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But, you enjoyed doing coding? Did you

Posted By: jan on 2007-08-10
In Reply to: Went from coding to MT 'cause I had spent - a huge amount on coding education and

find it more stressful than MT? Thanks for answering.


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I should have specified, hospital inpatient coding and doc office coding are very different.
They follow different coding rules and an entirely different set of codes. I learned both while earning my B.S. in H.I.M., and both are challenging, though inpatient more so simply because there are more codes.
Honestly, you could get a job in a med rec dept without ANY certificate; some computer experience and your experience as an MT would get you in the door. It might just be doing chart assembly/completion, filing, etc., but there are certainly jobs in MR that don't require specific schooling. Then being in the dept you can really learn more about all the functions and pick the one you REALLY want to spend time, money, and effort on for additional schooling.
I've thought about coding. My DH does medical coding and I think with an MT's medical termino

background and anatomy and physiology knowledge, a transition into coding wouldn't be hard at all.  From what I can tell by looking through my husband's books, an MT would have to learn insurance regulations and legalities.  We've basically got all the medical background down or we should be if we're worth our salt as an MT.


I even contacted AHIMA and found that the qualifications for taking the CCS or CCP coding exams are completion of the a coding program, RHIT program, or RHIA or related work experience.  Transcription is part of HIM, albeit the red-headed stepchild of the HIM department, but a part nonetheless and so satisfies the qualification of having work experience.


The test is tough though.  My husband didn't pass it his first time out and I think I read something like only 20% or so pass it the first time.  So it would probably be best to take some sort of formal coding class, in my opinion.


Anyone know if coding would pay as well as MT? Is coding being outsourced too?
xx
YES, we have really enjoyed it too..
all of what you said, getting xtra time, not running around...schoool...extras but just seems liek today, they have had enough of being at home and they are ready to go back to schoool...
Just saw and enjoyed....

Rumor Has It with Jennifer Aniston and Kevin Costner.  Some of the reviews on Netflix complained that it was predictable, but I didn't think it was.  I thought it was good.


Watched Elizabethtown awhile ago and ended up scratching my head.  I told my sister I had rented it and she said, "Did you get it? I didn't get it."  Nope, didn't get it. Orlando Bloom is very easy on the eyes, but after you've said that...


 


 


I enjoyed seeing her, to each their own
but a lot of times when people are desperate, they will contact any and everyone they think could possibly assist them. I do not know the story of where she intervened on the Hornbeck family. I did not go to her meeting for any "guidance," far from it, I went just to hear her speak and she was really interesting. I have also seen that Edwards fellow, saw him in Vegas but he spent most of the time giving about 4 people out of the audience "readings." I did not care for him particularly. People like the family you spoke of will grasp at straws trying to find out information. Happens all the time. People with cancer will try measures off the chart in order to possibly find a cure for themselves, just happens. I take things like Sylvia with a grain of salt. I did like her message about toxic people. I firmly believe that.
I sure enjoyed the old days.
I started out 28 years ago transcribing for a transcription service, so have always been paid on a production basis. But we sure had fun in the office and we were appreciated for our hard work. Raises were annual. Benefits were as good as those offered by the hospitals. Christmas gifts were nice. The owners would come to town a few times a year and would actually speak to us and express appreciation for what we were doing. I worked with the best group of ladies. Sure do miss those days.
Glad you enjoyed it :)

A friend told me about it a few years ago...it helped me through some pretty trying times, & I still go there when I need a "shot in the arm", so to speak. 


Have a great day


Glad you enjoyed them! sm
I've gotten a lot of feedback from those songs over the years. I actually performed some of them at the AAMT convention last year in Hawaii, they had a talent show and I won second place! It was a lot of fun, and the MTs in the audience certainly seemed to be able to relate!

Jay
Glad you enjoyed them! :o> (nm)
(nm)
I imagine he enjoyed that
after the Cialis
Yeah, it was great. I really enjoyed sm

seeing it.  She was so guarded and on edge.  But she rarely does interviews or things where she doesn't have absolute control, so probably that factored in.  She was definitely waiting for him to make fun of her, but I think he knows better now.


I loved when she expressed that now she does exactly what she wants to do.  It is hard to fault her for the things she does with her time, and a huge portion of her money.  Good woman.


Definitely enjoyed the "guys" last night sm
a lot more than the girls the night before!  Chris rocked and so did Taylor.  As for the girls... I really like Kelly, Paris and Katherine... that is going to be a hard choice.. Also Mandisa... However, I think this may be the year for the guys - Chris is going to be hard to beat!
Your kitty is a beauty! Enjoyed your

blog.  Like the others, it made me appreciate what I have so much.  Your "little corner of the world" where you work looks so much like mine.  I, too, have my bird feeders and bird bath to look out at.  I also have two kitties who are my "co-workers".  Tip (angel in Thai), my ?-percent Siamese kitty is sleeping right next to my keyboard right now.  Taz (yes, a little black and white devil) stepped away for a while.  Sometimes I get so mad and hate transcription, but we really have to count our blessings.  Working in the comfort and safety of our home with our animal pals and family close by is worth its weight in gold!!! Thanks for bringing a smile to my face, MTBlab. 


Glad to see you enjoyed the recipe...
Hope it turned out good for you too...
I thought it was just awful. But I'm glad you enjoyed it :).
nm
So you enjoyed the candy? LOL! My daughter completed college at FIU and
aa
Guess I'm a killjoy 2. Just never really enjoyed dressing up in costume.

nm


He was truly always gracious and groovy to me and I enjoyed him muchly. Thanks Sean and Mike for a
x
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Coding
Try the Billers/Coders board. Much more info there.
Coding
nm
Coding sm

I have been thinking for quite a while about getting into coding.  Are there any MTs here who are also coders?  Are there any reputable "on-line" coding schools?  I really would like to do this.  27 years is enough.  If anybody knows about this, feel free to e-mail me.


 


Thanks


Coding

I used to work in a Doctor's office and do coding, electronic insurance billing, statements.  I loved it, but I had to quit because of my kids.  If my kids were older, I would still be doing it now.  I fell into coding when I was a Medical Assistant and it lasted 16 years.  Maybe I will get into it again when the kids get older. 


As far as any online schools that good, I don't know.  But what I can tell you is from my experience, working from an office or hospital is the best place to be for coding!!


MT to coding

I will try to be brief (please don't think me curt but there is much more I could say that I just don't have time to go into).


First to be a professional coder, you will need to be nationally certified.  There are 2 national organizations that provide proctored certification.  The first was AAPC and has an excellent program for both office-based and hospital-based coding certifications.  You can do the home program or find a company who provides classroom instruction and testing.  Either route will cost you about $1500 and about 3-4 months investment.  The other national is AHIMA.  You would need to look at their website to find the details for them, as I did not utilize them.  They cater more to people who are already in the field and need certification.


Because AHIMA's umbrella covers more than just coding, hospitals tend to give more credibility to their credentialling, but since AAPC set the standard and has the largest number of members, they have to be doing something right.  Both companies require prior coding experience, personal recommendations and membership in their organization.  If you have no previous experience, they have apprenticeship programs.  The CEUs to maintain your certification is about 20 per year with each organization.


Your investment in resources to perform your job is greater than in MT.  You will probably need a lap top and several programs to perform your job if it is not provided by an employer.  You can be a consultant if you can't get a job as a coder.  You could get additional certification and become an instructor and teach.


The next issue is home versus on-site work.  Some MT companies are beginning to combined MT and coding into their at-home programs; however, if you have no experience and no liability insurance and no support network, you could find yourself out of a job if you cannot produce quantity and quality quickly.  Finding a on-site coding position is difficult without experience unless you get lucky and find an office to give you a chance.  Many, many times your best bet to find a job is by networking through your local national's chapter or showing exceptional talent in the classroom setting and getting a referral from the instructor.


Coding is different from MT in that you are held liable by the federal government if you make a mistake.  Yes, the doctor is ultimately responsible, but the wording in the law states that the person who submits the bill is as guilty as the provider.  There are monetary and jail time penalties - and how much of each depends on how well you can prove it was accidental because the government assumes the fraud was intentional unless proven otherwise.  Better have insurance.  Because of this law, that is why you are seeing a greater need for certified coders...hospitals in particular do not want to expose themselves to the liability of the Office of Inspector General with unqualified personnel.


I got a coding auditor position on the outpatient side of a hospital.  I went to the clinics and performed audits of the previous quarter for every doctor at each clinic.  I scored everything, compiled reports, provided education to the doctors who failed the audits, provided monthly ongoing education and a coding hotline for daily unusual circumstances.  I was paid about $20/hr which was the low end of the spectrum for a hospital employee.  Physician offices tend to pay $12-15.  When I relocated to a different part of the country, I could not immediately find a coding position, so I went back into MT.  It took another year before I found a management company where I could code, but by then I needed to return back across the country due to family issues...and I let my certification lapse and continued with MT.


coding

what is the best way to get into coding?  I have thought about an online course. 


Coding and VR
It occurs to me that since coding is the up and coming field in which to go, why isn't that already automated? Since VR is coming at us at warp speed and entails much more than coding, why is that coding is not the first to be peopleless? Any ideas?
coding

I have experience in medical billing for 12 years and transcription for four years and I am also going back to school to pursue coding and take the national exam to get my CPC.  Coding is the new future as this transcription business is falling apart everyday.  It is so hard to make a decent wage.  These National companies are indeed a sweat shop taking advantage of the DR’s and paying us a pathetic price.  I make 12 cents a line working for a local physician, but I have lost 4 doctors already due to outsourcing.  I am running fast back to school because I think in the next couple years there will be VR everywhere.  What a shame to such a good profession.  This is just because someone was a little bit too greedy.


Good luck with coding. 


 


Coding

I am taking a continuing education class through my college for 8 months with medical terminology, which I really do not need as I have enough of that, but I am sure it will not hurt, and anatomy and physiology plus the coding.  I have also heard of the Carol J. Buck books and I am also going to purchase them once they come out in the first of January.  I heard these are good books.  I am one of those persons that needs someone to teach me and do better than trying to read out of the book and doing it on my own, but the Carol Buck book would not hurt as an addition.  This is the way to go for me as I have been burned too many times in this transcription industry in the last four years.  It is a shame it is like this way.  There is too much negativity.


Coding
That is not true in my area. We have a college here (actually where I went to school for transcription - I was in the last class before they started the coding class in 1992) and every student is placed at several different hospitals for an internship - you are then offered a position at one of the places where you have interned if you are good and show potential. If not for this type of program and the interaction that the college and the medical centers has - I would have struggled like many to get an MT position - but I just took up as an employee where I had left off as a student after graduation. I know many people who have gone through this program and they all went to work in coding immediately after graduation. I only have 2 semesters necessary for coding, so I am thinking it would probably be worth it. Sorry that this is not the situation in every area.
Coding

I've actually thought about coding as well.  I was an ART/RHIT so I've done a bit of it and liked it, but I liked transcription better.  That was then; this is now.  If HHS would ever stop messing about, the US would start using ICD-10 like the rest of the civilized world.  This is very different from the current ICD-9-CM, so even experienced coders will have to take classes.  Some of my coder friends say they would consider retirement at that time.  Perhaps it would be our opportunity to make a switch. 


Airline job, huh?  I hope he means Southwest because the old major carriers aren't doing well.  I do wonder about Sir Richard Branson's new Virgin America, though.  Of course, maybe you'd get free/reduced fare miles and the paid vacation time to spend them on as part of the benefit package.  Got anywhere you'd like to go?  Taking son along is optional. (she smiles)


Coding
I actually left coding to come to MT three years ago. I had my CCS and worked for a medium-sized hospital. I found the job to be extraordinarily high pressure and unpleasant. I finally cracked under the pressure, to be frank, and found a job being an MT. This is so much better, IMO. I realize there are problems in the MT field, but I don't anything could ever make me go back to coding.
What about coding?
I have thought about coding as an adjunct to MT. The magazine Advance for HIM always has a ton of coder jobs. However, I wonder if it will be going the way of MT eventually, overseas and less pay. I also wonder though if it is 10 years behind MT and so might be available longer??

Andrews School used to teach coding on line. I don't know if they still do.

Anway, it just seems like coding wouldn't be a far reach from the knowledge we already have.

Any thoughts on this one?