ethical issues associated with this case. Explain the types of moral distress that might arise for Kelley in this scenario. What should Kelley do? Justify your decision.