Real-World Case 20.2 Maxine has been a coder with the hospital for quantity performance benchmarks. The manager nearly 15 years. She has been exceedingly loyal went easy on Maxine during the last performance and hard working. Her performance record had appraisal cycle due to the change in job descrip- been outstanding, until this past year. The tran- tion and in light of her outstanding personal quali- sition to computer-assisted coding has not gone ties. Recently, another coder came to the manager well for her. Other coders in the department have to voice concern that she might be expected to pick made the shift in job duties to auditing and clini- up the slack for Maxine. Something will need to be cal documentation improvement. She has not done soon to address the performance issue and been comfortable with these changes, particu- prevent additional staff issues. Maxine is getting larly the new technology, and her productivity older; she has seniority with the organization, but has decreased compared to coding quality and is not yet at retirement age