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I'm studying coding too. I've been looking at different courses plus I bought SM

Posted By: Tinks on 2006-12-06
In Reply to: Well, that makes sense - MTSO

Step by Step Medical Coding by Carol J. Buck along with the workbook that goes along with it.  So while I'm trying to decide on a school, I can be studying on my own.  According to the AHIMA website though with my years of experience as an MT, I am eligible to take the certification exam without having to complete a formal coding course.  Transcription is considered part of the HIM department and thus if you have worked in any position in HIM, you are qualified to take the test.


So, I may find that studying on my own will benefit me better than paying money for a course I'm not sure about.  I also have the benefit of tuition reimbursement with my employer and I may take advantage of that if I find a program I like.


So, I'm with you!  Let me know what school you decide on or what avenue you decide to take.  Might help me make the decision in the long run!




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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.


I've been thinking a lot about coding
but I'm curious about the future of coding, mainly on the basis of outsourcing for not only MTs, but also so many other professions. I honestly think I would love coding, but worry that anything I can do at home (whether I do it or not) could also be done overseas, and I worry about getting a job (from what I've read, it seems as difficult as MT to get into), so just have been very reluctant to make the change.

I really would love to see a followup from you about how you make out, and wish you much luck with both the exam and your coding career!
I've bought Allegra from Canada on-line
sites for years and have never had a problem. I usually get the generic of Allergra. Try progressiverx.com. Prices are great!
I did it girls. I tossed my old headset in the trash and bought Bose. I've got a long
z
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.
studying

physician assistant


What are U studying? Socialism??
x
try studying COMMUNICATION
lol
what are you studying in college?
xx
studying for CMT exam

Hi guys!  After 10 years of acute care MT, I'm thinking about taking my CMT exam, as my employer supports this. 


Is there a study guide I can buy? HOw do I go about preparing myself for the exam?  What's first ?


THanks to all !


JMK


 


What are you studying in college? nm
xx
How much studying to take CMT exam?
Hi...we are encouraged to become CMTs at my place of employment, so I am going to do it.  I've been an MT for 15 years, and I was wondering for those to have taken it, how much studying is actually necessary for this?  I'm really not looking forward to having to study a lot since I just finished college a few months ago, but will do what I need to do.  Any advice?
shouldn't you be studying or working or something productive?
Geez Busy, you been on these boards under one name or another all the live long day.  Lonely?  Crack those premed books.  hahahaha
MT courses and pay

I was hoping to get some recommedations for online courses and find out what the going rate is for a new MT per year. 


I do medical coding & billing right now, but would like to work from home since I am a single mom of 3.  The only thing is I currently make $44,000 per year and cannot make much less then that because of mortgage and bills.  Thanks for any info.


What a sad story. Two years studying, all wasted, what a pity.....nm..
nm
Best on-line courses?

Hello,


I'd like to take an on-line transcription course, does anyone recommend one over another? Thanks!


Kirsten in CO


Have you taken MT courses yet? Or are you just jumping in on your own? nm
x
I never took any special courses, but I had
worked a total of almost 15 years in a hospital, first in billing, where we had to code all the diagnoses and ops ourselves, and then in another hospital in rehab, where part of my duties were transcription for that dept and some of their various clinics. After my second child was born, I quit the hospital and a friend who had 20 years in transcription taught me what I needed to learn. I got hired by one of the first company's I applied with, and have been doing this for seven years now, and love what I do!
Not bogus, there are good courses..
Some are scams. Career Step is not a scam. However, really nobody makes decent money starting out. I used to train MTs, some from Career Step. Most made close to minimum wage at first. They were also limited in the number of reports and work types at first and hours worked. They had the basics but didn't have the overall experience so it takes a lot of time and patience from both the trainer/mentor and the MT. But these MTs are the ones that usually do well. If you start out with a national and are just handed a job and not given a trainer/mentor per se, you will not learn much and will likely fail the QA reviews but hopefully they will give good feedback and you can learn that way. Newbies don't usually do well with that kind of situation in my experience. So finding a company that is willing to take on trainees and mentor them as a first job is a good idea. The pay is also not like it used to be and even after training if you have a job with a national paying 6 cpl you would only be making around 9 an hour based on 150 lph. In my experience I have rarely seen a newbie getting over 150 lph accurately until maybe after a good six months of heavy mentoring/close monitoring by an experienced MT. JMO. Hope that helps.
Taken courses, but not much hands-on experience as of yet. n/m
m
courses with Career Step

Have you seen the new issue of Women For Hire and the article about MT, how you can be making up to $32/hour and "you control how much you make."  They also suggest you go to AHDI website for more info.


I bought a wedge at Michael's for about 59 cents. Bought one for my SM
Lanier station so I could see the display and one for my keyboard.
Anyone know if coding would pay as well as MT? Is coding being outsourced too?
xx
What are the best at home medical billing courses out there?
Have a friend who is interested in training to become a medical biller/coder from home and I really have no idea where to tell her to start.  Can anyone help?
Universities with the best free online courses
http://education-portal.com/articles/Universities_with_the_Best_Free_Online_Courses.html
The schools are in the business of "selling" their courses.
Of course they are going to "sell" the profession as fastest growing, make great money staying at home, etc.
Andrews School or M-TEC online are excellent courses. See inside.
If you complete one of those courses, you should have no trouble finding a job working from home. They are a bit more expensive than some of the other courses, but MANY companies will waive their 2 years' experience requirement for grads of those two schools. Do not be suckered in by cheaper schools, MT companies know which schools supply good training and which ones don't.
community college. those online courses/schools are not very good and
very expensive.

but don't do it just to work at home.
Assciate in Arts, medical secretarial curriculum. 2 years with courses in sm

anatomy and physiology, biology, clinical biology (taking and processing lab tests--drawing blood on each other!!), filing, skills on all types of office machines, English composition, accounting, psychology, economics, medical terminology/transcription, and, of course, typing.  In the second year we did internships at local city hospitals. 


I went into transcription after working as a medical secretary for 7 years in a very large clinic. 


Either one are 9 month courses at the local community college..worth a shot!
!!!
I use EXText with my current job and I've used at a couple of other jobs I've had. I've ne

used DocQscribe, but I have used Meditech, Cerner, Vianeta, the Precyse platform (I can't remember the name), Dolbey, and  Lanier platform I think was called Cequence (?). 


Out of all the different platforms I have typed on, I have liked EXText the best.  In my opinion, it's very user friendly, easy to learn, and I really like ESP which is the built in abbreviation expander.  Plus it is very easy to create your own normals which I love.  My fingers literally never leave the keyboard because there are macro keys for everything.  You can use your mouse if you prefer or learn the function macros.  I love it.  I think I'm more productive on EXText than with any other platform.


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?
Coding
I've been thinking about studying coding as well. Would be interested to know of a good online course.
Coding

Coding is similar to MT.  It can be sent out to a service (Medquist does coding, too) which means it can be sent overseas.  There are computer programs for coding whose developers think will eventually be able to be used by clerks with no training in coding at all.  There are interesting benchmarks for productivity in coding:  Number of charts per day, inches of chart per day, money amount cleared from AR.  There's a lot of pressure in this line of work, too. Still, it might be around longer than MT, and from an administrative standpoint, it is a money-maker since how soon and how much the provider is paid depends on the speed and accuracy of the coding.  You do have to watch out for bosses who want you to illegally *upcode* to increase reimbursement. 


To get hired and move up, you really need to have one of AHIMA's many coding credentials behind your name, and their tests are tough!  I wouldn't mess with on-line classes.  Look for a junior college or college that has an RHIT/RHIA program.  They may have a coding certificate as well.  If the US ever gets around to adopting ICD-10, it may be a good opportunity to get into coding because this version is quite different from the current ICD-9-CM.  Even established coders are going to have to learn a lot of  new stuff. 


MT vs. coding vs. RN
I am looking to change careers. I've recently been laid off in data entry and internet research (expected) with a chance for re-hire in 2008, but I'm not counting on it. I'm looking for a flexible, transportable, decent paying job. I have been considering nursing for about a year but have it on a back burner as we are currently living 1/2 the year in Mexico and 1/2 the year in the US. We LOVE living on the road and really don't want to change that, HOWEVER; if it comes to taking care of my family (4 children 13-6), we will do whatever it takes.

In order to maintain our lifestyle (about $35K/year), recognizing that I appreciate and recognize good grammar, enjoy a challenging job, and require a job that allows me to work at home, I've been looking very seriously into the MT field. If I pursued this option, it would be with a certificate from either Andrews or M-Tec.

Reading the various MT boards (here, MTChat, M-Tec's board and the WAHM transcription board), however, I am quite concerned about the future of MT, both in pay and job opportunity. And then, at the same time, I am heartened by the enthusiasm expressed by IC's and happy MT's. There doesn't seem to be a clear-cut side on which to stand; the detractors seem to be just as common as the enthusiasts.

Further adding to my quandary is the trickle of nurses moving from RN positions to MT. I would enjoy the solitude of being an MT and am highly self-motivated. I believe I would enjoy oncology, L&D or peds as an RN but I'm not certain I would have the temperment to deal with patients stealing attention for frivolous issues from those with serious needs. I also wonder about the gore; not necessarily the blood but the pus. I am also concerned about bringing disease and sickness home to my family.

So, my current plan is to train with M-Tec or Andrews for a year, obtain my certificate, work as an IC and keep an eye on the nursing field. If possible, I might be able to continue to MT while in nursing school should it prove possible. I am also considering the fields of Radiation Technician and Surgical Tech. The reason I would prefer nursing to RadTec or Surg Tec is due to the travel available for traveling nurses (although I understand MedSurg would require at least 2 years of experience before I would be able to travel nurse).

Any thoughts? I definitely don't want to spend a year obtaining education and training that will simply be offshored.
Coding
I was in the same situation but for different reasons. When my wrists were just getting too painful, I thought coding would be a good transition. I work at a large level 1 trauma center which is a teaching facility. I went to school for a year and spent A LOT of time studying. I finished my program in one year. It entailed 33 credits total. I also was in the "middle aged' bracket and was a little tentative about returning to school. I was hired as a new grad at a level 1 trauma center facility shortly after I graduated and had one year to earn my credential. There are 2 different credentials you can earn. CC-A which is a certified coding associate and is designed for new coders with little experience. CC-S certified coding specialist is for people with several years of experience, and taking that test is probably the worst experience of my life! Very, very difficult. The work is challenging but never boring, but I think part of that challenge is because of the facility I work in. I am always learning something new. there is a significant requirement to earn CEs in order to maintain that credential so we do a lot of inservicing, but I learn new things every day in this work. It is also quite stressful as we are always under the gun to meet TAT goals and also have $$ goals (we need to have our accts receivable at a particular level every day and must be coding within XX number of days from service/ discharge). I would not suggest learning by any method other than on campus as you will have many questions and will need face-to-face contact. We have 27 coders in our dept and 99% will tell you they love it. The pay is good (for me it is better than transcription, but that is subjective of course) and the benefits are good. The demand is great, but it is not easy to break in to the field and get a job without experience. Most facilities are going to remote coding so you can work from home. I have a laptop computer (company provided) and can work from any location so I spend time in midwest in summer and southwest in winter, a really nice perk!
coding pay
Does coding pay strictly by the hour or how does that work?
coding
As far as I know, it is always hourly. There is a great deal of disparity in the amount of time it can take to code something. if your patient had an appy and left, that's easy. If your patient has CAD, has a CABG, suffered in CVA during surgery, was vent dependent for a while, etc., etc., that's going to take much, much longer. Thus, hourly is the way to pay.
coding
We all mistakes. It is a fact of life. Some, of course, more serious than others. Our standard at our facility is 95% accuracy. We have quarterly internal QA. If we do not meet that standard, we are put on 100% QA or retraining until we do meet that standard. I have only known this to happen to one person. Then we have a separate quarterly external QA, where our work is sent to an outside agency for auditing. Same scenario but more intense. We also use an NCoder program, which is a computerized coding program, that will help you find your codes and has some capability to show you "edits" or coding conflicts or errors. Then everything goes through state edits and we do get things back from them for correction. As you can see, this is a rigorous process with a lot of check and balance going on. We do a lot of "conferencing" among ourselves if we are stumped.
I do think we are treated with a great deal of respect. We are valued at our facility. We receive certain bonuses and are our management is quite free with the praise, etc. It is not easy to replace a qualified coder so we do get a lot of perks. Our flexible scheduling, even on site, allows to work any time from midnight to midnight to complete our shits and we can break it up any way we like. We have generous PTO options and can change days any time. our equipment and references are all provided for us, and our credentialing and credential maintenance are paid for us. I took the program at a community college, and i think it cost about $700 total, but that was a few years back. We get our CEs through our facility or seminars. AHIMA has multiple CE opportunities and learning opportunities. In the 6 years I have been with this facility I have not had to pay for anything as far as additional education. We need 20 CEs to maintain a CCA and 30 for CCS. Hope that helps.