Difficulty level getting a job after school

Is it important that a coding school offer ICD-10 [2008-09-26]
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Good online medical coding school [2008-09-21]
I would like to know if anyone could recommend a good medical coding school and how is the outlook for medical coding? Will these jobs eventually be outsourced to India? Any info would help.

Coding School [2008-06-16]
I earn my Associates degree in medical billing and insurance coding all online at Herzing College. It is a great accredited college and I will be starting classes there again in July for my Bachelor’s degree in HIM. Check them out. Here is the link to some information. http://www.herzingonline.edu/programs/Health-Care-Management Good Luck in your future.

entry-level coding tought to get into? [2008-04-23]
This is good news. However, the concerns I have is tons of postings I have found online of entry level coders trying to get a first job. It seems most places want several years experience and it's difficult to get if no one will give you a shot. I guess this is the same complaint many MTs had as well. However, 9 years ago when I became an MT I found a job right away. But I think entry-level MTs nowdays have a really difficult time too. I have considered coding. I was pre-nursing but as a single mom of 2 (one child with a disablity) and a mortgage I just cannot consider 2-year of full-time school for RN. Coding seemed a good alternative but I was wary due to the difficulty in landing a entry-level positon. Any thoughts?

Medical transcription school [2008-03-13]
Do the M-Tec program. I am by no means a recruiter or anything of the sort. I am an M-Tec graduate and have had job offers coming out my ears and it all started with my good solid education with M-Tec not to mention M-Tec still after all these years sends me emails with places contacting them to hire their grads. Not the cheapest program, not the most expensive, just the best by far. You will not be sorry if you choose them.

Difficulty level getting a job after school? [2007-12-28]
Hi, I am becoming concerned that I will be wasting money if I take one of the online coding courses. I have read where it is extremely difficult, even more than for transcription, to get a job in coding after finishing a school. I have also read that they are in great needof medical coders. Does a person just having finished school have a chance of getting a job as a coder? From what I understand you cannot become certified until you have had on the job experience, so it seems like a big catch 22. Thanks for any advice you can offer!!

school [2007-11-22]
I have been coding for about 12 years and had on the job training. I borrowed some books from a friend who had taken the AAPC course and studied her books..took the test back in September and did not pass it, ordered the CPC-P study guide studied it and retook the test on the 10th and passed. AAPC has a good independent study program and they offer classes at different sites. The website is AAPC.org (If that isn't correct you can type in American Academy of Professional Coders and get the link from there. Sandy

Andrews School [2007-11-10]
Well good luck with whatever you end up doing. I did a good amount of research too and I really think you will be happy with Andrews if you end up going that direction. It's more expensive than some of the other courses but I do believe it will be worth all the money spent once I am done.

Andrews School [2007-10-18]
Has anyone actually done the Andrews school out there for coding, and if so, do you feel it got you ready for the exam(s)?? Still looking for perfect school to fit lifestyle, work life, but yet advance education/knowledge... Any/all advice appreciated. :-))

Andrews School [2007-10-18]
I am currently enrolled in their coding program and I think its great. I also know of someone who finished the course and then took national examination and passed it. They offer a lot of practice coding. You learn all aspects from hospital to Dr. office.

Is it hard to get an entry level coding job? [2007-05-11]
I Looking into taking a coding course and getting a certificate. The tech. school told me it Do any of you know if that Do you think having 12 years as an admin. asst. in a regular oloffice before transcribing at home would help? Any advice would be appreciated.

Since you were curious . . . [2008-11-04]
It's not a factor. I work for a very large, university affiliated, tertiary care facility. I think the problem is that I am talking about *learning coding,* while you are talking about everything else that goes with coding, especially with knowing what you're seeing on a day to day basis. Yes, new procedures crop up constantly, CMS changes its policies constantly, physicians document poorly constantly . . . those things you deal with as they occur. As it happens, I'm one of the people at my organization who determines how to deal with them, so I'm aware just how much of that there is. However, I took the original poster's question as an inquiry about *learning coding,* not all the other stuff. Let's look at what the OP asked about. She's STUDYING coding, so she's not seeing level 1 trauma and the newest procedures on the block. She's just having trouble learning to code--trouble learning to use the code sets. That might be ICD-9 or CPT, but the things she's trying to code are textbook examples, and those aren't cutting edge. It looked to me as though she was having trouble finding, say, 401.9 when asked to find hypertension or the code for a hernia repair or a chest x-ray. At that level, it's only difficult if there is something gone wrong. I offered help with that, because I believe it doesn't have to be that hard.

I am just curious ... [2008-11-03]
about the size of the facility you work for and if that has some bearing on your answer. I work for a very large teaching hospital with 100s of clinic and a level 1 trauma center as well as a medical college facility, which also means we are using cutting edge technology and the newest of procedures and techniques as well as the most challenging diagnoses. People come from nationwide to some of the specialists at our facility. I work with a very large staff of coding professionals and you would hear very, very few members of our staff say it is straightforward. Perhaps if you work in a different setting or smaller facility it may be not as challenging as what we deal with. I truly do not mean to be snotty here and honestly am just wondering if that might play a role.

Pay [2008-10-31]
There are fairly accurate salary surveys on www.aamt.org, www.aapc.com, and www.advanceforhim.com. You can see the exact salary VA coders make. Their grades are typically GS-6 (entry level), 7, and 8 for straight coding positions. If you enter as a 6, you should be an 8 in three years. A lead coder would be a 9 and compliance or supervisory positions would be a 9 or 11. You can see the salary range on the federal salary spreadsheets. Be sure to look at the one for the geographic area you're interested in, since those include the locality differential. ttp://www.opm.gov/oca/08tables/indexGS.asp

What is the "typical" day for an inpatient coder like? [2008-10-23]
I'm at the beginning stages of investigating hospital-based coding as a career, and I'm just trying to get a feel for what the job is like before I sign up for some expensive schooling (although so far, it all sounds fascinating). I Do you always have a stack of manualsto consult, or is there specialized software you access in order to enter the codes? How do you know what documents to access? How long was it before you first felt competent at your job? Assuming I start school in January, what can I be studying beforehand to get a headstart (I have the medical terminology down, and IP course).

I'm currently taking a diploma course for medical coding and billing... Here are the books I am u [2008-10-22]
Step-By-Step Medical Coding by Carol J. Buck Step-By-Step Medical Coding Workbook by Carol J. Buck Insurance Handbook for the Medical Office by Marilyn T. Fordney Insurance Handbook for the Medical Office Student Workbook by Marilyn T. Fordney The Language of Medicine by Davi-Ellen Chabner Quick Guide to HIPAA for the Physician's Office Mosby's Medical, Nursing, & Allied Health Dictionary by Elsevier Mosby CPT (Current Procedural Terminology) by AMA (American Medical Association) ICD 9 CM (I believe the ICD 10 has come out but I haven't gotten that one yet) ICD 9 CM stands for International Classification of Diseases 9th revision Clinical Modification by PMIC HCPCS ( Health Care Procedure Coding System) National Level II Medicare Codes by PMIC Like I said I am currently enrolled in a colege course for medical billing/coding, and will be recieving a diploma and these are all the books I have needed (for the coding part, I have also had anatomy, pycology, and several other regular courses, but the above books are all I needed for the coding parts) I hope this info helps! I wish I knew you didn't have to go to school for it, I would have saved $2500o, well minus the prices for the books. From what I have been reading recently all you need to do is be able to pass the certification test, so you should be able to teach your self with these books!

You made a good [2008-10-12]
Salaries are better in coding than other HIM areas until you get to the RHIA level. With coding training, you can get a job and begin earning the higher salary, then do the RHIT and RHIA at low-cost state schools. RHIAs make the most, but there aren't as many jobs. Coders have high salaries and lots of job choices. RHITs are beginning to be pushed to the bottom of the heap. Their only way out is pretty much through coding. AHIMA is working on requiring a masters degree for an RHIA, so if the RHIA is a direction you want to go in, best go now while you can still achieve it.

I went to Rasmussen and loved it! sm [2008-10-08]
I got my Associates degree in health information technology and am studying for my RHIT. If you want to be more employable, an RHIT credential is the only way to go. If you want to focus solely on coding, thenI I I Rasmussen was a GREAT school and I loved it!

if you REALLY want to teach yourself coding [2008-10-07]
Start out with Faye Brown's ICD-9-CM Coding Handbook. It is a definitive learning tool and can be purchased on the AHIMA website, www.AHIMA.org. Then get yourself a copy of the Official Coding Guidelines (they might be included in the book, not sure). The Guidelines were just updated and are effective 10/1/2008. AHIMA will be a good starting place for study materials. A review guide is not the place to start because it is what it says, a review guide, which assumes you already know how to code. AHIMA has the basic books to learn both ICD and CPT coding. You will need to learn both. I am a coder in a large level 1 trauma center and teaching hospital in the midwest. Around here, you can get a job with a CCA but for outpatient coding only. You do need a CCS for inpatient coding, Most hospitals here prefer AHIMA credentials over AAPC.

AHIMA [2008-10-07]
AHIMA is the Association for Health Information Management. They are the credentialing body for CCAs and CCSs as well as RHIT and RHIA. CCA is certified coding associate, entry level credential, and CCS is certified coding specialist. The CPC exams and credentials are from an organization AAPC which I am not sure but I think is American Assoc of Professional Coders. AHIMA does actually offer an on-line coding program, but that is not actually the focus of the organization. I don't know what is more prevalent in your area, but in my area generally hospitals are looking for AHIMA credentials. That may not be true in your area. If you look at the review books for both CCS and CPC you will find the CPC is more CPT coding and CCS is more ICD coding. They do both, however, cover both ICD and CPT. Advance for HIM is a publication that is available on line and I believe for free as is Just Coding News, both of which might provide some useful info for you. There are others, but the names escape me right now. Boot camp is 4-day intensive but really not the best investment if you have no coding knowledge at all.

Chillax....it's not that serious.... [2008-10-01]
I didn I am not just working on a coding certificate. I I wasn I decided to go with them because of their accredations and the program outline. Let me put it this way, I was just trying to let the OP know to be careful of which school she picks because just because you finish a coding course doesn

You can sit for the exam with NO course. [2008-10-01]
You seem to be confused about the exams and credentials. You are warning others to be careful of which school they pick because just because you finish a coding course doesn That's not correct. You can sit for any CODING certification offered by AHIMA or AAPC even if you DON'T finish a coding course. You don't even have to start! They only require a high school diploma. AHIMA doesn't even require experience. You do need to be careful of what school you pick because some of them don't produce employable coders. As for you, your course is a 2-year RHIT program. You DO need the course in order to sit for the RHIT exam. However, an RHIT program is not a degree in management. It is a technical degree. ThatT is for--technician. It will qualify you to be a worker bee in a medical records environment--the same job people off the street can get. You can put together patient records, shelve and retrieve them, make photocopies to release patient information, check reports for signatures, etc. A better job would be coding. It pays better and it's more interesting. It takes less time, too. You could do all the coding first, then get a job while you do the rest. The RHIA is the management degree. There are RHITs who work their way up into management in small facilities, but most of them end up filing records or coding. RHIAs run the show.

E-learning training for billing coding and transcribing [2008-09-26]
I work for the number one E-learning provider in the world. We have been providing students with training since 1991. We offer the cca exam training for coding the cmcp exam training for billing and the RMT and CMT training for transcribers. I would love to work with anyone seeking a great cost effective option to achieve their objectives. We will not be the cheapest choice. We will be a fraction of the cost of a regular school though. Please call me robert guess 1-800-653-4933 ext 3175 mon-fri 9-6 est time zone for details. Thank you. We train in a see it do it test it environment allowing you to learn the material at your own pace and supplying you an environment conducive to learning the material and knowledge needed to one pass the exams but allowing you to practice in the environments (a type of flight simulation) which you will see in the real world.

Good online medical coding school [2008-09-21]
I would like to know if anyone could recommend a good medical coding school and how is the outlook for medical coding? Will these jobs eventually be outsourced to India? Any info would help.

Outlook for coding [2008-09-21]
The outlook for coding is very good. There is an increasing need for coders, due to the type of reimbursement system used in the United States and an ageing population which requires more medical care, among other things. There are already a huge number of coding positions going unfilled due to a shortage of coders. Within the next several years, the United States will likely be switching to a more complex coding system. It is expected that many older coders will choose to retire and less competent coders will seek other work rather than try to make the switch. It is thought that a huge number of jobs will open up just prior to the changeover to ICD-10. Large-scale outsourcing the jobs to India is unlikely. There has been an actual decrease in interest in this, with some of the federal sector healthcare entities banning offshoring entirely. It is expected that the private sector will follow. Unlike some other jobs, there is a high need for control of the coding and reimbursement process. Coding has a critical effect on reimbursement, with errors resulting in lost income and the potential for huge fines and criminal sanctions. Offshore workers cannot be held liable for this, which has served to squelch interest in offshoring. Recent developments in privacy and security requirements (HIPAA), with the threat of medical identity theft, are cooling interest in offshoring, as well. As an occupation, coding offers good potential for advancement. Even if it becomes possible to assign codes via software, the higher level jobs will still be necessary and available. Coders will move easily into other roles.

Re: coding jobs [2008-08-31]
It can be hard to get a coding job right out of school, and I am always telling people I know with the same question; if you I have known people to work their way in by doing this. I did it myself over a year and a half ago, and I am now the clinic division Billing coordinator for a hospital system. Also, let your schooling intentions be known to those you are applying to.Get all the practice you can with coding, from practice workbooks. There are quite a few available from Ahima, AAPC websites bookstores, Borders online, etc... You need to know what you and once you have one of those, getting a job should be easier. But, the exam is not easy! So again, practice, practice, practice.

CCS and schools [2008-08-29]
Why do you want to take the CCS exam? It's for inpatient coding. Those jobs are usually in-house. If you're a SAHM, I can see that you need a distance learning program, but if you are going to keep being a SAHM, coding probably isn't a good choice for you now. Coding jobs in general require some on-site time before you can begin working at home. It's difficult to find at-home coding jobs without experience, although there are more at-home jobs coming available now. Andrews teaches a coding program. It takes about a year. Their grads have been successful with both the CPC and the CCS right out of school. The program teaches to a higher level than programs that just aim for the CCA. They have grads working in good jobs and advancing, too.

That's a different story. [2008-08-23]
What you had, then, was a poor documentation issue rather than a coder problem. Billers have a long tradition of thinking the coders are terrible and also of thinking the job isn't as complicated as it actually is. It's a lot like having the receptionist think the billers' jobs are easy and that she could do it without training because all she sees is typing and she can do that. That's not saying YOU are seeing it that way, but just pointing out that the situation from the coders' side might not have been quite what you thought. Coders code only from what is in the documentation. You donled to do so, in which case it was still not ok. Hospitals are constantly being investigated and sanctioned for this. Just having a supervisor approve it is no guarantee that it's ok--a supervisor and some other corporate sorts from 30 miles south of me are in federal prison right now for doing the same thing. But, if you are able to know what should have been coded from seeing a bill, then you might be an expert already. In that case, try taking the CCS exam and see what happens. If you pass and can get a job, then you're ahead of the game. If you can't, then you'll know you need more education. I can say with some certainty that you will not get a job working from home coding inpatient records without on-site experience, even with a CCS. It's even less likely to occur with a CCA, and your chances of being hired at all for inpatient coding with a CCA aren't great. Keeping the job would present a difficulty, too, considering the productivity requirements employers have. In truth, your chances of getting a job doing remote billing are better. It would certainly be less trouble.

biling vs coding [2008-08-20]
I have seen on this forum in addition to multiple other the difficulty which new coders are having gaining entry-level employment. Is this also true in medical billing or is billing easier to get a foot in the door with training but no experience? What is the difference in pay for billers vs coders?

How with no experience do I get a billing/coding job? [2008-08-11]
Ok I have a two year degree in coding and transcription and training in coding/billing. How do I get a job in billing/coding if no one wants to hire you? They all say we hired someone who had both the billing and coding experience. It is so frustrating for entry level people like me. I have 1-1/2 month experience in coding thanks to a temporary position with the city. Other than that I just have my two year degree and certification. Anyone have any ideas or advice? Thanks! Coder/biller with little experience

This is not true [2008-08-02]
Your advisor gave you bad information. First of all, the RHIT credential is not specifically for coding. It's for health information technology in general. You can and should sit for the RHIT credential immediately after you graduate. Passing that exam does not depend on experience in coding. You should be able to pass it with just what you learned in school. It is an ENTRY LEVEL exam. In fact, the longer you wait, the worse your score will be because you'll forget what you learned. The AHIMA coding exams, i.e., the CCS, CCS-P, are mastery level exams. AHIMA recommends that you have 2 years of experience before taking them, but it's only a recommendation. Their certification communicates only that you know the material. Students from some coding programs are able to pass them without experience. The American Association of Professional Coders, however, REQUIRES two years of experience before they will grant the full certification. You can TAKE the exam at any time before that, but you'll get a temporary certification which indicates that you do not have the experience. Their certification communicates to employers and clients that you not only know the material, but that you have significant experience, as well. If you are considering a career change, get the information you need directly from the source. Don't pass up an excellent career opportunity based on some nonsense spouted by someone at a school who has no more clue than a rabbit about what you intend to study. Don't take advice given by people, either. Find out the truth for yourself. Both certifying organizations' websites explain exactly what you need to do. www.ahima.org and www.aapc.com

Grass greener? [2008-07-24]
Hey everyone, I'm currently working at home as an MT (both me and my wife do this so that when we start our future family we can raise our own kids instead of having daycare do the same). Anyway. I've been thinking about adding coding to my skills, are there any coders who were MTs or visa versa. Is coding any better as far as how companies treat you, benefits etc? I dont want to spend money on school, invest the time, only to find out that coding is no good either. I appreciate your input.

rhit [2008-06-21]
It just seems to make sense for a Transcriptionist to venture into HIM, but the problem is there are so many peolple I am hearing who are having a terrible getting an entry-level position in the field. Most people can ill afford to waste several years out of their life in education and come out without a job or one that pays the same as working as a bank teller, which requires no advanced education. I realize in most fields one must pay their dues and make lower pay in entry level positions but what I am hearing is pretty low pay if you can even get the foot on the door and find an entrylevel job. Those coders making really good money seem to have many years of experience and are not entry level.I suppose if one has a good second income you might be able to wait it outuntil someone gave you ashot and makeverly little while paying dues. Just asI supecta fewlucky peole fall in to good paying entry level positions. There are always exceptions but what a gamble considering what most are saying. Outsourcing/Offshoring is another definite concern. Look what it has done to transcription. Ten years ago I easly could get a good hourly wage in a hospital with benefits. Now not one hospital in my area has onsite transcription. I for one will run like the wind from any job/career that pays production pay. To me it If I bust hump I can make more than the hourly wages I was once offered right now, but afer years of thatit is an exhausting lifestyle for the sole breadwinner in a famiy working full time that way. Also my goodness what career do you know that pays people this way?. It.You have to wonder who started the trend AND why on Earth transcriptionists accepted it. Understood the possbility of more money but you are essentially dooming yourself to sweat shopt like menatlity and value of quantity over quality when the field decided to go this way. My concerns with coding going the same path and I can see already there is some outsourcing and offshorting there already.

You are correct [2008-06-21]
that RHIT training and the credential allows one to do a lot more than coding. Usually the RHIT or RHIA are preferred for management level positions. You would get training in every aspect of an HIM office, computer systems, ROM, legal problems, transcription, teaching, etc. The HIPAA laws created new positions that RHITs/RHIAs were sought to fill. But I dont think it includes much more than the basics in cancer registry...that is a different program. I got my RHIT in 1989 and my RHIA in 1992. I was a director of HIM in two small, rural hospitals and learned I dont like management. I had always done a lot of coding and a little transcription and grew to much prefer transcription. However my credential allowed me to start at a higher than entry level salary. Coding has too much interference from Medicare and other insurance companies for my taste. Medicare can drive you nuts! I have not coded in nearly a year now, so I might be way out of touch with it, but I have not heard of an off-shoring threat. In my area the only outsourcing there usually is is for backlogs. I have also done my internships and then coded three years at a huge big-city hospital. That hospital now has the coders working from home, but they still dont outsource. Another field to get into with HIM is DRG validation. That might be more big city, but still something an RHIT student would learn. Also, in the huge hospitals, there is a separate filing dept and usually a credentialed person manages that. Since I like filing, I always thought that would be interesting. I guess what I am trying to say is the RHIT or RHIA credential does open more windows than coding alone, and if you think you would like to ever get into managment one or both of these credentials is most likely mandatory. I would be glad to talk further with you.

MT and coder pay [2008-06-18]
That's interesting about the MT and coder pay. During my performance evaluation, my boss and I were talking about what I was going to school for, how undecided I was, and I told her that I was considering coding as a minor. She (an MSN) told me that if I did coding, I would be in the same place that I am now and that MT and coders are at the same pay level.

Herzing College [2008-06-17]
Herzing College is on the AHIMA approved list and that is the school that I go through for my education. Thay are great. You can apply for financial aid. Good luck.