The Work of a Coder: Survey Comments

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I am the only coder in my 3 physician office. E/M coding is of highest importance and I spend the most of my time reviewing documentation and making sure the physicians meet the requirements for the level of service they choose for each patient. Coordination of chemotherapy codes and diagnosis codes is also critical. There is a lot of pressure to work quickly and I am generally 12 hours behind the doctors. Since no one else is trained to do this work, finding time off is really difficult. However, I am reimbursed for the amt of time I spend, receive my health insurance, uniform allowance, and am given the dignity and respect of an important member of the health care team.
In our practice the coders are expected to do much more than code. We answer billing calls, send statements, send claims, post medicare payments, educate employees. It is sometimes difficult to find time to read the newsletters and keep ourselves educated on the updates. Those are the things we end up taking home with us to get accomplished.
I work for a Level I trauma center. My department is made up of 13 surgical coders who work with over 14 different specialties and over 100 surgeons. We are all CPC certified and abstract all surgical operative reports and compare with CPT codes submitted by the surgeon to verify appropriate documentation. We even find coding opportunities which lead to additional revenue. I love my job.
Once I complete the CPC program and become certified I will be the first certified coder this office has had to my knowledge. There is not a strong emphasis on coding in this office at this time. I feel the position I have taken on is a work in progress and one that I hope to develop into that of being able to audit charts and work closer with the physicians regarding coding issues.
I'm often asked questions from co-workers regarding coding, and it makes me feel good that the respect my certification.
The physician marks the charge sheet, the coder verifies all procedures are documented and checks for bundling issues. We change, add or delete codes as necessary. Our physicians cover the trauma unit and we have a lot of "multiple injury" claims. We have several resources, newsletters, Code Correct, etc for reference but there is not a lot of support for seminars, audio conferences, etc. So much importance is placed on quantity that I work a lot off the clock because I will not sacrifice quality in the process.
I love what I do as a coder. I do wish I had "all knowledge" needed for my job. I know that will never happen though. I paid to get credentialed and will not let it lapse no matter what my job pays for.
I am in charge of managing all the accounts receivables and reimbursements. I work for a large anesthesia practices. . The importance of being a CPC comes into play when I review the claims and just by looking at it, I will know why the claim got denied, like if CPT/ASA/DX are not related or the diagnosis does not support medical necessity or even the payment is incorrect because correct modifier is missing. Of course, I recode based on the documentation and I always tell my boss that I will appeal if "I have a leg to stand on". My boss understands that if is not documented it is not appealable. I used to work for a large specialty group practice and due to long commute, I resigned. The company offered me a part time job to work from home with the same hourly pay. I code office visits, surgery, procedures, and hospital visits. Some days are stressful but since coding and reimbursement is what I love doing, it is never boring. It's a very challenging and rewarding job, everyday is a learning process. Whenever I see a claim got paid after a long and hard battle with the payor, it gives me the greatest motivation and a sense of accomplishment.
My position is unique in that I am the sole coding professional in our two-physician practice, and I also log in hours doing front desk work, and occasionally as a medical assistant to the providers when extra personnel are needed. Sometimes I am the person who makes the patient's appointment, signs them in, takes their vitals, assists with their procedure, sends out their billing to insurance, posts the payment from insurance, and sends them their statements. That's a birds-eye view of the process from start to finish, and I find that experience to be very helpful in understanding what happens behind the closed door and how to code it properly. I feel that I am a valuable asset in the provider/patient relationship as well because of the connection from front to back in the office and can often intervene on either's behalf if there is a breakdown in communication or delivery of care. I also feel very fortunate that I work with a great group of co-workers and providers, and have many patients who consider visiting our office to be a highlight of their day!
Love to code. Love the puzzle of an op report. Love that I'm credentialed. Love the fact that AAPC is with me. Encourage "newbies" to get educated and credentialed.
The amount of knowledge required to be an outstanding coder is phenomenal, and keeping up with the continual changes is demanding.
Now that I am certified and how hard I worked to get certified and keep current on coding I understand that coders in a billing dept should be required to be certified.
Our doctors use EMR, adding their own CPT and ICD-9 codes in most cases. My job is to check their coding for accuracy and enter the charges. I also do the payment entry from EOBs and follow-up with patients and insurance companies.
I work for a large surgery practice. My employer allowed our office to start the local chapter and allowed us to use some resources within the office to send out flyers. Our surgeons spoke at some of our meeting for free. We have been allowed to purchase a Encoder Pro along with current CPT and ICD-9 books yearly. They pay for our dues and CEUs. We are using more on line rescoures, Edgeblast and teleconferences now that they are available. Our employer has allowed the two coding supervisors to attend National conferences every year for the past 10 years. We have we have 9 certified coders on staff one of which is a CPC-A. We will have our first Extern starting the first of February. We feel it is very important to help a new coder learn how to code so she can get a job in his or her field.
There is direction, guidance and encouragement where I work. We work as a team and support each other. We all have a common goal and strive for it. We enjoy coming to work.
I enjoy what I do as a newly credentialed coder, and I look forward to learning more and becoming more experienced.
My personal mission is to "code with care". Always learn from others and read, read, read !!!!
Love the work I do as a CPC. Word to the wise: It is better to have your coders away from the noise of the front. Less disruptions = less mistakes.
From a payer perspective, historically, coding in the provider's office was not always consistent with the coding guidelines of AMA and CMS, prior to the increase of coding certification opportunities. There is a noticeable improvement in overall coding accuracy and consistency with the utilization of more Certified Coders. I am expecting the trend to rapidly move toward requiring all coders to be formally trained and certified.
I work for a payer. I work as a professional provider relations representative and have been dealing with coding issues for 20 years. Earning my certification in September has added validity to my knowledge in the eyes of the providers I service. It has give me a better understanding of how to educate offices and interpret coding guidelines.
We are a small practice with one doctor and EMR. When I started here there were no coding books in the office. The coding information was only available in the EMR and it is only as accurate as the information that is inputted by someone in our practice or by the software manager. As the office manager I brought the understanding of the importance of accurate coding and the ramifications to the practice. Currently, I am taking a course to review for the certification test so that I can be more of an "expert" in this field.
My title is HIT-Physician Liaison, I do a variety of duties from coding to credentialing physicians. I also do monthly reporting and quarterly reporting to the State. I am responsible for record completetion, so I have daily contact with all of our physicians. I truly believe that if I wasn't certified as a CPC, I would not have gotten the position I currently hold. I really enjoy what I am doing and I have a great Director who constantly promotes further education.
The relationship between coders and physicians/providers is collaborative and communication is essential to compliance and reimbursement. Our coders provide updates and ongoing education on coding/billing to providers, check coding on billing, perform audits and work accounts including rejections, appeals & denials. We are the "business side" to the medical office and we are valued as "equal partners" in the success of our practice. My employer generously provides resources and training (including conferences) for the coders in equal measure to other members of the practice(medical staff & providers).
I am the only CPC in our office. I enjoy the work I do and looked forward for several years to taking the CPC examination. It has been a great experience becoming certified! The physicians I work for were extremely pleased with my wanting to be a CPC; and are happy that I have reached that goal. The office manager here; however, is unfortunately not as receptive to the idea of my being a CPC. I think this is due to an insecurity issue on her part. Being a CPC has enabled me to follow up more closely on claim and review them for proper coding and make the necessary coding corrections which in turn as resulted in increased revenue for this office. We are located in a rural areas of southcentral Virginia. I am one of only 3 certified coders that I am aware of in the Martinsville/Henry County area. I think this is a disadvantage because the physicians may not understand the importance of having a CPC on staff and the value of this type of employee. I am happy to be a CPC and a member of the AAPC. Thank you!
I LOVE what I do at my job. It is stress free and I have flexible hours to work around my life. My pay isn't too shabby either!
I feel much more confident about my work since obtaining my certification. I am proud to be a member of the AAPC and appreciate the resouces provided to me by the AAPC.
I find that physicians feel better about coders once they have hired them in their practice. The physicians realize that the coders have an ethicical obligation to do the right thing when it comes to coding/compliance. Over the 3 years I have worked in a large multi-specialty practice I have seen a complete turn around in their attitude about documentation and coding. It is absolutley wonderful to see their interest.
As I see more coding jobs being outsourced, my concern for my job security is increased. I am more of an auditor than a coder; correcting mistakes from the outsourced coding. I feel that in the long run it costs more to have outsourced work because my employer has to pay two people to complete the job that I once did on my own.
My employer is willing to have coders do an internship where they do hands-on work that is closely reviewed by certified coders. In addition, space is provided away from the noise and confusion of the front desk, allowing us to concentrate on our work and to make confidential phone calls as needed. The accountant says our team is the most efficient he has ever seen, and our A/R is the lowest. Our employers appreciate that and reward us with continuing education, and all costs associated with maintaining our certification. We have 4 full time providers (2 MD's) and manage the A/R Coding department with only 1.25 FTE's!
Since attaining my coding certification, I have noticed a positive interaction with my supervisor - more confidence in my coding skills.
I am primarily an anesthesia coder. I enjoy my work and it is fulfilling. Most often our docs listen to our suggestions and are open to asking questions. The office allows for coding to be conducted in house or out, which I very much appreciate.
I've been involved in coding for 12 years and have noticed the changes for the better in regards to coding. I now have more interest than ever from our providers and have gained a higher standing in their eyes. I also make a higher salary than I had ever thought I would in this area.
While my doctors understand coding, their education may be outdated, due to code changes, procedural changes, etc.. I try to always review what was coded in order to ensure compliance and accuracy. The clinical staff most times codes for the clinical services, while my doctors and I code for the surgeries. Of course, any changes I suggest are approved by the doctors before being billed out. I have mixed feelings regarding my work environment. I function not only as a coder, but also work collections and have been reassigned clerical duties as needed. I sit with the doctors near their offices in order to be able to help out with the clerical duties. This can be frustrating if the phones are ringing off the wall; however, it has helped me out tremendously as I can hear my doctor dictate his surgeries, office visits, etc, and will catch some things before they are billed out incorrectly.
In my company all coders are salaried, but rarely is anyone at 40 hours. Most do over, some do well over and there is no overtime. When one is off, we have to cover for each other, it gets very stressful. We all do way more than code, we have denials to research, much reading of publications etc and more...all of which is supposed to be "worked into" our day. yet, we all end up working extra to get the coding piece done and on to data entry. Very frustrating.
I am the only certified coder in a large 30+ clinicians hospital based family practice residency program. We see on average 200 pts per day. I have 2 non-certified helpers, who leave their questions for me. The electronic medical record has helped with seeing the documentation quickly, but often steers clinicians to the wrong ICD-9 code as well as procedure code. E/Ms are, for the most part on track. Although I frequently utilize our corporate compliance office, I am overwhelmed with the practices expectations of me. They have assigned me to many committees to make sure we "are doing everything right." Not enough time to educate as much as I need to do. I work OT all the time and am exhausted. I love what I do, there is simply not enough time to do what i need to do.
I am glad that I have a blended day, I don't think I could just sit and code charts all day long, I get the best of both worlds, I believe that billing and coding go hand in hand, there are some coders out there who disagree.
I code for ER physicians, our office trains Dr.s on a regular basis. Love my job!!
I have a wonderful work enviroment. I have done some schooling and would like to get certified.....
I have a very good relationship with my business manager, he has confidence in my abilities, and trusts my judgments in my coding decisions. I also help with payroll calculations, and keep track of sick/vacation hours of our group. I work on reviewing claims and auditing for problems as they are brought to my attention when we have problems.
I am AR Rep we do it all.
I am the only coder in a stand-alone family practice of three doctors and 3 PA-C. The advantages of being the only coder are that there is a lot of communication and support among the providers and myself. I am comfortable confronting them about documentation, accuracy, and other matters that they constantly "get in trouble" with me about. They send me coding information thatthey have read in one of their journals. We have a give-and-take environment.
Our physicians use an electronic E&M coding system to help them with their coding of E&M fees. This has really cut down on the errors in choosing the wrong CPT code.
We are a very large (750 providers plus) multi specialty practice and most MDs code clinic services. Inpatient & E/M services are abstracted from documentation by coders. 95% of surgical, neuro-interventional, GI & extensive heart procedures are coded from notes. The role coders play is key in submitting clean claims. We also use Ingenix TES/Claims Manager system.
I work in an inpatient hospital for the Compliance and Audit Team. As an RN, I was required to obtain my CPC-H within 18 months of employment. It has been extremely important in the day-to-day projects of my position.
I am an ED Urgent care coder - my training experience with my employer has been very good. The AAPC local chapter meetings are very knowledgeable. I've chosen a good career wtih a great learning curve.
Unfortunatly quantity vs quality can exist from much preasure to get to a ever increasing goal and ever increasing number of providers with too few employees.
I am very fortunate to have total support by the providers and my nurse manager, and they come to me frequently for advise/education.
Working with an FQHC opposed to a private practice has been very challenging. It is a fairly new organization in that the clinics that have been obtained by the FQHC organization have never been focused on proper billing or compliance, although FQHC work differently than a private practice from a billing aspect. Billing was being done by an outsource billing company and has never been done in-house, so there is another obstacle as the billing manager -- cleanup.
i am the only coder in our office. Our billing is outsourced. I post all of the charges for surgeries and our offices.
I am a Registered Nurse and I find having my CPC as well is a great advantage to my career. The medical knowledge I have enhances the coding issues especially with the CPT & ICD codes changing annually.
We never change providers codes without discussing with provider. I love coding.
The Administration and Providers in my office are extremely supportive of continuing education and are very receptive to feedback.
I have recently been certified and work for an ENT specialist. It is very hard to find coding courses that have ENT information! Anyway, I enjoy what I do very much and the doctor I work for is very helpful when I have questions regarding coding surgeries.
I love my job and the company that I work for !!
I "audit" nearly all of the charts that come through my billing office for charge accuracy and matching diagnoses. In this time of reduced reimbursements, I think it is important to capture as close to 100% of the charges as possible. Proper ICD-9s to match the services provided are also very important, in my opinion.
I code for a surgery practice. I do all the coding for the hospital E&M and procedures. My doctors pick the levels from the encounter form for the office visits, and also the DX codes. We do nothing else but E&M in the office. No procedures.
I have enjoyed my employment here. I could not ask for a finer place to have found to begin my career at. I look forward to being employed here for a very long time.
Our role is to provide coding consulting to the physicians and staff, and work toward correct coding and compliance. We are a resource rather than a front end coding department.
I work for a practice that believes that the more education that we receive the better coders we will become and the less denials we will receive.
I enjoy the work I do. I find it very interesting. I like learning new things, which with coding you are always learning. Since I am always learning, my job doesn't get boring. The place I work in is a lot of fun. Everyone is nice and willing to help you whenever you need help.
I have been in this position for approx. 3 years and have had a lot of support from doctors and staff, and also cooperation in correcting their mistakes. I have a pretty good work environment, and have had an opportunity to grow and learn all at the same time.
This office is a great place to work. The physicians are very approachable and will assist me whenever possible. They do all the CPT coding while I do the ICD-9 coding which is very important to me since I'm still an apprentice plus this is my first coding position. The practice manager and billing manager are great to work with. I have every tool possible plus they pay for all expenses for coding classes and membership.
I'm an internal coder for a practice of 10+ physicians. I audit to make sure the physicians are billing at their correct level of visit.
These questions are answered with the understanding that we contact the physicians whenever there is questions regarding the coding. We provide in service education on a limited basis, meeting with the clients routinely and pointing out any concerns.
I am blessed to be with this company.
I work for a non-profit auditing Workers' Comp claims: UB-04, CMS 1500, Dental, Pharmacy. Knowledge of coding has been extremely beneficial.
We are fortunate to have enough coders to provide pre-billing audits for almost all of our physicians with plans to add the rest of the docs in the near future.
Working in a large hospital is the best thing that happen to my career. Almost all of the information you need is already in the chart. Medical records has been analyze before it arrive to coders desk/cart. Transcriptionist takes care of wrong documentation, what the coders do is just code the account and drop it. The biller will take of it the next day.
It has been quite the challenge educating my employers and owners of the large radiology practice the importance of submitting proper diagnoses for services provided. In the past, they were content in coding everything as pain and only providing 1 dx per claim. I have proven that by being creative and using specific dxs and different dxs for different tests, reimbursement for these services have increased with fewer appeals necessary. And by correctly applying appropriate modifiers to many procedures, payments have been issued when in the past none were received. Yes, I have made a difference in their practice.
This is my first year of coding having just graduated in May and passing my CPC exam in July. So far my experience has been generally positive. I am finding doctors aren't thrilled with the extra processing for bills or the lower prices each year for services rendered. Coding properly has helped the physicans in my office which they do appreciate, making them more willing to listen when changes occur. Now if I could get them to help financially keep up my skills that would be great. One step at a time.
My Employer is very fair and caring. They pay for the corporate membership along with a CEU package for all of the coders. I work at the best place ever. All of the employees and management are all very nice and truely care about you. Our owner refers to us as one big family. Thank you.
I am a medical biller I currently have two client cases that I handle -- nephrology and internal medicine. In your next issue could you please have some detailed information about internal medicine and nephrology, such as most common codes used and other codes that are mostly associated with these two specialities. Is there any way that I can receive certification on these specialities?
I work in a small third-party payer company. The owner is very receptive to paying for all my CEUs and to remaining compliant. I have not seen this in larger companies.
My employer understands & appreciates the value I bring to the company. I also have taken on an unofficial role as an educator and compliance officer to inform our company about coding changes and compliance issues. I am very fortunate to be working for a company like this one.
Love doing this type of work. Wish we were more appreciated for what we do.
I love my job as coder it is interesting and I am learning every day something new. LABCORP is my work place at Billing Dept. I am happy working there because I can practice every day coding and they gave us a security work place.
Radiology coding is varied, intersting, and gives the opportunity to learn more and more.
I am very happy with my work and my work environment. I work in an office where the office manager believes in running a tight ship & listens to what is going on in the office.
I enjoy all areas of coding. I am fortunate to have physicians who are well educated in coding and who are willing to help when I have a question or a concern in regards to coding.
I am most pleased when I am able to work for a company who values my credentials and is willing to support the cost of continuing education.
Our Drs. are very open to suggestions for changing their incorrect coding and have an open door policy which I believe is very important. Most answer quickly most of the time but a few are slow to respond but they do respond.
I am the office manager, coder, appeals. This is a lot of workload for one person but I only work for 1 speciality physician.
I am the only CPC for a 4 doctor soon to be 5 and 2 mid-level providers.....I key all tickets and post all insurance checks..I fight all denials and do pre and post audits once ever quarter and work the Insurance A/R once every quarter..I answer all billing calls and handle all coomplaints..Our current patient load is app. 10,000+...We are extremely busy practice.
I enjoy coding and look forward to any changes to my field in the future.
I work for a pathology group and we work close together when coding.
I am encouraged to continually learn and be kept up to date on the latest coding issues. My 20+ years in health care has given me the stongest foundation for a successful career and the opportunities that being a member of the AAPC can offer are limitless. I consider my best asset to be the dediicated and highly knowledgable team members that I work with on an every day basis. It is this reason and the excitement of meeting new people at the physician offices where we conduct chart reviews of our Medicare population, that make me very proud to be obtaining my CPC.
I love what i do!
I have worked in this industry for twenty-five years and have finally reached that point in my career where I know that my expertise is appreciated. What a wonderful feeling to know that providers realize what an asset certified coders are to the health of the revenue cycle of their business.
I am very lucky. I work for a physician that understands coding and the importance of proper coding and compliance. He helps me keep informed on changes and also helps me with my education and CEUs.
I do office charge entry, check-in and check out twice a week of a satalite office (mornings only) which I enjoy because it breaks up the day, and I get to put faces to the charts I am coding. I love meeting the patients, talking to them, and I also get to catch charges the doctor missed, like when a patient walks out and says "that shot sure did hurt" and the doctor didn't mark an injection, those are charges that might have been missed. I am working on all our doctors about getting better about marking charges, because not everyone in our office doing charges reads dictation to see what was done, if pt got supply or injection. That is a lot of money that walks out the door.
The services we code are predominantly E&M with the occasional procedure. I actually have recently created and put into action our NP coding audit along with the policy and procedure. Although I'm not yet certified, I plan to be in the next few months. Our practice has evolved of that of a payer into a provider of service for a specific demographic which makes it very intersting.
This is a teaching facility so, pleanty of teaching is given all day every day
There are two professional coders per 8 doctors--4 of the doctors code their surgeries only off "cheat sheets" and the other 4 don't code anything at all. The CPCs do 80% of all the coding in the office. All E&M coding is done by CPCs. This is a specialty surgery clinic so there is a lot of repetition in the coding and not much "out of the speciality" coding.
I love my coding job, but it does get frustrating trying to improve the coding dept when we meet with resistance from upper management (not providers). I work at a government medical center, so everything we try to do has to go thru upper management for approval. This rarely happens, so I feel like we are "stuck" in the 20th century regarding advancements in coding.
We have a very pleasant working enviorment but we have a very heavy workload.
I work in a small office at the present time and I am the only certified coder. My office manager has had experience in coding but I now recognize her errors and it is hard for me to convince her to change her ways. This on many occasions causes me to have to appeal quite a few claims. My doctors are aware and hopefully we can rectify these errors. I do truly love my job and the entire staff I work with, which is making it hard to move in other directions at this time.
I am the Practice Administrator, and a CPC, but we also employ an additional full time CPC to do our daily coding.
I am new to this and just completed my first month as the official CPC here in my office. thanks!
My work environment is extremely noisy and distracting. I must often wear headsets to concentrate on my work. Other than that, I love my job!
I am the only coder. Our office staff codes the office visits - I do everything else... I am certified.. I code all day.. but I also supervise the front, help back up pt flow.- phone etc. .. troubleshoot, back up administrator along with several other duties.. My phsicians are somewhat knowledgeable.. I do work with them closely if I have a ? about coding.. they do not know modifiers well... We have 5 physicians and a NP now - this time last year, we had 8 physicians... thanks.
Our Lunch-n-Learns are the most beneficial to my growth as a coder and helps to increase my "networking" with other coders.
I am a certified coder but my job mostly entails auditing the physicians documentation and serving as a resource to the coders in my clinics for education and answers to coding questions that they are unable to find.
Work environment is very positive. But my doctors do expect me to look over and correct any of there errors. They do not have a problem with this arrangement at all.
I work for the State Medical Society and my answers are based on my experience with the physician members that have utilized my services. I have trained many of their employees to become certified coders and also how to bill appropriately making them to be more compliant. I would also like to note that I do not teach my coders to change the physician's codes but to point out to the physicians where the documentation justifies in the coding arena. The physician then changes the code with his/her initials and date.
We are what I believe is a unique environment; our coders work in strictly a coding capacity. The providers do choose levels of service for office visits. All other codes are chosen by the coder based on documentation. The coder essentially "audits" the E/M level of service chosen. As coders we code for all office services including ancillary and all professional services for our physicians done at the hospital. We are multi-specialty and a provider based RHC. Specialties include: FP, Internal Med, General surgery, OB, Neuro, ENT, Psych, Podiatry, Ophthalmology, and Orthopedics.
I am one of only 2 certified coders for our entire network. I am the "coding manager". We currently have EHR for most of our practices. I am mainly auditing and trying to educate our providers. I do all the coding for our Cardio-Thoracic surgeons and currently one OB practice. I have also helped the general surgery and Urology office catch up on their coding. I am trying to convince this organization how important it is to hire certified coders especially for surgical practices!
We have a great group of doctors and coders who work together to comply with regulations. Our physicians are always open to comments as are we.
I have a great work environment. My dept always provides the top resource materials needed for me to do very accurate and timely work duties. I appreciate all my Dept manager does for us. Very helpful. Always has an open door policy for issues that may arise and always gets back to us in a very timely manner with important information needed.
I have a pleasant working environment, I have most easy and understanding providers which makes everyone job a lot simplier.
As a CPC coding for three health sites, I find it quite challenging and find that our providers are learning the importance of required documentation. All are very cooperative in this area. The work environment can be stressful at times but I do not allow that to influence my coding.
Our group presently has few certified coders/charge entry staff therefore our billing department spends too much time on denials, corrected claims and appeals. We know the importance of correct coding/charge entry before the claim goes out and our billing team is currently working on educating the providers to let them know correct coding and charge entry results in faster payment and less audits. We need their support so that the office managers and charge entry staff are on the same page. We've had a learning curve and now the stress in on to hire certified coders and experienced staff.
Our reimbursement and the doctor's understanding of the billing guidelines has greatly improved with the knowledge I have learned since earning my certification. The doctors have grown accustomed to questioning billing practices and we have quarterly meetings to upadate any changes and to remind the physicians in our practice what they need to watch for. They are much more accurate in documentation.
I love what I do as a certified coder. Its a challenge every day. Its important to the 2 physicians that I work with to code properly and they will do whatever they can to help make my job easier. They take time out for any help or questions I need. My specialty is E & M.
I entered my work area as a receptionist with coding qualifications and later got promoted into part-time billing/part-time receptionist. Now I till perform those job duties but have also have been asked to do credentialling for the providers and all the follow-up required for proper claims reimbursement. I never knew that my coding qualifications (even though I am not certified) would open so many doors for me at my current practice.
I enjoy coding and documentation.
You have to be able to multi tasking. Coding is really fun and compliance just add that level of advancement
Managed very professionally. 112 Docs. Our 20 coders are in the same building as insurance billers, so good communication lines.Our manager keeps us very informed on updates and encourages our participation in AACP and local chapter.We also have opportunities once we are certified to attend seminars and workshops at our Emplyers expense. They also pay our full tuition and test expenses for any and all certifications.
My situation is ideal for me at this time with children still in school. I am allowed to flex my part-time schedule to meet the needs of my family. Currently, I my work setting is with a picture window looking out on a city street. There are birds, grass, and trees outside the window. I'm very content.
I am the billing mManager in a specialty practice for 24 years and I love it very much. It is a joy to code, bill, and then see the reimbursements coming in. It is a challenge to protest denied claims, and to see the denials(which are far and few) reversed and paid after working on them with the expertise and knowledge of so many years of experience. My doctors are happy and that is the bottom line. I love bBilling and coding.
Wonderful work that is highly valued. I am enjoying my profession.
Coding is very interesting and every encounter is like a new challenge... All coders in our company has a very strong bonding and we enjoy every minute of our time together....
I'm lucky. My physician is extremely appreciative of what I do and is very willing to listen to suggestions and make changes in forms and documentation to facilitate best documentation practices! From discussions with other professionals, I value this environment!!!
I love the work that I do and the environment that I work in.
I am very happy with the job I have been able to obtain because of my certification and the possibilities it has opened up for future employment if necessary.
I enjoy working for my providers very much. We appreciate and respect one another And we work and communicate well together to make sure all coding is accurate and done in a timely fashion. I couldn't imagine working for a better group of doctors.
I love coding. I find it interesting. I love solving patient's problems and getting reimbursed. I love to put out clean claims.
In my job I review billings from providers to determine accurate reimbursement and use my clincial expertise as a RN to validate that the medical record supports the billing. This process identifies frequent billing errors. I also perform data analysis to identify trending for possible abuse and fraudulent activity. So my job does not fit the usual coder type job. I also work with our Medical Director to create policies on reimbursement to ensure consistency in the review process. One suggestion I have is to have an article in the Coding Edge to address how a payor can appropriately communicate to the provider that the bill has errors. Should it be rebilled? Obviously we can not change the coding on the bill, but how to best address this issue? Thanks for all your efforts in making this organization a strong one!!
There are always educational needs at the practice. It's quite difficult to keep up with the changes going on all the time now, both for physicians and coders. Just look at the length of the Provider Bulletins from Medicare and many other ins. companies. Sometimes 100 pages or more, delivered monthly!!
Took a coding class to help me in my precertification job as an RN. I pre-cert for 20 physicians inpt and outpt. I really like coding and I enjoy my chapter. They do a great job on the CME programs.
I have a very pleasant atmosphere with great support from my peers.
I love the practice I am in. The doctors are all very accepting of constructive criticism and often check with the coding staff regarding correct coding for referrals and authorizations. Very busy work environment, which is fun and challenging.
I get very challenging cases. I am learning a lot.
We have started going entirely paperless within our medical group. It has been a process that will take awhile for the physicians to feel comfortable. They have a good outlook just need more training. They are a good group of professionals.
I am a certified coder (CPC-H, CPC). I was an inpatient coder and also an outpatient coder, recently I have been moved to Utilization Review Case Management due to my coding knowledge and rapport with the physicians. I make rounds daily with these physicians on the inpatients and monitor their orders and documentation. We are working on getting concurrent coding in place for me to do while charts are open on the chart and daily code and when patient is discharged chart will be ready for billing after a review by me for correct DRG assigment. I have been employed here for 15 yrs and we recently closed both small hospitals in our hospital district and built a new facility in between the two small rural towns. We have had some big adjustments. I hope that I am making a difference in reimbursement and physician education and stressing the need for better documentation due to the change of severity based DRGS.
I really enjoy my work experience here, especially handling Otorhinolaryngology and Orthopedic Surgical Coding.
I am a DRG validation analyst. My postition is to review information received as a third party payor to validate that the correct diagnosis and procedure codes are being billed. If a case looks questionable, we travel to the hospital to review the medical record to verify if the appropriate DRG is billed. I work in a unit of 7 coders and we capture almost 2 million dollars per year from medical records/claims that are incorrectly coded. Our manager runs a very professional group and we are given much internal support to keep our knowledge base up to speed in disease processes as well as in coding. It is a very rewarding environment.
I work for the Managed Care department of the Hospital and use my coding background mainly to help pull utilization reports for oupatient services. I maintain my CPC certification and really find the monthly Coding Edge magazine helpful to keep me apprised of new changes and upcoming events.
Having attained a CPC does contribute to my value as a team member and also enhances my credibility when dealing with providers (from a payer's perspective).
Learning coding and then gaining certification has helped me professionally. My specialty (Radiology) has their own certification and in the past the radiology industry has not been receptive to the CPC coders in the radiology field, however, I do see that changing now that the Radiology Business Managers has recognized the AAPC and I am now able to get full CEUs for classes taken in my specialty.
At this time we are not required to have certified coders. I personally will be happy when this becomes a requirement as the people we hire will be certified and more reliable and accountable for their work.
I am the only coder in my office, and I have the support of all 8 of my physicians when it comes to education and they are all very receptive of my questions and suggestions on ways to improve on billing issues, etc. They value my opnion and encourage me to be the best everyday. They are also very respectful of me and view me on as a professional coworker not a subordinate.
One problem I have with all the institutions I've worked for is the attitude that only experienced and credentialed coders count. i was extremely lucky to have been offered a job by my first manager when I completed my coding certificate course in 1989. Snce then, hiring has become so cut-throat. I think it's a shame that people who spend the better part of a full year or more in college aren't being given chances anymore for the sake of numbers that have to be put out. And managers and supervisors who love to sing the mantra about "a credential says the coder is the best in experience--blah blah blah" are in my opinion---ignorant. I've seen coders come through my current and former jobs with no credentials and years and years of experience and 98% accuracy rates. a coder of that caliber obviously doesn't need a credential, and it's unfair for them to be told it's mandatory. Credentials should be gotten the way mine was--voluntarily--my choice, not my employer's demand.
I'm contract a worker. I like my job. The environment is very nice well equipped of the supplies and equipment I need to do my work. People are very professional to work with. I learned a lot on the in house training/seminars and video conferences that the offer. I'm looking forward to finding a permanent position in my work.
Teach PMCC, code for several practices and perform remote audits.
I am doing my internship for my CPC-A. I am responsible for coding, and entering the ICD-9 and CPT codes for 11 hospitalists at 3 different hospitals. When the information is entered into the system, it is E-billed to the insurance companies. I only find out about a mistake when the claim is denied. I don't know if I am learning more about the coding or the insurance part.
I have been an Office Manager/Biller for 20 years. Last year I decided to become a Certified Coder and was successful. I feel very good about myself and I read and study much more. I love the Coding Edge and EdgeBlast, so much good info. We are very fortunate to have another CPC in our office who teaching classes for coders to become certified and does our compliance, and any thing else needed to be done. She does a great job. I love the medical field, that is all I have ever known. We have a wonderful staff and caring doctors. We hope to make our community a better place in which to live with good medical care. We have two medical doctors and six rotating specialist that practice at our clinic so we are very busy. Our doctors are easy to talk to about coding changes and that makes it easier to do our job.
our docs code their own procedures/E/M visits and then every medical record is audited by a coder. The docs are accurate most all of the time, however, they are human and sometimes things get overlooked. It is up to the coder to catch the mistakes and make sure that they are corrected before the medical record is locked and the bills are submitted.
I am a coding analyst. I have a great deal of respect for this nonprofit organization. My position did not exist a year and a half ago but was created as a means of providing ongoing coder education. Since they are a teaching facility we must ensure that are coder are familiar with GME guidelines and must adhere to strict guidelines as prescribed by federal payors. My duties are to provide education to providers and coders alike. I perform work product reviews of our coders and identify areas of improvement. We provide monthly classes on ICD-9 coding guidelines, E/M leveling, as well as specialty coding. All new hires are assigned to an analyst for the first 90 days and undergoe one on one sessions where the work product is reviewed and discussed with the coder. The coders are very greatful for the opportunity to have someone work with them personally and for "new coders" the experience is invaluable. As with any position challenges are presented but I take them in stride because I feel appreciated by our coding staff!
My work environment is fast paced, it requires good knowledge of DRG assignments, case mix index, GLOS and 5/6 GLOS. Referrals are made to our facility daily, and it is important to know estimate DRG and reimbursement LOS to help manage patient care and LOS. Also requires careful audit for MCC/CC: that directly impact DRG assignment upon and after admission. Our physcians could use more education on documentation. I have to make a lot queries.
My job is not only coding... You have to know so much more than coding when working in the medical field. Coding has now become so much more than it once was. You have to understand the entire "life" of a charge from the time a patient comes in to the office till the claim is paid. The most challenging part of my job is getting the physicians to understand and change the way they do things. Education for the doctors would be the most challenging thing that I face on a daily basis.
With a 30 physician practice I have a mixture of compliant and non compliant physicians. it makes each day a challenge and each step forward even that more meaningful. I appreciate your web site. I know I can always find correct information. In this day and age with the multitude of web sites and periodicals you can read, it is a blessing to have a safe haven to go to. Keep up the good work and thank you.
Our facility is willing to train coders, with expectation that they will become credentials. We have frequent outside audits, as well as internal audits to improve and/or maintain accuracy. We do concurrent reviews of our IPs and query and educate our physicians in the process. Our director and supervisor are credentialed.
I work for a hospital-owned physician's practice. We coders work as a team with our doctors. It is a great work environment
It's not a 40 hour a week job. More like 60.
I enjoy my position as CPC. However, the daily mundane charge slip posting is just that, mundane. I love the challenge of deciphering the physicians handwriting and finding the appropriate code and the auditing of charts
I really enjoy the work that I do. I find that it challenges my mind and allows me to expand my knowlegde of the healthcare industry.
Coding requirments are changing all the time in the oncology field, doctors can't keep up with that information and all the clinical changes, too. They depend on CPCs for infusion and drug coding.
I like my working enviornment.
Interesting work and great environment in an academic health care setting.
I have the best of working environments.
I enjoy coding, it is a challenge for me. I would test for a specialty but there is no demand for that in the community where I live. Would prefer to spend more time coding but I have other obligations in my job description.
My office is the best! There is one other employee who codes and we both love it. (Our manager/compliance officer also has a certification.) We code for the physicians. The providers are very receptive and eager to understand documentation requirements and to see how they could improve. The goal of our office is to file accurate claims in a timely fashion and to have accurate information to do so. They understand that continuing education and seminars, etc. are very important for coders and for proper coding and reimbursement and pay for me. They're really generous with benefits too!
Love it!
I work for a very good and appreciative group of doctors and managers.
We are a specialty practice and having a certified coder is very beneficial. She works with the doctors on documentation requirements, works with the Central Billing Office regarding denials, and she researches and does our appeals. Many times even if the coding is correct, the insurance company will deny the claim. She researches the denial and provides the appropriate data to show that the charges were billed correctly.
I work in a hospital setting and do outpatient coding as well as learning inpatient coding. I have found that it is very important to have a somewhat quiet environment in order to focus on my coding. I do like the idea of being able to code both outpatient and inpatient accounts.
The employers in my practice code from encounter forms, but 75% of the charts are reviewed by me prior to it going out to the payor. There are errors, but they are evaluated before processing. On the issue of phyciain education- in the practice I work in the physician want the billers to clean it up. I feel that if the physcians learned more about coding they would better understand what we go through when the documentation is lacking and with that said it would help prevent errors and we could obtain quicker reimbursement.
I manage a clinic with 7 providers including family practice, urgent care and occupational medicine. We have 2 certified coders reviewing all encounters for coding compliance. My front office lead is a CPC-A and I'm a CPC. Every year our employer pays on a rotating basis for one coder to attend the coding conference. We believe in keeping everyone in the loop.
I am the only CPC in a skilled nursing facility and only code ICD-9's
I love what I do!
I work for a billing and management company. We have many client practices across most of the specialties. Most of the coders have good working relationships with the doctors or knowledgeable staff members. Reviewing EOBs and handling denials and appeals is done by separate departments in our companies but the coders often offer them further coding knowledge and documents to get their work accomplished.
I highly recommend the field of coding. We need more young people. Great job with nice people but not for an extrovert! the support from the local chapters makes the difference.
I am both Practice Manager and Certified Coder for our practice
My job is a little different than most coders. I am also the compliance officer and have a lot of duties not associated with coding (this is why my percentage of time does not equal 100%). My work environment is pretty good. I work for the organization that employs physicians, so that makes us co-workers, not boss and employee. I think that changes the equation somewhat and makes for a better relationship.
I am vry fortunate to have a wonderful work environment where I am respected and where I can continuosuly strive to reach my goals. I have a very supposrtive physician/surgeon that I work for and I enjoy my job.
A comment in regard to the physicians coding; it's always done w/ the understanding that it will be confirmed by the Coder. The Coder and physicians work together. Although the physicians do use a "superbill" when choosing E&M levels and icd-9 codes, they also use the CPT and ICD-9 books. Our superbill also has an area to write in diagnosis, procedures or notes.
I work in a very supportive environment. They require coding compliance.
I am the Academic Director of a Billing and Coding Education Department. I am responsible for writing and updating billing and coding curriculum for my department and other related colleges across the country. I manage a staff of 11 Instructors and we currently have 186 students enrolled.
The physicians do use superbills so they have input into the dx codes and CPT codes that are used. However, I review all reports and let them know if there are discrepancies and why. They are open to learning and understanding the coding guidelines and appreciate my efforts.
My employer is MORE than helpful/generous with regards to CEUs &/or workshops etc to better the company & patient care.
I believe that we have a unique work environment where the doctors are very pro-active in doing things the correct way and supporting the employees to do the best job they are able to do.
I have a great work environment with a supportive office manager and doctor. But I am the one that wanted to be a registered medical coder and now I am working on becoming a CPC with the AAPC. While I think this is a plus for our practice, it really is a personal goal of mine. I think that coding is very important to any practice and I am not sure why a lot of employers do not realize the impact that is has on a practice. It does come down to the bottom line of revenue.
My work environment is great! There are 3 coders in our office, and we bounce ideas off of one another throughout the day. We work great with the account reps and have a very friendly repoire with them.
I love my work, I am a collection supervisor; certification is not required for Supervisor, but I did it to enhance my knowledge and to guide my collectors in their appeals. I will recommend to any individual that deal with collection process to go for their CPC, it helped me tremendously. I feel very confident to tell my collector how to do in their appeals.
Where I work, most of the coders/billers have a good relationship with approximately half of the providers. The rest have an attitude that we are trying to take their money away when we try to explain their documentation shortcomings. For this reason, we don't have a good relationship with the providers that don't understand what we are trying to accomplish.
I'm the only coder for my group, among my other managerial duties. I realize how important, no matter how busy I am, that correct coding is so important in a practice. If I get stuck, I take the time to research so that they can receive maximum reimbursement.
All surgical coders and anyone who abstracts a service must be a certified coder, per our Compliance Dept.
I am an auditor and love what I do. I work with many different physicians and groups. My accounts vary and I audit outpatient/inpatient, Family Practice to Infectious Disease at the hospitals.
I am in a unique situation. I have been a coder since 2002 and have spent the entire time in the OB/GYN field. I went from a 6 doctor practice in 2005 to a 2 doctor practice when the larger practice was sold and helped them set the practice up from the ground floor. I also continue coding from home for one of the other physicians in the larger practice. After working with the 2 doctor practice for 3 years I was offered a position with an EMR company that focuses on OB/GYN. My position with them is well varied. I provide training and documentation service regarding their software to physicians offices and I offer a unique perspective to the company for ideas on how to improve their software. I also help them stay on top of code changes. I hope to soon become certified in OB/GYN specialty and complete the PMCC course to become an instructor. The CPC certification has opened many doors for me in the last 6 years and I could not have been as successful as I am if it were not for the resources the AAPC offers and/or the confidence the CPC after my name gives employers. Thank you!
I am the only one in my office that is credentialed I keep up with CEUs and always read everything that I get.
My work environment is the best they are very supportive and wonderful to work with.
I feel that becoming certified has increased my knowledge and I am able to prevent errors and increase reimbursements
At this position, I only code. I don't have anything to do with billing. Our hospital doctors code their own E&M levels.
I am the Practice Administrator and the majority of my job is handling everything but coding. I do coding of E & M services and some projects. The billing supervisor and her co-coder are both CPCs and the part time coder is planning to take the test. She did take a preliminary course. THe physicians are very supportive and do appreciate the knowledge behind the billing.
I love my work, I'm very dedicated and do my work to the best of my ability. I am interested in what the salary of Certified Professional Coders in the Caribbean region should be like?
I work for an ambulance billing service. We have 7 CPCs in this one office. We would like to see more seminars/workshops supported by AAPC which are cost appropriate for our type of billing. Most seninars center on physician and hospital billing and coding.
Since I run a billing service, some of these questions did not actually fit what we do for our clients. I do find myself doing a lot of training of physicians on coding and compliance issue. If I may give a suggestion, don't limit your surveys to the practice environment, there are a lot of coders out there that either work for billing services or run their own billing companies that can probably give you quite a bit of information, but most of these surveys do not apply to billing services.
I am very blessed to have a job that I love doing it. I love the research and the process it takes to understand both the payer and the physician side of coding.
Our medical practice prefers to employ certified coders. CEUS and continuing education are very important and are well supported. Providers do attend ACOG, use EncoderPro, and submit their own CPT codes; it's in their employment contracts. We are responsible for checking those, supplying ICD-9 codes, and any communication regarding discrepancies, policies, modifiers, documentation, etc as part of the physician's education. We do assist with denials and appeals as needed.
I really like what I do. I like when I get a claim paid after I have had to appeal it, and the feeling that I get when I put the claims in and get them paid on the first time.
Have worked at the same organization for 31 yrs and now work mainly with compliance. My employer recognizes the value of our coders and the importance of educating everyone about compliance.
I love coding!
We are in need of a coding policy that is simple and direct. The coders in my department will be writing our own policy to be incorporated into the compliance manual. This will streamline the transition of coders from other departments. We are allowed an hour per week of paid time to gather and discuss what needs to be implemented and the support by management of this process is marginal but we coders know that our management is actually thrilled that we are doing it and that even though they are responsible to have it done and they will get all of the credit we coders will greatly benefit from it. This should only take a total of 3 hours from start to implementation, well worth the time.
Both the owner of my practice and the other physicians are very supportive of me and my endeavors. I have two goals this year and #1 is to become cerfified as a CMM and as well a CPC as well as various others.
I am the coder and director of the practice. I support my billing staff to educate themselves and be the best they can--positive attitude mades a difference in the health and attitude of the office
I have just started this job and they are happy that I am a certified coder and are very willing to listen to any comments I have.
This office supplies coding books and pays for CEU and renewals and for one conference. I code as I enter charges. I go through four compliance audits a year. We have a very strict compliance team
The Account Executive position I hold is very rewarding; I actually have the opportuinty to apply all that I learn in coding and share with other office so that it makes a real differeence in the back end work.
I'm blessed to have an employer that knows the value of a certified coder. They are willing to pay for services and encourage me to get other credentials.
I code/audit/educate physicians for a large hospitalist practice. It is one of the largest in the nation - when you consider that it is not a Fellowship/Residency program. There are 35 +/- physicians and 3 mid-level providers. They submit the level of charge for their E&M documentation and I audit - educate - submit the charge through 3M. I also enter the data of my findings constantly using that information to educate them as well. My manager is a strong supporter of continuous education and management of CEUs. This is a great practice and I am proud of what I do and my interaction with this great group of physicians. Thank you.
It's all about accuracy and honesty.
I do all the CPT coding in my office for 5 physicians. I educate all the medical assistants in diagnostic coding. I feel it is the most important part of the job to be educated on how to code. That is where the reimbursement is made.
I love coding, & I love the AAPC. I love learning, & change & feel like a contributor to our physicians' success. I love my employers because they are open to change & progress also. We are encouraged to advise them however & whenever necessary towards compliant reimbursement & accuracy. My employers pay for many CEUs, & offer to pay our membership. They also purchase our office coding resources. I prefer to pay for my own membership, because I feel it's appropriate, & I purchase many books & seminars on my own to prove my active participation & initiative. I work with caring, loving & intelligent people, & I am grateful that I discovered coding & the AAPC....sincerely very grateful. Thank you all.
Excellent work environment, pay and benefits. Among first to obtain and use new technology and processes. Internal peer review of clinical and documentation practices is not a priority - affecting change is a slow, tedious process.
The fact of having a certification lends credibility to my findings during an audit. It also cuts down on the arguing.
Our providers mark their E&M level of office visit & we check documentation for medical necessity. They write the diagnosis on the fee ticket & we have to look up the code and link it to visit, xrays, etc. They constantly error in marking the fee ticket, when in global, when fracture care, etc. We are SUPER detectives and boast a high % of clean claims. Every ticket goes through the coding dept before posting! LONG LIVE THE CODERS!
I enjoy the coding profession
It's unfortunate that many health plans pit the patient against the physician's office when the patient calls the insurance company to resolve a benefit issue. The insurance company would rather shirk their responsibilities to the patient and place the blame on the physician's coding than to be proactive and explain to the patient the limitations of their benefit plan. The insurance company does not want to be the "bad guy". It's very rare for insurance companies to have people who understand coding, much less someone Certified. I commend the AAPC for offering a special credential for coders who work with the health plans. I hope the health plans value this person's knowledge and use it for the benefit of their member, our patient.
I do enjoy my work, coding for 6 different specialties gives me a wide variety of experience and learning opportunities. I have a wonderful work environment with a very understanding manager and do have a good rapport with my doctors.
I am the Billing Manager and certified coder. We hired a full-time certified coder because our practice was somewhat non-compliant with coding levels, documentation in charts, and simple things like signatures. Our coder turned our coding practices around and we attained a 95% in coding compliance, the top of all of University departments! We are very proud of our coder. She has been an invaluable asset to our practice. With her help, I have been able to make wide sweeping changes in the way we do things and increased our reimbursement to a considerable degree while providing complian charts and accurate patient medical chart documentation. Our practice is growing and we may soon hire another professional coder. We rule!
I work for a sole practitioner; plastic and reconstructive surgery. I have learned coding by trial and error on the job. I heard about certification from a friend and decided it would be great for me, as my boss will be retiring in about 2 years and I have noticed that insurance companies, expecially Medicare, have become stricter with their correct usage of codes, especially modifiers.
I love my job and the people in my office try hard to keep up on new coding information. It makes all of us strive to be better. Our manager supports us and tries her best to make sure we have what we need to code effectively. There are other managers within the company that are not so good to work for or with and I feel fortunate to have the boss and the group we do.
I work from 0730 till 1630, coding DOD records with DOD rules and regulations. Work environment is great we all work to accomplish the mission. which is to accurately code all encounter.
I like that in my job I have other responsibilities. I feel that if all I did all day was coding and billing that I would get burned out.
The providers in our practice are very supportive of the coding staff and are always willing to help with coding issues and are more than willing to do what it takes to be efficient in both E/M and surgical coding.
The past two years I have spent working in a Compliance Department with the Privacy and Compliance Officiers. Many of the questions above, I answered based on previous experience as a Coding Specialist for Allergy, General Surgery and Urology Departments. I do feel that more emphasis needs to be placed on the importance of the seven elements of a compliance program. Heightened awareness in the importance of communication from a certified coder to a compliance program needs to be fostered. Coders can provide insight to an organization with regards to the previous governmental audits and the upcoming RACs and MIPs. Coders need to fully understand the importance of the work they are doing and the impact of their results. The AAPC can help to foster this communication as the outcomes can be based on a coder's perspective. This year I have chosen to attend the HCCA Conference to enhance my knowledge of the auditing and compliance sectors for a broader prospective on the industry and to add value to my employer's commitment to our customers. Another area of importance is the confidentiality and ethics of the work this profession involves. There is more to understanding coding!!!!!
I work in the Medical Center in Texas and our managers and supervisors have made sure that our work environment is as relaxed and unstressful as it possibly can be so that we can work as efficiently as possible. We still have deadlines that we need to meet, but we have made any goals that have been put before us because we work as a team. Both managers and supervisors use different ideas to keep moral high when we get to the end of the month. I love it.
My physicians and I are very open with each other and they welcome any information I bring to them. They also in turn relate to me any information they may have. I not only code for family practice but a nursing homes and our relationship is very approachable to one another.
My physicians understand the importance of coding and the education we teach them. There is team effort in the environment I work in. We all work together as a team.
I love the coding work that I do and enjoy learning all that I can in the seminars and monthly chapter meetings. I am lucky that my doctor codes a lot of his own charges and is very knowledgeable in what he does. I find coding to be very challenging and rewarding.
I enjoy my job very much. I am the only employee of the practice so a lot of the questions do not apply.
I think working one on one with the providers brings a clearer understanding for them on what my job as a CPC is. I am seeing an improvment in their attitudes with their coding fee tickets correctly. I work with a great staff.
I find that the more education I obtain and move up in the industry, the better my work envorinment (office space) becomes. I have a stong belief that if employers educated themselves on creating comfortable and functional office space for billers and coders they would have happier long term employees. In my area many people are taking the time to get a good education in billing and coding, then find that employers still want to pay near minimum wage.
I love the career I have as a certified coder. I appreciate the trust my employers have in my ability to do the best job I can for them.
As a consultant,and CMBRS,and training to be certified as CPC in 4/08. I feel that coders & billers must show the Drs/etc just what is being lost each month and year. Its extremely important to work out the problems, and make corrections to codes, etc, and cheat sheets in order to help others keep up with the changes. As each problem arises, it must be resolved, and communication is the key. If more Drs/etc realized just how important a great biller or coder is to the practice, I feel they gain more credit and respect. You can bill & code a thousand claims, but how many get paid within 45 days or come back as a clean claim. You must know,understand, and apply your knowledge in order to make a difference. I love billing & coding, I love seeing the money come in, and the rejections resolved. It can be done, I've done it many times, and brought companies completely out of the red. I hope some day, that it is law for billers & coders to be certified, and give them the chance to make a difference in this awful insurance system we have in the USA. There are a lot of people who want to make a difference, but some how they need to unite and become one. I'm thankful for the AAPC, AHIMA, AMA, and others that have helped me along the way. God Bless you all. Thanks!
We have over 300 providers (physicians, NP & PA) multi speciality. It is extremely difficult to properly review and education. At this time there are only 3 3/4 employees in our QA department, one just employed and the other less that 2 yrs. Me and the other "old timer" have worked in this area for over 25 years. Training of new QA staff and education of providers takes a lot of time. We have found it extremely difficult to find experienced codes and/or CPCs. Having coders at the sites and in the central billing office makes discussion/education easier. Wish we had many more!!!
I mainly do appeals and win most of them as I supply the proper information when doing the appeals
Always learning new things every day. Sharing knowledge to improve efficiency.
I have been working a my new job for 2 months. My titile is Accounting Supervisor. As of right now I do not do the coding for our Home Health care patients, but I am becoming more involved. I have a close relationship with our nurses. They never had the opportunity to work with a CPC. They are very happy to have me on board and together we are learning the advantages of working together. HH coding and billing is a completely new field for me. I am learning everything from scratch, there is soooo much to learn. I am working unpaid claims that were not paid due to the wrong DX code or CPT code. My new position is very challenging, but I am so glad to be given the opportunity to show what a difference schooling and certification make. I have been certified for 3 years. My wages have grown $6 per hour since becoming certified.
I do contract work for area physicians. I currently have 2 clients. One is a CPC with EMR software. She actually does the initial CPT/ICD-9 coding. I review the claims when I pull them over to the billing software. I always consult with her before I make any changes other than needed modifiers or injection administration codes. We work very well together. We listen to each other's coding decision. She uses the EMR "pick list" instead of the actual book to code. It is usually decided the book better describes the procedure/dx in question and corrections are made accordingly prior to claim submission. My other client leaves all coding to me. He does not have EMR, he does keep office notes in his computer using Microsoft Word and puts a copy in the chart as well as on the back of the encounter form. He is available to answer any questions I may have regarding procedures/dx. When he has marked the encounter form, it is usually severly undercoded based on his medical documentation. Alot of these questions do not apply to me since I am not an employee. My clients are very satisfied with my work and are not interested in hiring any employees for billing. They have been severely "burnt" by past employees that stated they were qualified but could not handle the job. I have been coding since 1997 and began my service in October 2006. It has been the best career change I have ever made. I handle full claims management including all aspects of insurance coding/billing and patient statements and questions and payment posting. I do not handle medical records unless it is related to processing a particular claim. Thanks
My work environment is a good one. I am the only certified coder on staff. I also handle posting pmts from carriers, send request for CMS dialysis determinations and often challenge the non-certified personnel on compliant billing. Billing is the biggest part of my job duties. I am fortunate in that we are doing most of the billing electronic, so the medical terminology that I took with my coding and billing class has certainly benefited my knowlege of the job.
I enjoy how there is always more to learn. And one coding scenario is never the same as the other.
I work for two seperate Drs. I am the coders, biller, collections, complaince and assistant. I have my hands in everything as such. The doctors and I work closer so there are less errors and more timely reimbursement.
I enjoy what I do and get along with the people around me. If I need help with something, it is provided.
I am currently employedas a compliance auditor. As such, I verify physician documentation is matching the codes submitted. I am available to answer any coding questions as I currently have experience in over 20 different clinic specialties.
I enjoy the work that I perform and am extremly happy with my employer. I look forward to a long career with them.
I love my work as a certified coder. I have worked long and hard to get here and appreciate the advantage of having providers that support my work and look to me to share my knowledge and "expertise" with other staff members. My practice manager in particular is very supportive and makes sure that I have all the resources that I need to get the job done.
Great work environment with physician support.
I have a wonderful work enviroment
I thoroughly enjoy the teaching end of coding. I've also worked for 10 years doing nurse review audits in the insurance industry, which I also enjoyed.
I have been in coding and billing for over 14 years. I love my work. It is very challenging. I love going to conferences and getting my CEUs. I feel like I am always accomplishing something.
I provide medical coding for DOD, which is very different, that the physicians apply codes and now I am in the role of an auditor more than coder. However I have round table with physicians on documentation and rules. Go over new codes that can affect change forever trying to have them understand E&M, consults vs. referral which is a big issue in DOD, is applying medication time for IVP and infusion confusion for chemo drugs.
In our institution it is a requirement for a coder or reimbursement specialist to have the CPC or CCS-P; We believe the quality of the individual is shown through these credentials.
LOVE IT!!
I love my work; Physician is ethical in all respects, accessible, well trained in coding, and appreciates new information, and education.
Physicians are eager to learn more about coding, and very open to education and auditing.
Interesting, challenging, provacative, rewarding.
I answered these based on my current employer which is not working for physicians, but rather in educating physicians, nurses and coding and billing specialist in order to become certified. I do have some physicians in my classes and those I see wanting to do the right thing and understand it. Now, if I were to answer the same questions based on where I used to work- I would say that the physicians coding is not always accurate based on coding guidelines, however, they do not necessarily want us to change their coding. It often tied my hands because they want it done right, but don't want changes made without them okaying the changes. This is a very non-productive method and in a way insulting because they should be able to trust their coders to do the right thing. I agree that coders and physicians (as well as other clinical staff) should have monthly meetings to discuss issues with documentation and coding to improve the compliance and reimbursement of their practice.
I am a coding auditor and provide audits to my physicians yearly. Education and resources are brought to the physician one-on-one. It is a great way to promote correct coding initiatives and quality documentation.
I am the Supervisor of Contract Administration. I review all managed care agreements for operational compliance by our over 1300 UTSW providers. I, too, am responsible for reimbursement compliance to those managed care agreements. Audit, is my middle name. Having my CPC has given me respect from my peers within my office, and greatly assisted me in my reimbursement audits.
I am the Director of a HIM dept. which employes 4 certified coders plus myself. I don't feel coders get the recognition for the expertise and knowledge they provide in their job duties and the positive impact it makes on reimbursement.
The company I work for is fantastic. The physicians give us a lot of information or the knowledge to find what we need.
love it
The Medical Director, Associate Medical Director and Finance Director place high regard on compliance and accurate coding.
I love my job as a certified coder for a surgical practice and gives me great satisfaction.
Often the coders are the "Catch-all" employees to whom physicians go when they don't have an answer to reimbursement questions, RVU's, documentation, reports etc. We are expected to know a little about everything.
I really enjoy working in the coding field. I look forward to being certified.
Working as the billing supervisor in a 8 physician 2 aprn cardiology practice where we perform echos, stress tests, holter monitors, pacer/icd clinic, inr clinic, a newly added vasc lab in addition to the OVs I am responsible for proper coding, updating the superbill with annual changes of ICD-9 & CPT and keeping up-to-date with insurance carrier changes in policies and fee schedules, also responsible for credentialling and supervise 3 non-certified billers who take care of the deposit and daily payment posting and entering office charges, I still handle the hospital coding as this is not canned as the office visits are with a superbill the physician completes. month end/year end financial report as well as physician productivity reports. Coding may not be the thing that I do most often but it is essential and considered a very important part of my work and I am relied upon for my expertise and when the physicians question me they have confidence in my ability to provide accurate information.
Day to day differs. I'm in a practice that supports me in my coding.
I love the coding!
I work with 3 orthopaedic surgeons & it's a very busy but pleasant workplace. The physicians are all very helpful in reviewing & correcting their codes. And the staff are very good with coding updates.
I am the only certified coder in our insurance department. I code for two surgeons (one is a general surgeon and the other is vascular). We bill for three family practice clinics and two surgery clinics. I am the only one that keys charges or codes in the surgery clinics. I assist other billers with coding procedures in the family practice clinics and the providers mark their levels for office visits. Coding is a rewarding career and I love the challenge of coding interventional radiology and vascular claims.
I love my work and work enviroment. My physicians are always open to suggestions.
I am the only CPC in the office and we have five doctors. I enter all the surgery charges and enjoy that the most of all my responsibilities.
My employer recognizes the value of certified coders (both inpatient and outpatient) and supports coding.
My employer is very supportive.
I work in a large surgical group where we work toward less denials on claims and accurate coding as well as education for the coders. Our CEUs are very important to us and we try to set up meetings here in our office as we can to focus on getting CEUs. We are very busy and code many cases a day for our large surgical group
I have decided, without my providers support, to become knowledgable and certified. I hope to take the CPC exam in May, (vacation time not approved yet) and hopefully, it will be the first certification of many . I am amazed at how little coding knowledge is expected, taught, and encouraged in my job description, yet so much depends on my coding ability and accuracy. I have learned how little I know and how much I need to learn. thanks.
My work environment is very nice. The group of doctors that I work for are very nice, professional and open to advice/suggestions. They support my education and are flexible for the most part with my schedule as long as I get the work done.
I work as an auditor for an insurance carrier in the claims department. The certification is highly regarded, employees are encouraged to pursue it, but it is not required. Having my certification has been very beneficial.
I work for a large billing office and I was hired for Data Entry April 2007. I had hoped that after I got here that I would be able to get certified and become a coder. Both things have happened. The only down side is that I am the first so-called "Trainee" that they have had in the coding department. Unfortunately, I was here for almost six months before anyone started really showing me more of the coding side. My manager now shows me the process of coding, but not the actual applications of things. I wish this company had more of a training department like hospitals do. We code orthopedics and it has been very hard with just the basics for me. However, I am the only one that does Data Entry in my department for the coders. Most of my time is dedicated to entering and figuring Anes, OR and Reov. times from surgery cases. I really like the company and hope that I can learn enough to stay here. Thanks for the survey. Maybe other coders are going through the same thing.
The director of our practice is very supportive. The partners, who are doctors, are very tough and of course everything they do is at least 99214 and of course it is correctly documented. Very tough to teach an old dog new tricks!
I am a newly certified CPC, however, I have over 10 years of coding experience and over 15 years front office experience. Our office has a very close relationship with our providers. They listen to our advice on coding issues and we are always willing to listen to them give a talk regarding how a procedure is done or any clinical information that would help us in the coding/billing office. It goes both ways.
In the radiology coding world a lot of insurance companies are requiring pre-certification. Which requires the ordering doctors office to call and submitted medical records to determine medical necessity. I find it easier for a professional coder to get these authorization simply because we are more knowledge about the test and the coding policies associated with the test. Non-certified workers have a hard time due to lack of knowledge
During regular working hours my full-time job as a coding consultant is great. But I also code for a smaller family practice clinic at home which keeps my skills in all areas sharp. My day job is in a specialty area, cardiovascular, so working the family practice coding in the evening makes sure I stay up on all facets of the coding world.
Getting my credentials has been the best career decision I have made. I have the opportunity to set my own hours and work at my own pace.
As a coder in a ob-gyn office I also help at times with pre-certing surgeries and payment arrangements for ob and surgery patients. I enjoy what I do and my place of employment. I have a good working relationship with the providers that I code for.
Love it!
I supervise collection and billing staff for 4 practices of differnet specialties. Part of my job description is to be knowledgable in the coding rules and regulations for each practice. I am responsible for updating my staff and the front desk staff of each practice.
I have worked here for 18 years and became certified in 2000. I am the only certified coder in this 9 provider group. I code the surgeries and all hospital charges. I'm also the assistant manager. The doctors have given me a lot of respect and encouragement. They have very little coding experience and mostly code the office based E&M with an encounter form and a formatted medical chart notes. The doctors do not understand the bundling of charges and feel they are not being reimbursed enough for the amount of work they are doing.
I work in a teaching physician institution so I feel that our physicians are receptive to training with regard to coding. When I worked in other practices this was not the case.
I extremely enjoy my work environment.
I thoroughly enjoy my work and environment. All medical offices should require certified professional coders. It is a career not just a job.
I do the billing and coding but if I have a question about the surgery, I can go to my doctor anytime for help and we get the correct code to bill. I always read the operative report and get my coding before I ask her to help me to make sure I picked the correct code. I do enjoy my job and I have been working for hte same docotr for 20 years which I started out billing so it was easier for me to become a certified coder since I was familiar with the codes and modifiers.
I teach at Virginia College, and I am thoroughly rewarded in my job as an instructor because, I am able to pass along my experience as a coder to my students. I am especially proud when they are able to get a job as a coder or biller, many before they even graduate. I am able to stay up to date on the billing/coding issues as I am lecturing. I am also currently in the process of getting a game published by Thompson/Delmar that I came up with for coding purposes. I have had much success with the game in my classroom, as my students tell me they learn so much easier when they can have fun with it.
I could not be more happy in my position, well, unless a couple providers would be more open minded to my coming to see them. On the whole, I have a fantastic place to work and wonderful providers and staff to work with. Having my CPC enables me to have this position.
I am in a different situation than most coders - I work for my husband's practice, which includes 6 physicians. Because they see that I am on top of all the insurance bulletins, they don't argue too much when I show them where they have erred, and how they can improve their coding. Each physician is expected to put their own coding on the superbill, but anything suspicious (and anything for Medicare PQRI) goes to me for final decision. We are on electronic records, and that does help them see their decision making, and the entire ICD-9 is included in the software.
My physician and I have a wonderful working relationship, he is an excellant teacher and he is always open to my questions regarding documentation or surgical procedures.
My physician is extremely diligent about coding compliance and demands the same from the staff. I am currently searching for a coding class geared toward providers.
My coding training and credentials are very important in my work to identify and document health care fraud and abuse.
I work in a pool position doing ICD-9 audits in MD offices for an insurance company. I am independent, pick up projects at the office and do them on my own schedule within the time frame given. I just received my CPC credential and am very excited about opportunities in the field.
I work for a very large payer. They actively pursue certified coders and regularly place them in positions that allow them to use their coding expertise to better handle provider appeals, clinical edits in the system, etc.
I enjoy being a coder. I preform many different jobs in the office that I work for, like: check-in, check-out, answer phones, handle billing questions, send appeals, deal with insurance denials, and research anything needed for my practice to be able to get reimbersed in a timely fashion. I also code office charges and hospital/anesthesia charges. Sometimes I do not know how I keep up with all that I do but if I did not like knowledge or my job, I am not sure what I would do.
I code for a multi practice. I have my problem children as they are referred to, and then there are those physicians that want to help and try their best to code their fee tickets the best they can. I am currently looking for dictating classes for a few of our physicians to attend.
I work for a single physician who does not welcome my pointing out inaccuracies, whoever, she does appreciate the conscientious effort I put forth to do my job efficiently. It balances out in the end.
I work as an Assistant Administrator supervising a staff of 50 employees. Besides myself, we have three certified coders working for us in various job descriptions. The physicians are very supportive of our continuing education as well as theirs.
I could not complete most of your survey questions as I travel my state as a provider training manager for a payer, presenting workshops on a multitude of topics related to physician office staff and their dealings with patients covered by our various health insurance products. My previous professional career was as a CMA for ER, FP, and multi-surgery disciplines. That experience included coding and my present position involves talking about coding as it relates to our medical policy/coverage guidelines, claims, etc. Additionally, I am often invited to speak to audiences as a representative from my company. My credentials continue to be important to me personally, and have enhanced my credibility within the provider community in which I have high visibility.
I love my work, and the hospital I work at is wonderful. I have a very good relationship with the Dr.s in my area. The department reimburses for any CEUs and other coding related programs that are offered. I am glad that I chose being a coder as my career.
In our practice, CPT and ICD-9 coding is joint effort and discussions, including selection and compliance, are frequent. This is essential to the accuracy of coding in all areas.
Hours are great. Work environment is good.
I code all levels of radiology at present. These providers do not code any of their reports. Other providers code for the services they have performed. I will be learning Cardiology coding and Abstract coding next. I enjoy where I work and the people I work with. It is a laid back atmosphere.
Indian health facilities are operated differently than the private sector. We have a contracted physician once a week. Work load is relatively low and we have ample time to review and research any problem that arises. I have direct access to physician when he is here to address questions or problems in our facility. Our patients receive great care and spend an ample amount of time with the physician.
I am so lucky. My docs pay for my CEUs. I can talk with them about anything. If i find something wrong, they listen to me and try to do better from then on. I audit, post payments, do appeals, send out statments, post charges. I now have 6 providers, one of whom I do all the coding for. I have one Dr. who does his own coding. He is darn near perfect. I have one coworker, she is not certified. Been with the guys for 23 years. Great to work for.
I am fortunate to be working in an environment that is favorable to accuracy rather than collections. These physicians attend coding update classes yearly for their specialty and we review the information together.
I am a CPC and also the Clinic Manager. Unfortunately I do not get to code as much as I would like to because my duties as a Manager take up most of my time. I do have a CPC that codes the 5 providers clinic charges. I code the providers hospital H&Ps and hospital visits. In July of this year we are adding a General Surgeon and 2 more Internal Medicine providers and at least 2 Family Practice providers. We have just purchased Practice Partners software thru McKesson which we will be implymenting in July. We hope to have the EMR in place by Sept. which will code from the provider's notes. We will have the CPC then audit the codes that the software assigns. Personally I feel having 13 providers is way to much for 1 certified coder. I personally will not be able to help much at all with coding. What do you think as far as the number of CPCs we should have? I would really be interested in your thoughts about software coding the visits and how many coders we should have. Thank You P.S. You shouldn't have asked!!!!
I have been coding in physician's offices for over 25 years. I am taking the CPC exam this March. I am the Practice Administrator of this practice and do not expect to always be the primary coder, however, I do feel it is important to have the certification in order to keep the office running efficiently and to be a resource to the other coders.
This is a very small practice. I wear many hats: office manager, coding/billing person, office administrator, jack-of-all-trades. My docs are VERY good about making sure I get the CEUs I need and allowing me the time I feel is necessary for education to maintain my knowledge and credentials. They believe that investing in my education and the education of the rest of the staff is essential to the practice. In that respect they are exemplary and I know how lucky I am to work here.
I have been in this position for 6 months and find the environment in this job comfortable and the organization very supportive of the coding/documentation compliance issues
I enjoy what I do, and am always busy keeping up with insurance/Medicare rules and updates.
I love my job, the flexibility with hours, and the good rapport I have with my doctors and others in my office.
I enjoy it very much and all co-workers and providers are very helpful.
My work environment is awesome. I manage the clinic staff, medical records, transcription, billing, compliance & coding and precert staff and the dept supports and provides the tools for everyone to succeed and provides additional training to expand.
My employer is great. We are continually looking at new ways to do our jobs more efficiently and effectively. Most of our doctors are wonderful and understand our value to them.
I'm a senior coder/keyer for a billing service; we review all chargesheets for accuracy/need for modifiers and link charges to diagnoses; for surgeries we compare the physician-coded surgery chargesheets with the op reports to be sure nothing was missed (chondroplasty in separate compartment at the same time of arthroscopy, fluoroscopy, etc.) The Physicians do the coding, we just double-check and recommend better codes if needed. I post charges from home 3 days a week and match bills, send faxes, answer questions for newer staff members/help billers with their appeals on the other two days. I'm this close >|< to pursuing a consulting or training position. I've been doing this for 17 years with emphasis on Orthopaedics, Critical Care, and OB/GYN. My daughter will be going to school next year; time for a change and a challenge. GO AAPC - you're on the ball!
My work environment is quit complex. I love what I do, but it is the people I work with.
Not all of my physicians code, but we discuss codes & reach a concensus
The company I work for is wonderful and supportive.
I absolutely love my place of employment. I have a great manager and support from my physicians means so much!!
The state of Arizona is very motivated to have certified coders to audit providers and provide them with ways to improve their coding.
I am the CEO. I am a certified coder and biller. I hire CPCs often. They do not always do billing but they always work with codes. I find this invaluable to my company.
Our manager is an experienced certified coder who hires apprentice coders to give them a start. They save money and we get experience. We need to see more of this in our association.
Obtaining and maintaining the CPC credential is extremely important to the daily function of a provider oriented environment and day to day operations in my field. Continuing education is also important and it aids in promoting from within which saves our companies resources.
I work for family practice, pediatrics, urgent care, and occ med doctors. For the most part they code from the CPT codes on the charge sheets but ask us for help for ones not on the sheet. Most of our docs do write out the diagnosis but aren't always as specific as they need to be. They are open to our "fixing" the code for them. Most of my time is spent coding, data entry, researching charts, auditing and making sure all office, hospital, and nursing home charges are turned in and billed to insurance. We do not have a "coding manager" but work under the clinic manager. All coders are credentialed in my clinic, one being an apprentice. Our Central Billing Office deals with the EOBs and payors but we work closely with them to try to make sure the claims are all clean before billed and we make any corrections that need to be done for reimbursement. I like my job!
I work as a compliance auditor. My company is very much into compliance so our providers are trained in coding their encounters in every specialty. We check and audit their work and give support when they have coding and documentation questions/issues.We also do concurrent audits of other projects given to us by our region. I have a very good relationship with my coworkers as well as with our department manager.I am happy to be a part of a well organized department and a wholesome environment.
I have very good support from my doctors and office manager. I enjoy coming to work and totally enjoy my job.
I do coding & auditing in the military enviroment and love it.
Very nice work environment. Management is very helpful with all aspects of my job.
i do only ancilliary coding here at the hospital and my work enviroment is very good
Coding has an impact on all aspects of the billing office. Having a well educated coder is an investment to proper billing and reimbursement as well as keeping an office compliant.
We meet twice a week with the providers to dicuss changes that may be needed. Coders cannot change selections without providers prior authorization. Medicare is a large precentage of our group and the coder are invaluable in deciphering what Medicare wants in order to get payment.
I am an educator and director of a coding program at a career college. I am working with my staff to improve the coding curriculum and knowledge of my team. My goal is to get my entire staff certified.
My providers are given a charge sheet of procedures that are tied to the correct CPT code for the services rendered. E/M visits are listed as initial and follow-up, with the various levels listed. The provider completes his or her charges, and the coder (me) verifies that they have chosen the correct level based on services documented. I do all the ICD-9 coding, the providers just write in their diagnoses. I am lucky in that my supervisor and my providers are confident in my abilites and trust my advice.
Love my work, the department I'm in, and the people I work with.
One of the questions states hourly pay. We get paid by the number of charts that we code not by the hour. I enjoy my work tremendously.
I have a great deal of varitiy to my job and love it. I am considered a valued employee with good compensation and bonues. The physicians are open to my suggestions and value my opinion.
I currently work in the Pathology and Lab department with over 700 people just in our department alone. We all work together, the pathologists are wonderfull and always questioning what is happening and why. I am not a direct coder, but the coders do meet with the head pathologist of the different areas on a regular basis and discuss what ever questions the coders or pathologist have. We do not have the E & M coding issues.
I am a Compliance Auditor for a large health system. I audit outpatient charts to be ensure documentation matches charges, and billing, and review reimbursement. I do not actually code charts, but use my coding credentials to ensure accurate coding of outpatient services. Much of the coding on our outpatient bills comes from the chargemaster, rather than a person actually coding the services, so I also ensure charge descriptions match the chargemaster which should match documentation. I love my job!
I work for a consulting firm and offer my expertise as support. All our clients do their own coding. We do some internal audits, but most clients are not accepting recommendations and educational helps
Our physicians are currently using a new EMR system which helps them better understand the coding compliance as it helps calculate their E/M codes. They have undergone training for this and will be taking additional classes to better understand/confirm their understanding of how the E/M coding works. This has been very helpful for the coders in the office as we do educate the physicians to the best of our ability but this reinforces our encouragements.
I love my job! Working at the medical school provides me with a multitude of learning opportunities.
My physician respects my knowledge and is always open for suggestions.
I am the administrator of the practice and my physicians encourage and support professional coding activities and credential upkeep. They strive to be compliant and do the right thing. There are so many pressures on them from all sides and they expect me and my coding staff to assist/guide them to stay out of harm's way and I believe they have come to appreciate it rather than fight it.
I have always worked for physicians in their offices. I am now working for a small billing company doing coding for 2 doctors. I am not certified by stay current by going to courses and reading, using good coding references, etc.
I work for vascular and general surgeons, over the years I have maximized their reimbursement from insurance carriers, and thus promoted to office manager. My physicians are too well aware, that their reimbursement lies in the coding so they do try and ask questions about how to maximize reimbursement, and try to code to their best ability, but the bottom line falls on my shoulders alone.
I work in the Provider Review Unit of the Program Integrity Division. Being a CPC has enabled me to easily and quickly review the claims histories of recipients to identify aberrant billing patterns. I then select those recipients for review and request medical records from the provider. I feel confident when I establish my overpayments, because I am familiar with the coding guidelines and I can easily substantiate my findings during a hearing. There are 12 people in our Department excluding management. We are assigned cases quarterly. We have a Data Team that assists staff members with obtaining our claims history for the provider being reviewed. This is then given to us in an Excel format and we also establish our overpayments in Excel. Prior to coming to Medicaid, I worked as a coder in the Emergency Room Department of Medical College of Virgina located in Ricmond. I hope this has been helpful.
I am happy with the work I am doing because, it does not only involve coding and auditing but also training of physicians and interacting with them and addressing different coding questions and concerns.
I have worked in this field for over 30 years. I have been with my current physicians for 18 1/2 years. They continually move forward with changes necessary to achieve the greatest amount of reimbursements and do so with all the necessary compliances mandated by the insurance industries and Medicare. I hear a lot of talk at meetings from other coders whose physicians seem to be their biggest road block in correct coding. I feel very fortunate that I do not have that issue to deal with. Educating at the physician level is a difficult task. Their time is so limited as it is with all the required documentation and now with most insurance companies requiring peer to peer discussions for testing, that coding education is not at the top of their priorities.
The practice works as a team
I work for a Hospital. Coming from the professional side has been a challenge but the dr's, fellow coworkers are fantastic. I have learned much!
My providers and management are very supportive. Appreciate my work
I work for an insurance carrier. Compliance with all regulatory authorities is expected at all levels and integrity is job#1. I am very fulfilled and enjoy the challenge of auditing and keeping up to date on the guidelines
I supervise 9 certified coders in an anesthesia practice which covers billing in both North and South Carolina. My staff is very dedicated to do both quality and efficient work. Out employer know how important it is to have top quality coders on its staff and they provide us with what ever we need to keep our cerification.
Work for 5 surgeons - and we have 5 full-time employees. I am the manager, coder, medical assistant, etc. VERY stressful job, but the surgeons believe that nothing could possibly be more difficult than what they do and therefore I don't complain.
We audit and monitor almost all services provided by our physicians. We sit with them face-to-face once each year and more often for individuals who may need reminders about coding and documenatation guidlines. I also put together audit summaries for each provider and the group as a whole, this helps to see where the problem providers lie AND it also shows how much potential lost income we were able to capture(or lose for that matter) for the group by correct coding.
I enjoy working in a facility that supports continued coding education.
I am the coder for the neurological surgery department in a large educational institution. The 11 physicians do brain, spine, interventional and pain management surgeries/services. So, while I only code one for one department, I feel I have extensive expertise. I code approximately 5000 major surgeries a year. There is one A/R person who has recently passed the AAPC test. She does not code. Charge entry is done on premises but there is a central business office which handles the rest of the routine.
I love it!
I primarily do insurance appeals and follow up due to no openings in the coding department. No one ever leaves those 5 positions. I want to use my CPC credentials more.
I enjoy coding in the field that I am in and feel fully supported by my supervisor. There had not been a coder here prior to me coming with my knowledge and experience so the doctors and clinicians have been going thru a learning process with coding and documentation and it has been received very well. I hope that the AAPC will consider a speciality credential in Behaviorial Health.
I changed jobs last year to get away from a noncompliant situation. My current position is wonderful. The physicians and residents all try to understand coding and reimbursement, and are getting better at it all the time. Education has become the most important part of my responsibilities, and I always look forward to an opportunity to provide feedback and education.
My work as a coder can be many different things including gathering correct payer information, training front office staff in billing issues and registration, overseeing our billing department's workload and managing staff, keeping abreast of coding changes and issues and compliance. It's satisfying because part of being a good coder is teaching other staff what they need to know to understand the revenue cyle.
I feel the coders in my organization are valued and have a lot of responsibility.
I am very happy with my work environment and my employers. I enjoy coding and plan to stay in this field. I encourage others to become certified coders.
I feel a lot of my time is spent researching compliance issues since we are a small office we do not have a compliance officer. This makes coding productivity seem slower to the physician yet I feel it is up to me to be safe instead of sorry. I wish it was easier and more payors were required to put policies in writing. I know most people dislike Medicare, I enjoy them since they have policies in black in white. I love coding and would never give it up even the times I get frustrated over the expense of CEU'S, the miles I have to drive to be able to take part in a Chapter meeting or the expense of resources. For what we are paid in comparison to these expenses, I still feel like I haven't worked a day in my life, just been challenged everyday!
I am the only coder in my direct area, we have nurses and patient access specialist.I assist with coding, insurance and denials. We have professional coders in the hospital and I work with the head and cNeck physicians. My skills are utilized with the appropriate documentation and billing for the center.
The time necessary for researching issues and educating myself is taking up a larger portion of my time each year.
My work environment is a user friendly one we are electronic so the billing and coding is so much easier and less time consuming.
Physicians will work with us when they understand how important it is that we have accuracy or need clarification so we stay in compliance.
I feel that all coders should be certified and employers should have to pay to keep CEUs up to date.
Well comfortable environment and questions asked are answered, just would like more education.
It is a great place to work. I plan on retiring here. Wonderful environment.
I have a very positive work environment at the VA Medical center. As a large hospital, there is co-operation between all areas to get the work done correctly and have the best interest of the patients.
I am an LPN. I am a member of AAMAS, and I am in the process of trying to pass CPC exam. I work in the Special Investigative Unit and Accurate Provider Payment Unit. I have been a medical auditor with PHP for 7 years. We do provider profiles, high dollar claims review (all claims over $100,000 are reviewed in our department prior to payment) and research fraud and abuse allegations for our members and providers. Having a CPC certification will add a new measure confidence in my work.
We have meetings as a group at least two to four times a month and discuss operative reports and billing issues. We are multi specialty group, so each coder or biller for the most part only codes their specialty. By meeting this way, we can learn from each other and keep up to date on changes and new codes. This group consist of coders, nurses, managers, supervisors and billers. This lowers the risk of possible denials and coverage when an employee is absent.
I take classes and go beyond my responsibility as a coder. Learn other specialty to have a better understanding regarding billing, coding and compliance issues as well as the proper documentation regarding medical record and patient care.
I am a new coder and am enjoy the work and the work environment
I enjoy my work as a medical coder/auditor/trainer at an army hospital. Providers are eager to learn but some times they do not understand the level of E/M services. But I am working on it. I have execellent co-workers. we always learn from each other. Thank you.
As a coder you are looked upon to do other duties other then coding like credentialing due to being detail oriented. I am also a Manager and strive to get further education for all of my employees. I believe knowing coding is vital even when working accounts and calling insurances. Even more important when knowing when to appeal and how to appeal a denial.
I have a great work environment.
I really enjoy me job and my fellow co-workers make me feel needed and that what I do is very important to the whole organization.
Excellent work environment. We have buy-in from all 5 MDs to do it right and we work extremely well as a team.
The administration highly appreciates the work that our coders do which in turn makes for a great working environment. They listen and support us in all situations that we may question. They also have paid for my CEUs and certification renewal since I only do coding part-time.
Most of the physicians in my office are very good at coding their services. The physicians that are challenged with coding their services are very open to suggestions made by the coders. They all want to be kept informed.
There is a strong commitment to correct coding within our organiztion. All coders are CPCs.
I work for a payer and enjoy it. I try to keep a positive communication between the provider and us. I think it is a necessity, a must to go the extra mile to make sure the insurance companies and providers have the best understanding of each other issues/policies and procedures.
I am the office manager and the certified coder for the office. I also do some of the clinical work. I love where I work and the work that I do.
Having a front desk background allowed me to move into a management position at my current job. I manage two front desk, medical records and I am the only coder for a 7 provider Internal Medicine practice. I believe that coders should have some knowlege in all areas of a practice. When I first got in the medical field I worked the check out desk and posted charges by reading office notes. That is how I became interested in becoming a certified coder. Coding is my passion and I fill that coders should be involved in every area of a practice.
Working for a program safeguard contractor I am tasked by Medicare to look for fraud, waste and abuse in the Medicare system. My company understands the importance of having certified coders to review the claims and documentation submitted to verify that all was billed correctly. All of the staff who do the reviews are also nurses. I think this is also a big benefit to anyone coding. Understanding the procedures, medications, reactions, anatomy, etc I think is crucial to coding a service correctly. I think more coders should have a medical or clinical background.
My bosses are supportive.
I love my company and I wouldn't want to work anywhere else!
It is a requirement of my company that all coders are certified, or are within a short time frame of being certified. In the last scenario the coder would need to bring at least 3 years of exprience with them and have exceptional knowledge of the billing and coding process.
LOVE IT!!!!!
I work with a General Surgeon - 1 physician office- both the office manager and I am a CPC and our Doc is great about education and staying educated himself. He sends us for currant trainings about every 12-18 mo and agrees to let us off early to travel for chapter meeting 1-2 times amonth. We have great office support, and work together great as a team.
As the senior coder and billing manager, I try to make things the simpliest for the doctors to code their charges by creating a superbill that is detailed with codes, modifiers, and coding hints. I see that all staff including doctors are aware of changes. We discuss compliance issues and work to get any shortcomings corrected as quickly as possible. My doctors are supportive and depend on me to keep them informed. They are always willing to sit down and help me find the right codes when they have performed a difficult or unusual procedure. I have the respect of my doctors and staff and I respect them and we have a wonderful working relationship. I have a very supportive administrator who encourages and backs me with all aspects of coding and billing compliance situations.
I work in a good work environment. Our coders and local coders network and have a good relationship. My employer is very active and supportive of the coding department. We play an active role in the billing process. Being a certificed coder is very important. Remaining update and current is also very important in the reimbursement process.
My employer is very open to suggestions and new ideas to capture lost revenue. They are also great at providing the proper tools to perform the job.
I work for a great practice that believes that the more education we get the better we can serve our doctors.
I provider chart auditing as well as coding review and correction of the services the Providers provide to their patients. I am solely responsible for correcting coding issues. I provide staff/provider training in all areas of Documentation, Coding and Billing services, they do not always adhere to my suggestions which makes my job even more difficult. I am responsible for multi-specialty providers which include, OB/GYN, Pediatrics, Neurology, Psychiatry, Family Practice, Nurse Practitioners, Midwifes, Internal Medicine and Infectious Disease Providers. I have a wide range of experience over the last ten years of coding but find that providers still want to do things their way when I try to encourage them regarding accurate ICD coding as well as accurate CPT/HCPCS and documentation requirements. I have a very difficult job.
I work for a billing/administrative service for a multi-specialty practice of 1500++ providers. We are not subcontracted though, but are directly employed by the practice plan for coding, reimbursement, practitioner credentialling w/payors. We are, ourselves, a group of approximately 175 front-end coders, back-end reviewers, insurance followup, Compliance, Payor Contracting, etc. folk.
I work for a group of nurse anesthetists, coding for them is wonderful, they mostly do gastroenterology procedures. I also work on denials and communicate with insurance companies regarding these issues. I love being a coder, its a whole new experience.
I enjoy the work I do. i am in the right job in the right place.
My work environment is great! I work with very knowledgeable people. The work is very satisfying & I really use my coding credential & coding experience & professional knowledge in my job every day.
Coding is a good job
In our division we have physicians who are very aware of correct coding, and a few that are not. We tend to monitor more closely the ones who are shakey in their application of codes, but we do monitor all of the providers and bring any errors found to the attention of those who make them. This keeps correct coding in front of them at all times. They actually appreciate the education for the most part and they know we are only trying to protect them in an audit situation.
I work with 20+ medics that all do the EMS reports I must code from, proper documentation is an issue here for some. I have a great work environment here, no complaints. I work for a city so upper management is clueless as to what it takes to code claims and get them paid.
I work in a nice environment. The physicians for the most part are very open to our help and are more than willing to participate in education where their documentation is weak.
Some of these duties are not performed in the Compliance Department. The answers here are absolute, whereas in real life the answers may reflect differently. So when I say that our providers are coding and are accurate, most of them are accurate, some are not. Mostly their E/M codes need help more than their surgery or minor procedures. We have a smaller percentage of providers who do not get it. Mostly, everyone gets lots of education and know and are aware of what they are doing. Thanks for allowing me to participate in your survey.
I am in the physician education and audit dept. which is responsible for the yearly auditing of the 42 physicians in our practice. I previously worked in the coding dept. withing the billing dept. coding office visits, stress tests, echos, and procedures. I prefer the physician education & audit dept. to billing as there is less stress. Coding/billing has production numbers to achieve. The physicians are really receptive to our audit system. They like to know how to improve their personal production especially if they are consistently undercoding visits.
I love my job and the people i work with!
As an auditor I feel that this is a very important position to teach the providers in coding and the need for accurate documentation. The provider can have a program that will code for them, but the documentation must met the codes choosen. I feel that each employer should pay for the education for CEUs. I feel that we should have a union for coders.
Just about every day I may receive an email about how well I am doing from others in my organization. Many departments count on me to help them with any coding issues. If I don't know, I know how to find the answer. :) I do have complaints too but that is when I deny something. haha My boss is very supportive in my professional life as a coder for the company.
Our team coding staff is friendly and helps out each other. We work with our physician to understand compliance. We have the necessary tools for research of codes and diagnoses.
Rewarding environment though stressful at times. Very positive physician/coder relationship.
I am very happy with my work envirnoment. I work for 3 doctors and when I take coding changes and documentation issues to them they are open to working together to make the most compliant choices. Along with my own out of pocket expenses, the doctors also send me to coding seminars to keep up to date.
I enjoy my work environment very much. My employer is extremely supportive of the work I do.
I work for a large health care facility but I am the only coder in Neurosurgery and have an office right in the Neurosurgery department. My job is coding, entry and follow up once the claims are paid. I go thru the accounts severaltimes per year to see if payments were correct. I LOVE my job!!!
I work in a 1 Dr office in very pleasant suroundings. Both the DR and the office manager have been interested and most receptive to any issue that arises, whether it is in the office or a discussion brought up from the new "Coding Edge". We have reviewed billing/coding, documentation & compliance all with positive results.
I love my job and enjoy the coders I work with. It's nice to be able to ask questions and not be expected to know it all.
I am very fortunate to work for 4 wonderful Physicians who show me the respect they have for me daily!!!!!!
The work I do is enjoyable. The upsetting part is having management not know what is going on wanting changes without education.
I love my job, wouldn't trade it for the world! I work in a small billing office with the corporate benefits. My manager is great to work with. I work very well with the physicians. I am coding for several different specialties: neonatology and orthopedics and soon to be coding for oncology and neurology. I feel very fortunate to learn and use my coding training and experience for several different areas in the medical field
My superiors support my education and the importance of having credentials. They have have given me the tools I need to do my job. I have only been a CPC for 2 months but I can see the importance of having the credentials and how it helped me in just a short time.
I have an excellent work environment. I work for an anesthesia office which was being run by the physicians themselves. Last spring, they turned it over to a billing & collecting company that specializes in billing & collecting for anesthesia offices. I am the only coder. I was hired between taking the test & finding out that I did not pass. I have to retake it to get my certification. Having a certified coder is a high priority. My team leader & manager both are exerienced anesthesia coders, but with no certification. Coding is just one of their tasks along with charge entry, or the billing part. The billing company has really streamlined a lot of things, taught the doctors a lot of rules, regulations & important things they need to be documenting for us so we can collect as much as possible. Also, so we can stay in compliance. Things are steadily going up & up.
This is my second coding position, Where I am at now, they want all coding done quickly, and all claims sent as as soon as possible, so the end result from all this is a lot of mistakes. But overall the job is very rewarding. Thanks AAPC !!
My work enviroment is very pleasant. My employer is very supportive in many aspects.
Excellent work environment. Large billing company for radiologist, pathologist. We are encouraged to attend coding seminars (at company's expense). Very pleased with my employer and my salary.
I enjoy my work as a coder in our cardiology specialty office, our physicians are great as far as learning from us as coders. They do a wonderful job for the most part and are very willing to make change's if necessary. We have 2 certified coders and one not certified.
I work with the EHR and I need to review everything that the providers enter. The EHR is fairly new to us and it is taking time for everyone involved to be on the "same page". Some providers consistently down-code while another up-codes. So, I have to audit and notify the providers to choose the correct e&m codes etc. We're learning and teaching each other too.
I have a great work environment and have been able to flex my time to attend college to further my education. As with any job position there are always challenges that arise and as a coder sometimes it is rather difficult to get a point across to the provider. Providers who have been practicing for many years are reluctant to accept coding rules and guidelines. Coding has many gray areas and this can make the job of a coder very challenging.
My physicians are very supportive of certified coders and I feel understand their worth in the practice. They do however have some issues with accepting direction on documentation guidelines and coding limitations.
Communication between physicians and coders is the best why to maximize reimbursements and fullfill compliance issues.
I love my job.
I have been coding now for 8 yrs and the place I do coding for is the best. Physicians are cooperative and perceptive to your ideas regarding improvements in thier documentations and other aspects to running a smooth and compliant practice. I was about ready to quit believing there was not a place in the medical field with management and physicians alike not willing to listen to the ideas of a professional coder.
I work for a specialty surgical practice that at one time had 6 surgeons, 4 physicians assistants, had 2 offices and provided services at 4 hospitals. We have downsized over the years and now we have 2 surgeons and an ARNP. I am just as busy now (coding, billing, credentialling-etc.) with these providers as I used to be for all of the others due to the paperwork necessities-PQRI-literally educating insurors on add on codes and modiifer exempt codes that they continually cut reimbursement for. It is a challenge sometimes but well worth it when the proper payment arrives.
I work full time for two wonderful physicians that understand the many changes from year to year and they are always willing to listen when changes effect them, I also work part-time for a physician doing only coding, and he is always willing to listen to my opinion re. his coding...
My workplace is an awesome place for a coder to learn and grow.
We have a pleasant work environment. we are located in an administrative office which is not within the clinics. We have an electronic superbill which we review and approve for submission to payors. Any issues or questions are directly address to the individual provider. I also train and audit our providers and am able work directly with them on coding issues. Most of them are open to my comments.
The physicians I work for are very receptive to suggestions or changes I make and are respectful of my knowledge. They are some non-compliance issues here which I am researching and bringing to the attention of the office management. I have only been here 7 months so I am proceeding with care, and making sure my information is correct before I address any issues.
I am fortunate to have physicians who appreciate the work that I do. I enjoy coding very much. I don't, however, enjoy "battling" with insurance carriers.
This is a speciality office with one physician and one employee (me) I have my CPC and do everything from reception to coding/billing. I am very fortunate to have an open-minded employer. Any coding changes I feel need to be made we always discuss. When dealing with operative notes this is a hugh learning experience for me. I studied for my CPC because I wanted to learn more and be more confidant in my position (I had no medical office experience, but did work at hospitals and for a HMO) The experience, opportunities and confidence I have gained since becoming a CPC and associating with the AAPC have been priceless!
As a certified coder I work providing information on how to code and bill for services so as to maintain compliance with regulation. All of our 100+ providers select their own CPT/HCPCS codes the majority do not select their ICD-9 codes. We have found that accuracy in diagnosis codes is higher and reimbursement prompter when the physicians select the diagnosis codes.
I love my job.
My Physicians and PA are usually accepting of any input regarding coding issues that I may have. If there is any disagreement, we will usually work things out using the current coding books and medical dictionaries available to the practice.
I absolutley love what I do. I taught myself to code at my previous employer and have since had formal training. I love the challenges that I face every day. There is always something new!
Because I work in a small practice, I have responsibilities beyond being a certified coder. This makes my job more challenging and less monotonous. I like working in a small office.
Some providers are more interested/ adept at coding than others. I am really looking forward to electronic medical records. This will aid me trememdously in keeping everyone's knowledge current and the provider getting direct feedback when more info is needed at the point of care. Thank you.
I enjoy the work I do!
My job description is to review and code CPT & ICD-9 for medical necessity following the Medicare Guidelines for all government entities. The second part of my job description is to review claims previously denied, make nay necessary corrections and return to the A/R department who follows through with appeals to the carrier. I have a very large volume of charts that come in uncoded from the providers, which require 100% coding. In the event that the chart is incomplete my job duty also requires that I contact the hospital(s) and request the missing medical documents. At times, I have to stop coding and turn over to the billing aspect of the process withing the central billing office. At this point I become the coder/charge entry person, this happens a few days a month, but not on a consecutive basis, it is only PRN. I am the senior coder and I help out my fellow coders when they are having a hard time with a coding scenario. I am always available for the coders and give detailed information to help them learn more about our coding specialty.
Our practice began using the electronic medical record almost 4 years ago. It has enhanced our provider's accuracy of CPT and ICD-9 codes and speeds up the entire billing process. Even with the EMR we still review all claims for accuracy before submitting them to insurance but the process is much faster now.
I love being a coder!
My position of Office Manager/Coder Biller is very exciting and fast paced.The specialty coding has been by profession for about 8 years now. Prior to GI coding I did Cardiovascular. Great job to have
I work in the Central office for a large, multi-specialty group. We have centralized coding, where in all of the groups send the charts to the CO where the coding team and resources are located. We have a claims resolution team that receives denials and sorts them. The coders only receive denials that pertain to coding issues. That helps extremely with being able to do more coding and less claims resolutions. We have a Medicare and Medicaid specialist on the resolution team. That is extemely helpful. The dept's at the CO all interact and share info, so as to reduce the denials. We have an extremely low AR days and the company values us as a dept. It's nice to feel your worth as a dept and coder within a company.
I typically love my job. I am the only certified coder on site doing 98% of the coding as well as handling coding denials.
I would like to see more opportunities for reviews and changes in a more casual setting, so that you feel comfortable asking questions face to face for education. It is more efficient learning environment.
I am the only coder in a small insurance company. I believe I am a valued employee because I am a CPC. I just wish I knew of more resources that would help me in my very specialized arena. Our company does ONLY workers compensation insurance.
I work the insurance low pays and appeal the incorrectly paid claims and review to make sure they were billed/coded correctly. I LOVE my job!!!!
Because of the tremendous volume of visits, each encounter is reviewed quickly, with a trained eye for any physician errors (missing mod 25, appropriate dx for type of visit, medication quantities, etc) All surgical and procedural coding (ASC) is done by a coder. Although each coder is knowledgeable and shares coding information with the providers, finding time to meet with them is their greatest challenge.
It seems that we have very little time to educate the physicians. Sometimes when we do educate the physicians they do not make any changes or they change for awhile and then go back to the way they used to do things. Each coder does not have much interaction with the physicians. Mainly we have a coding educator and a coding manager who meet with the physician but they don't have a lot of times themselves to meet with all the physicians.
I have received my CPC certification--I am looking for a career change so I can better utilize my training and knowledge. I enjoy coding.
My work is divided between physician billing and hospital billing. I code and do charge entry and follow up on the A/R. I am part of the internal audit committee. I also credential the physician groups employed by the hospital.
I work as a compliance auditor for a large academic medical center. We perform audits on over 1100 billing providers (MD, NP, PhD, PA, etc.) annually. We also educate physicians and staff on coding and government compliance. Our office reports to the administration of the medical center so we are essentially independent from the physician practice groups. We are given the opportunity for continuing education and are encouraged to seek it. We have support from "champions" in each of the department of medicine specialty groups and work together towards reducing risk. The providers are responsible for coding their own services on the outpatient side. Coders are responsible for the inpatient side. Our office also performs "coder audits" on the inpatient coders.
I consider myself very fortunate in that my five physicians understand the importance of and comply with coding guidelines. They listen when I bring changes to their attention. I am the only coder and have an assistant who posts for me. Between us, we handle putting in all charges. We have a billing person who posts payments and I handle all appeals. All in all--it works.
I have an excellent work environment and I enjoy the variety of coding tasks that I have been afforded to learn and take upon.
Our doctors do their best in choosing the codes for their work. Our coders audit their code(s) and change them as needed, and make sure all codes are present to bill. We have a great working relationship between our office staff and our physicians--communication is key.
I am the only certified coder in my home health agency. I ask the therapists/nurses to get documentation from physicians to help with documentation for coding. I love what I do!
I love E/M auditing!! I did an audit last year for two cardiothoracic surgeons, you would not believe all the mistakes I found on thier E/M coding. I had a 85% error rate. How can you explain to a physician the proper coding technique when it comes to E/M???
My company is very supportive with obtaining education and keeping up with all the changes.
I code just for our endoscopy procedures. Each charge ticket that the physician turns in filled out or not I review against the dictated procedure report and if any pathology results. There is an understanding in the office that the coder reconsiles all charges and reviews everything before going out the door. There is a great relationship between the physicians and the coder attributing to ongoing education between both parties.
I am in the Corporate Compliance Dept, so I do not have direct knowledge on most of these questions. My audits do not alway include the coding aspect, however without coding experience, I would not be able to perform my duties.
I love my job and all of my providers are the best!
I often comment that I do not have adequate time to review reading materials, verify CCI edits, etc. We are now in the process of training someone studying to become CPC certified in our charge entry process. This should alleviate this problem but it has been such a long standing problem that I worry I may have missed vital information critical to the practice.
I am a coding supervisor in a university based surgery practice we do 90% of the surgery coding We work very hard to code correctly.
I love this career, it is always challenging because things are always changing. The office management makes my job very enjoyable by being flexible. I work for a group of 20 radiologists and unfortunately there is not enough communication between the coders and physicians because they read at 11 different hospitals along with 5 free-standing centers and have various other contracts.
I work for an IPA. Coding is essential since my unit reviews and updates authorizations based on codes and medical necessity. A large portion of my job is reviewing appeals for potential payment of denied claims. Coding is important in this area because we utilize CPT to determine coding accuracy. We also have physicians that we utilize should we need a higher level of expertize in regard to medical necessity, or in the event that a denial is upheld. Our physicians are well versed on coding though none are certified. Thank you.
The Physicians and CEO in my office are very supportive of the Coding/Compliance Department.
My employer is supportive and cooperative with my job responsibilities. I find the insurance industry very aggravating, wasteful, incompetent, and inconsistent with CPT guidelines. Too much time is spent on the "game" of reimbursement with insurance companies. This effects the positive health care patients should be receiving from their providers. I have 41 years experience in physican reimbursement and it isn't getting any better....
My Doctor has had coding thru his residency, continuing education and by discussion with other professionals in his field. He listens to me when I feel there is an issue. I feel he trusts my judgment but I do discuss any changes with him and am prepared to defend the need to change. I also supply him with information when it is presented to me by mail, email or conference etc. There is another person non-coding to do a lot of the calls and I do the follow up when and where it is required.I keep her informed as well and she goes to some functions with me.
I work for a large anesthesia group. I have been with this company for almost 19 years. I am the billing manager and also deal with coding every day. I audit the around 100 accounts on a quarterly basis to see if on a whole we are doing the best we can in every aspect. I feel some of the time we should review more closely the daily work being sent out due to the denials we are receiving but everyone does not feel the same way about their jobs as I do mine. I could not ask for a better work environment. I have my own office and am supplied with everything I need.
I've been blessed to work with very supportive providers and management. Most errors are misunderstandings of the rules or process and allow corrections to be made and feedback given. As our practice has expanded duties have been shifted for "small portions" and to specific providers. By doing so each coder/charge entry staff becomes skilled with the provider they are working with. Chart audit results are given to these same staff to be in tuned to problem areas.
enjoy it more ever day
I am strictly a E/M coder. In my group, there are smaller "departments" where some coders do cardio, some do neuro, etc. I like what I do and I'm learning every day.
I perform chart reviews for 100+ Providers, and I am the only certified coder for our group. I have the full support from my boss, the Medical Director, as well as the support from the majority of the Providers. I provide feedback on their audits and also educate them in any areas of concern. They are always very receptive and actually will email with questions, or ask me to review notes and give my opinion for a level of service. I love my job!
You must keep up with the rules and changes in the industry - it's a must to be an effective coder. Also, never, never, use old books.
I started working for an OBGYN office the latter part of October. Since then we have very few denials and AR is cut in half. I think that doctor's offices should have a expereinced coder or someone whom have completed a thorough medical coding program.
Very much enjoy my job. At my place of employment we only code. There is no billing or claims work for the coders. We each code out-patient, in-patient, and surgeries equally divided among us.
I love my job as a Medicare risk auditer. I have all the resources I need on hand and peers to communicate with when ever questions crop up. My physicians (14) come and ask me questions all the time. They are receptive to my answers and learn quickly.
I immensely enjoy the work for which I am responsible. I wish the MDs would be more accepting of the documentation requirements instead of trying to get away with minimal documentation. It's an ongoing struggle but also ensures my job security.
I work in a small office specializing in the treatment of sleep disordered breathing but getting ready to expand in this coming year. I look forward to the challenge of learning more about the business. My coding knowledge has gotten items paid for that had been denied by Medicare, which made me happy to see an important consequence of my education.
Employer/CEO is very supportive of coding/billing staff and efforts toward compliance. Physicians (50 of them,) are very hard to educate and change.
I love my job!!!!!!!!!!!!!!! It's great to be a coder!
I work as a consultant and do all of the areas of the business office from appeals to audits and billing, coding.
I have done on-line job searches, resume mailings, door-to-door job searching, contacted National Office who contacted potential employers regarding the X-tern project.  Result, no experience - no job in CPC related field.  Would appreciate any followup advice.
I do not do any coding in this position. I can not find anyone to give me a chance. EVERYONE WANTS EXPERIENCE! UGH
I wouldn't know since no one is willing to hire a new coder because they ALL want someone with experience.  How do you get experience if no one will hire you?  I feel like I wasted a lot of time and money on a career that I can't even move forward on.  If anyone knows of a program that will allow me to gain experience and not lose my home in the process, I'm listening!
Currently, I am in the billing end, entering payments and watching, correcting denials. I hope to move over to the coding spot as soon as I am certified.
Been certified for three years and people are afraid to hire me.
It is very difficult to get a position in a office or a chance at residency or internship in order to gain practice. Many offices want coders with years of experience and will not even give someone looking to get started a chance.
After school and with a lot with great ideas and experience, still havent found job.
I work as office manager for a dental practice.  I would love to get into medical, however, I haven't had an opportunity yet.
I am not in a day-to-day coding position.  My CPC benefits me in an information systems position, so most of the questions I did not feel apply to me.
The work that I do has nothing to do with coding. I analyze long-term care facilities for Medicaid overpayments. I am keeping my CPC at least until my school loan is paid off. It is a shame that I had to settle for something because there are no coding positions available for a newbie. Everyone wants someone who can jump right in to do the job, and even those rare jobs are promote from within types. So sadly, I have lost a lot of my edge-and I was a 4.0 student specializing in coding and health claims.
I am secretary that has a CPC certification and I do not currently work as a CPC but I still keep my certification not able to find a job within the facility.
I have not found employement as a coder and I have tried. It's been very hard to get a job even though I stress I am certified. The school I attended to learn coding shut down and they want experianced coders but are unwilling around here to give that. I think if I had what I made on ceritification test, it would help. I also feel the doctors are trying to do more with less coders. I have heard complaints of this, of how swamped coders are, but no one is hiring. Just getting a toe in the door is so very, very hard!
My  employer still doesn't ackonwledge the certification due to no experience with coding, I have coded for a few hours to get some experience, however since I'm needed in other A/R dept I get pulled off from what my goals are.  Not everything is explained to me but, I do know that the physicians are educated when necessary. I studied hard to pass my CPC exam thinking that it would open the doors to even more of a more challenging position and I keep getting denied becuase I have no experience and my thought is that we aren't born with this gift in coding, but that someone has to give the chance and give the opportunity for advancement, in my workplace this isn't so.
I love my previous job as a coder.  My previous job as a surgical coder in an orthopaedic practice was extremely rewarding.  Unfortunately, they decided to outsource the coding and billing department.  I now work in a billing office and I am the only coder.  The majority of my job is posting incoming checks from the insurance companies.  I answer numerous questions from the staff relating to coding issues.  I also do individual auditing for physician practices when physicians want the service.
Currently our practice is merging with a practice in which the physicians do their own coding.  I have a feeling that everything is about to change. When a business is looking at the bottom line, that becomes the focus and employees become a liability...
I am not working.
I have taken my Certification Exam last March 31st, passed it and currently hold CPC-A. Having previously worked as a LPN over 17 years, I felt I would not have any trouble finding work as a professional coder. I have over 20 CEUs in coding and am continuing to go to workshops and aquire CEUs.  I still have not found a coder position.  Every time I apply they are looking for someone with 5 years or more of experience in coding. Would love to do a Extern Program, but need to work full time for the income and insurance. Still looking for a position in coding, currently working as a LPN for the income/insurance coverage, but want to put my coding knowledge to use and work as a CODER!! 
I am in the process of completing my CPC certification and plan to work in a coding department.  Our hospital will not hire without coding certification in the coding department. I love my job at present, I would definitely love to be a coder since i enjoy working with numbers.
Currently I do not practice coding but would like to find employment doing coding. I am in the process of taking a coding class to become a CCP. I have approximately 40 years of nursing experience with occasional coding experience in several areas of nursing expertise. Would love an opportunity to learn as I go part time coding position.
I don't work with coding at this time, I hope to in the future, I just took the course to prepare for the exam and took the exam on Nov 5, 2007 and passed it.  I had just been hired bya payer and hope to work with coding at some point in the future.
More opportunities are needed for new certified coders entering the field. Many of us take jobs in claims processing which provides little practice keeping up the coding skills we spent time and money to acquire.
All I can say is when i took this coding course my goal is to be employed as acoder. Sad to say, they want 2-3 yrs experience. My experience at that time i finnished my class was 1.5 hands on and 1 yr from taking the class. Its the biggest mistake I took in terms of educational advancement. Now, I tell my friends not to take CPC but instead study for CCS.
Right now I am abstracting files for an outsource company.  I have not had a coding job since I graduated and passed my certification test.
 I have mailed 125+ resume' since I passed the CPC exam on 11/17/07 with 5 or less replies. I will point out I do not have a medical background, however some of the others in the same exam setting said they had tried to pass it 2-3 times, and some had been in the medical field for 5-10 years.    All employers will take a H/S diploma, or a GED, but won't even interview you if you don't have 1-3 years experience. I have a Assoc. Degree in Bus. Management.    Sorry for the sour grapes, but somewhere there has to be room for new coders to get their foot in the door.  I checked out the Project Xtern, but the locations are limited and none are near my residence.    For what it's worth thanks for giving me a place to air my comments.    Even in light of this I will not give up!! 
I am interested in coding professional and traning in the coding field.  I have completed in coding on Sept 07.  I just need to retake the board exam.  However,  I am looking for a coding trainee postion that I will be able to learn and work to gain my experiences in the field. I would like to be a coder expert in the future.  
I was told when I was looking for a career change that coding was a great field with advancement and pay.  I have yet to find that job in our community.
I cant find a company to start me in the billing/coding area. I have no experience, so I get stuck in the front office. Right now they do allow me to do e/m auditing in my spare time. I get no extra $.  Very Frustrated over this.
I am a housewife. Many times I have had to call insurance company to tell them to correct the codining so that my doctor can be paid. No experience but would like to learn.
I wish that the opportunities were greater for billing and coding for experienced people.  There are NOT a lot of jobs or careers out there for people especially ones that went to school and became nationally certified and are looking for their 1st job in the field.  No one wants someone that does not have any experience.
At this time I am trying to pass the exam to become certified. But the exam is very hard to pass for most coders, due to the short length of time given. Perhaps at least one additional hour from the original time? Most employers only hire certified coders. I should have gone to a different career. 
Unable to find work in this field.  Just wanted to pass it along so you can add this info to your survey.    Thank you
Work for 10 doc practice which is not really concerned about having a certified coder. I was credentialed through home study because I had the experience and background to do so. It has not been monitarily advantageous for me to be certified at this practice, but has helped me gain valuable knowledge and self confidence in my work.
Since I am not yet Certified. I have not been able to get a job!
In my current job I do not do coding,  I do medical billing & follow-up,but in the near future I plan to transition into a coding job either with my current employer or an outside employer as I took the coding class & passed the test to become a coder.
I am really regretting all the time, effort and money I spent to learn to be a coder.  I  cannot find work because I don't have enough experience........Is AAPC a scam?
As stated before...I'm certifed but can't get hired as a coder.  I am working a call center job selling novelty toys.  The work I do has nothing to do with medical anything.  The closest it gets is allergy warnings on candy.  I would love to get a job as a coder and have been applying as I see them.
I think in my case I have more than I can handle.  I would also like to add that most of the jobs in Nashville DO NOT pay very good at all.  I was told when starting classes that the starting pay for a coder was $13 and up.  I haven't found any that want to pay well.  And it is very hard to find a coding job because nobody wants to hire somebody that doesn't have YEARS of experience and that includes someone that was an officer of the local chapter.
I was hired as a Medical Secretary in November 2007 since I was unable to find work as a Certified Medical Coder & Biller because of my lack of experience;  all job openings wanted 1 to 5 years of experience!!!    I responded to an ad for Medical Secretary so that I could "get my foot in the door" and did not reveal that I achieved my Certification in Medical Coding & Billing because I was afraid that I would not be hired due to overqualification.  I am now doing billing and coding.
I have found that it is very hard to find a coding job without the experience. I am currently working with the coders gathering the information that is needed for them to code the charts. I am still looking for a coding job and it has been over 9 months that I have been looking. Have had interviews but no offers because of the lack of experience.
I would like to find a coding job, but no one will hire me without experience. No one will give me experience.  I spent my money on my education and have spent months paying it off, and I am still stuck in my dead end job. The  teachers said we wouldn' thave any problems getting a job and that was not the truth. I am very disappointed.
I currently have yet to find a coding position any input regarding this would be helpful.
I am a recent graduate of the CPC testing, and I rarely utilize coding in my postion (the MDs code thier own claims, we just bill them) except in the capacity of appeals and aging balances.  I am having difficulty in finding assistance from the AAPC when I need advice on proper usage of codes.  This has me somewhat discouraged.
Right now I'm not working in a job that I'm using my coding. I'm not sure if I'm going to keep my credentialing up to date. I don't have the experience to get a job coding with the company I work for.
I have just recently become certified as of Dec 2007 therefore I do not know if my employer is planning on paying for my CEUs. I love my work enviroment and my job. I finally have found my niche!
I think that if employers would offer a coding internship for students graduating form school, and paying them then opportunity would greatly increase for new people without experience.  Every job I looked at wants experience, and now I am doing a medical claims examiner job and would much rather be coding.
I have not been able to obtain a coding position in the last year and a half that I have been accredited.
As I said before, I haven't yet found work.  I used my own money this past year to learn and take the national certification test.  I really want to this type of work.  Until I find work, I guess I will continue spending my own funds (my savings) to keep up membership and CEU requirements.  Possibly I will work in temporary jobs if I can find them.
I have been credentialed since 5/6 but I haven't as yet secured a coding position. Last year I worked in a 12 physician practice posting charges and floating the office as receptionist. Now I do some billing at home, nothing particularly challenging far as coding goes. Prefer to do more coding.
I have just finished last year and am still seeking employment, but all I get told is " must need experience". How can I get experience if no one hires? I feel like I went to school for nothing. I am willing to even work in another department for more learning. I don't want to forget what I learned, but I am afraid that will happen.
I am not employed as a coder yet. I can't seen to get anyone to hire me without a certification. I have no other experience except a degree in accounting.
I would love to have a position\, but have not been able to find one yet.  I am a hard worker with a score of 89 as a medical insurance clerk.  I will make someone a very good coder!
I have not taken my CPC test yet.    So I still will be working at Major Hospital on Med-Surg ICU floor.    After test I will begin looking for a postion in the Medical Coding  field.
I am not presently working as a coder, but am still certified and will probably return to coding. I answered the questions based on my previous employer.
I work in a small Medical Billing Company, where the 2 owners are certified. I am studying, to obtain my CPC, but what I hold at the present time is a Diploma from a Technical College, as Medical Billing Specialist, but not any state certification.  I would welcome any information regarding any workshops to prepare for the CPC test, but my employer will not pay for that. I will finance my own certification. Thanks for your help.
I am still looking for work in this field.  No office or hospital is willing to hire someone without 2-3 years experience.  I can not getting any experience without a job.
Currently unemployed. Attending school and seeking CPC-H certification. 
I'm currently a full-time student in online education. I live in  Maine. I filled out the survey, even though it didn't apply to my current employment status. I would like some information on Project XTern. I have tried to access the information through AAPC, however the Website continues to have problems and can't receive the information. Any information that you can direct me too, would be greatly appreciated.
I am a data entry worker. I would like to do more in the line of coding. It does help me with my job. I can spot errors in compliance and coding easier because of my formal training. 
I am leaving the coding field because I've found it to be a dead end.
Right now I am unemployed looking for employment in Billing and or Coding. I have been unemployed since 12/31 going of several interviews without any knowledge of interview status.  I praying someone will call me any day and time.      Thank You....
I am pleased with the direction the AAPC is going. I was unable to find work as an inexperienced coder with a larger agencies and am leary of presenting myself as a CPC despite my CEUs, as the narrow focus of my practice gives me minimal coding opportunties. However, the certification did get me an interview and a job offer in preference to more experienced billers. Perhaps things will change in the future if I seek employment in the for-profit sector.
 I have sent out so many resumes, but everyone  keeps saying they want EXPERIENCE. How can you get experience if no one will give you the chance to get it!!!!!!!!!
No one is hiring without experience.  I know this is not your problem, but advertising for this job is very leading as no one is hiring in my area for apprentice coders. I know this is a growing field, but it is very frustrating in my area.  Wilkes-Barre Scranton area of PA.  I will continue to try and find a job, but I have been out of school now for almost a year.  I will be paying for dual certifications continuing ed out of my own pocket.
It is most disapointing to have spent 6 intensive months in a medical coding class, felt exhilerated, passed and was given my diploma, have not sat for the Certification Exam yet,  I feel caught in the middle since All Jobs Offered Ask for no less then  2 to 3 years experiance.    The medical coders are very territorial, do not want to  take the time to train, any prospective new medical coder.  I have consistantly attended the Chapter Meetings, and I have come to the conclusions that 85% of the now certified coders have been at their job for 10, 15, over 20 years and have only in the last 2 years have taken the exam to become certified.  How did they get a job, and acquire all this experiance.???  Thank-you    I beleive they were given a chance to learn, get experiance, and yet they do not want or wish to do the same for the new medical coders.    I am at a crossroad of do I invest more time and money, knowing this wall of  Do Not Apply Without Experience.    Thank-you
I am currently looking for another job.  this place did not get me a chance to use my skills.  Hopefully my next position as a coder will be better than this!
I have had my CPC since 12/05.  I am in a job where I process disability claim forms.  This job does not have any coding requirements - anyone can be hired with just medical terminology.  I have tried to advance to a coding position but there are none offered in the geographical area.  My employer does not seem to understand how much money they loose by not having certified coders.  Since I am paid as much as a chart-room clerk I think my employer does not require credentials because they do not want to pay the salary for these positions.
I have always worked in the "payer" environment.  I would like to know how I can  gain experience for the office/practice environment.  Sure I passed the test  for CPC, but I really do not know how or what to do from the beginning end of a  claim as far as coding it.  Currently, I am the only certified coder with this  employer.  The provider offices are hungry for certified coders in this area, but they do not want to pay very well and they only want experienced coders.
I am very disappointed in the medical field.  I graduated in May, 2007 as a Certified Medical Coder and have not been able to find employment with that knowledge.  I was told at ATA Career College in Louisville, KY that I would gain employment as a Medical Coder.  I have put in several and I mean several applications for a Medical Coding Position but only to be told that I do not have any experience...you have to have 2 years of experience before anyone will even hire you.  If I had known that I would have pursued other interest.  How do you get experience if no one will hire you?  I even have applied for work in a medical office just to get experience but still no luck.
My current position doesn't actually give me the opportunity to use my coding skills. I wish it did.
The last office I worked in hired me because I was a certified coder, but would only let me work as a front desk clerk. I have a private billing company that is new and quit to do that as I was not valued as a coder. I have five years experience and have helped set up two new businesses. I know what I'm doing. 
Unfotunately, I still do not have a job in the coding field.  All the job opportunities in my community are listed as "experienced only", and the ones that are advertised for general "front desk/receptionist" in a medical office have 100 - 200 applicants.  I have also listed my resume on the AAPC website and have had only one response, but no interview. There are also no "Project X-tern" listings nearby.   I am getting a little despondent about the situation and will continue applying for a little while more.  If you have any suggestions, I would appreciate them.  Thank you.
I have been unable to obtain a job using my coding with which I am able to support myself (ie, pays enough). 
Still seeking employment in the field
I believe that my company does not understand the ethics behind coding. I believe it is so important to have coders understand there responsibility regarding ethics. I've told my doctors if we do it correctly we will inevitably correct what's wrong. Being a CPC is a reward to me and I love what I do and am greatful to have AAPC as a support of what I stand for.
Our doctors code their own E/M visits for office and hospital visits and most do not dictate a note that matches the level of service charged. We do not have a coder in the insurance follow-up department. So a coder does not see or have any knowledge about denials.
Unfortunately, physicians in my area are very stubborn regarding respect for compliance according to coding rules. It is extremely frustrating, especially because based on courses I've spent money on myself, state we are to report incorrect coding practices. Yet if we do, we get blackballed and are out of a job. I am seriously considering changing career.
I disagree with and refuse to code in certain situations such as: If the script states osteoporisis and the dexa scan has negative results per the medical report, other coders will code 733.90 per script. There are other simular situations where the script is used for coding if it's allowed/payable.
As a CPC for this cardiology group of 6 physicians, my work is extremely challenging and diversified. We have created a compliance pPlan for coding and the ongoing education for our providers is key to selecting the most appropriate E&M codes as well as to understand the basic theory of coding.
Dealing with the insurance companies on how coding is suppose to be -- not how they pay. Commerical insurance companies don't know the rules for modifiers and documention with supposting ICD-9 codes on muliple charges. The just don't follow the coding guidelines rules, there system edits deny charges and prolong for payment for stupid reasons- like units don't support this service.(like office charge)
I have witnessed, through my experience, that most physicians I have worked with do not have the time to devote to coding specificity. Even those who are interested in learning coding usually fall back into old habits and prefer "cheat sheets" especially for E&M coding. Old habits often include using the same codes over & over again, and basing visit levels on "time." Diagnosis codes are usually repeated as well, such as 250.00 even though the patient may be uncontrolled or have manifestations of the disease.
I mostly work doing medical office billing and coding consulting when the offices have big problems that need to be fixed. I get to charge quite a bit for this service and I am in total control of my hours and what I do, usually I end up just educating their current, untrained employees about the importance of correct coding and how to do coding in general. I also help them clean up the mess that they have gotten themselves into. I feel that most physicians in my area do not place the necessary priority to having correctly trained staff until they find that there is a problem. It would make it better all the way around if physicians would hire the properly trained employees to begin with.
We are on an electronic medical records. Even though the providers do code their daily visits it is always reviewed with a coding staff. That feedback of incorrect coding is provided to the provider then. Yearly I also educate all of our residents regarding coding and compliance as well. This has helped the residents when they get out into practice on their own. Our coding staff is located in the same area as our providers and daily they all interact with each other.
I am currently working for a HIM staffing company and this is the first practice I have been assigned to. The edcuation of coding for some of the doctors have been slim to none and that is why I was called to this assignment. I have 5 years of surgery related coding to provide more knowledge and education to this almost rural small town hospital regarding the specialty I am experienced in. Some of the questions were difficult for me because I am a hired contract worker here.
I am a government follow up representative. Trouble shooting for denied accounts. I would like to obtain a position in coding, hopefully soon.
I feel that my employer should only accept AAPC certified coders. On the first day of my job with this employer, the amount of coding errors found was deeply disturbing. The coder responsible held a license from a six week coding course. The errors would result in thousands in refunds to payers. The errors would have been avoided simply by reading the guidelines in the CPT manual. I feel that my employer now has a new respect for the AAPC certified coder but still accepts any form of coding license! The company does hold the coder responsible to report any unethical coding and compliance issues. As an AACP Certified coder, I agree. So when my manager would not change certain coding practices I reported the issue as I've been instructed. The issue is now compliant but the retaliation from this manager is to treat me as untrustworthy and not a team player. I would not change a thing, as I know I did the right thing. My point is, the pressure for a coder to do the right thing can be very hard. I've had doctors, managers billers, administrators, techs, and all forms of staff challenge my coding and documentation advice. These people cn be very intimidating...especially an angry MD! I'd love to see an article on the stories of other coders and some advice from the AAPC on this issue. Til then, I'll keep standing my ground!
As a Compliance Manager you see a variety of coding strategies in the academic environment. Both providers and coding specialist put forth an effort to comply with the federal guidelines. However providers (MD/NPP) become frustrated with the documentation and education requirements. However because of the limited number of experienced coding specialist to assume more of the coding responsiblities for the physicians, the physicians concentrate on their clinical obligations and coding.
I believe there is a conflict in regards to correct/accurate coding versus insurance reimbursement. I have explained to my employer the misuse of modifiers.
Not all diagnoses/codes are on the pick list and the providers do not code those diagnoses which they write. Unfortunately, some of the employees required to code the diagnoses do not have a knowledge of coding and I fear that diagnoses are submitted incorrectly.
I don't believe accuracy and coding errors will be eliminated in our practice because the doctors are not available to you. Everything in our practice must go through the administrator and she has no formal coding education or background so I not sure how much of the information is being received by the providers or how correct that information is.
My providers sincerely think they understand coding and reimbursement. They want me to submit accurate and appropriate claims. They feel that they do not have enough time to document in the manner in which I suggest. I feel that I leave a significant amount of money "on the table" due to the lack of documentation and that frustrates me.
The majority of our work comes CPT coded, except pap smears. We are expected to code using only ICD9. Measures are being taken to improve upon providers giving complete and accurate information through physician training to lessen the use of "NOS" codes.
In our office, we handle everything from the time the claim goes to the insurance company until the claim is paid correctly. The office don't seem to really care if things are correct--they know that the billing office will fix it or correct it so hopefully the claim will be paid.
In my opinion physicians should be required to attend some type of coding documentation classes
It is very pleasant to work here. The only thing I disagree with is that the Coder that is not Certified overseeing the ICD-9 pick list and I don't always agree with the way she has entered to codes into the pick list. I am the Certified Coder and when I question things I always refer to the guidelines to see if the code is appropriate and I don't feel like my coworker does.
My work environment is not at all well supported by the physicians that work here. They do not want to document as needed to be within compliance. They need a good wake up call, such as if you don't document you don't get a paycheck or something of that nature, but we get no support from administration
Most of my coding and work experience has been in surgical coding for private practices. However now I work for an occ med clinic and the rules for workers comp are very different from the private side. I find it difficult to convince our providers and management that the overall coding process is still the same. That just because we do not participate with Medicare, Medicaid or private traditional insurance carriers doesn't mean we do not have to follow the coding rules. It's a constant struggle.
In the DoD Army sector, the physician has to code his note because we have an EHR, in which, the coding is "locked" into the note, and is considered part of the physician's legal note.
I work for 14 doctor 6 PT, and 2PA practice. I am the only CPC. I manage the insurance department(15) and do the compliance for the entire office. I wrote the policies and procedures for the entire practice. My department looks at every charge before it leave our office to go to the insurance company for accuracy. The providers here are very good at charging what they do both in the office and in surgery. We keep up with CCI and insurance billing rules daily. Compliance is a very important part of our daily work
My work enviroment is frustrating. The physicians I work with want accurate coding and higher reimbursement, but when I try to suggest ways we can improve, we constantly butt heads because they want to do things their way. Whne I try to point out that many of their pracgtices lead to non-compliance they state that this is their problem and not mine, I would never be held responsible for things I am told to do by them. At the same time, they insist that I get the office compliant.
My manager has a coding background, but not a substantial enough voice to prevent coding staff from being put into a compromising situations. The coding dept is under finance which I think is a big mistake because you find upper management wanting us to code for reimbursement instead of for compliance and accuracy and because of that we often get into uncomfortable situations.
We have no compliance program in place. I am considered "negative" and not a team player because I suggest compliance frequently. My direct supervisor specifically states, "Just slap the codes on the tickets" and does not provide or encourage ANY type of auditing, even of the physicians that have access to the EMR. The EMR allows the physicians to choose level 4 charges for a diagnoses of acute sinusitus alone!! I worry about my credentials.
I love being a coder, but the practices that my employer has picked up has me scared. I have reported some things to our Compliance office and was told he would look into it. As of now nothing has been done. My practice is trying very hard to not have a coding department. They just elminated 6 postions, and in three months are looking at doing more. They think the physcian's can do the coding and they do not need us. We have to prove on a daily bases why they should keep us. They do not give us any education any more, and now we are doing more clerical work than coding.
I love my physicians but sometimes I think that they think the coders are the bad guys because we give them back charts to dictate as well as needing more information. We don't have the same relationship as the other administrators in our office. Everybody is laughing and having great relationships with everybody else, except for us. We have to be in an office together (3 coders) and trudge away coding, trying to make ends meet at the end of the month, while is seems like everybody else isn't even working. The coders put in a ton of hours. We get tired real fast, but know we have to keep moving forward. Sometimes I wish I could be the one out there building relationships with the physicians to let them know that we do have a personality and that we're not the bad guys.
We use an EMR where the providers have to code their dx, procedure, E/M and then the coders are expected to audit as many as possible.  Sometimes the providers can not locate the diagnosis/procedure so the first dx is entered, not always the most specific, but usually in the category.  Also the exclusion notes are not available in the electronic software.  Coders always need to use the coding books!
Too much work and not enough coding hours to get it done in a timely manner.  The management team says they understand but nothing ever seems to change and they over hire in the nursing dept and we get threatened with manditory overtime if we don't work harder and faster. If they could spend more on the coding dept, the bottom line would jump by thousands of dollars.
Overworked, dysfunctional tools, inefficient processes. 
So much work, so little time.
It has been my experience that Physicians want everthing in writing to prove your position and yet they provide nothing to hold up their position.  I have met with resistance and outright anger when I have asked the physicians to correct, complete or comply with whatever would be necessary to warrant the code  they wish to be sent on to the insurance company.  Now I just downcode the fee ticket if it is not documented it was not done.
I am not clear as to what the expectations should be when coders don't have the support needed to encourage accuracy and are not valued as an important assest to the company. I often feel like the attitude of my employer is that "anyone can code" therefore we are not highly motivated to take on new task or to seek better ways of coding. In other words, not support system.
Physicians need to understand that coders have very specialized training just like they do and just because a Physician has not heard of a certain "coding guideline;" that doesn't mean the guideline is invalid.  I feel all Physicians should attend coding seminars each year along with maintaing their CME's.  This should be written in their contracts.
There is no way to learn anything new or upgrade skills here.  I get CEUs from  Edge Blast and complete them at work.  My supervisor gets upset when I work on  CEUs because it takes time away from productivity/numbers.  Coding is done for  coding's sake and no importance is put on ability to get claims paid.  The  billers hate the coders and the coders hate the billers.  I come from coding/  insurance resolution background and there is no similar job here.  Very little  resemblence to what I learned in AAPC coding course.
Our coders are extremely overworked and we need more help. PQRI has been a nightmare that has slowed us down!
The documentation performed by most of my physicians is appalling.  Furthermore, we have a poor EMR system and IT staff and have to make do with it.
One of the biggest challenges I face is to adapt all the old habits of the more experienced physicians who "always" did their billing a certain way 15 years ago.  Comment re: recently licensed physicians:  Tend to be more proactive with the business aspect of running a medical practice.
I think that all employers are expecting their staff to work harder and faster.  If quality suffers, then so be it.  Keeping up with the ever changing coding world requires time to read and research and time is not alloted for this any longer.  I think the job of a coder has become more stressful somewhat due to the productivity expectations, but also with the challenge of keeping up with payer's rules which seem to be more varied than ever before. I would like to see our coding association work with legislature to regulate Medicare, public aid, and insurance companies so that we don't have so much variance in rules and coverage.
In my work environment, my direct supervisor and director are not certified and are not coders.  We are a small compliance department for a large multi-specialty physician practice and although we do auditing and education about 50% of the time, most of the work day is spent on clerical tasks--stats, spreadsheets, etc.  I feel as though we are viewed as certified secretaries.
Providers do not want to accept that they have guidelines that must be followed.
Very large practice.  Have several physicians that are awesome and the rest think we are out to get them.
There seems to be a lack of knowledge of what a certified coder represents to a physician
Always trying to explain to our employer (CEO,mangers,directors,etc) why our coding jobs are relative and viable to the practice. It's a constant struggle just trying to hold on to our jobs. There isn't any more job security. The coders are trying their hardest to help the doctors with their coding practices. Which seems to go in one ear and out the other one. They are not being held accountable for the coding that they are doing or not doing. Some doctors aren't even working enough to help bring in revenue. Because they get a big salary and could care less how many patients they see. Which is cutting into our bottom line. And the coding department is always the ones to blame when revenue isn't being generated fast enough. To keep the money coming in. Right now our coding department is under a huge strain work wise. We have lost 6 people in our department. 2 coders that were very much needed. And being threatened with being outsourced again. Which hasn't proven to work any of the times it has been partially tried with some doctors.     Otherwise, I love my coding job. But may have to seek employment else where in the future.
I expected to be promoted to a coding position upon passing the CPC exam in July of 2007. I still do clerical work 1.5 years later. 
There are several different coding departments that divide duties. This has resulted in gaps where services are not coded therefore not billed. Everything is coded by physicians, we know they are not accurate, but not everything is reviewed by coders.
When the coders go to classes and return with information, the providers do not always accept what we have learned as accurate
I work for a hospital physician billing group.  To my knowledge, there are only two certified coders. I am one of them and work in a specific office.  The other certified coder works in the CBO.  Certification is not encouraged by my employer, however, they always call me for my "expertise."  There is no required annual education on documentation and coding for the physicians by our employer.  I think this should be part of their CEU requirements.
Our office presently has no administrator or supervisor at our site & we are owned and operated by a hospital 35 miles away in a different time zone.  I feel the billing staff is hanging out on a limb and no one to turn to for advice.  When we need answers it might be days be anyone responds to our calls or e-mails.
I work in a very hostile working environment. I am hoping to get another coding job where they pay me what I am worth. Since I have a college education, I am discriminated against very much.
Employer should offer better books to do the coder job and should offer more time per case to better review each charge correctly.
Working for a for-profit hospital does not offer the same encouragement and efforts that teaching and not for profit hospitals do. Our physicians do not have the same congenial approach that a teaching physician does and often is not as involved in the community as others are. Thanks.
I was hired as a surgical coder and do way too much more than I was told. I cover for the medical staff and am expected to do my job even with all the unnecessary interruptions. I think I'll be better off as a consultant in the near future.
I don't think my doctors or too many other doctors understand the importance of  coding.  They see it as my job to fill in the blanks or to correct their coding  to get the bills paid not necessarily to code it correctly.  Think proper coding is an area that the new physicians are coming into practices knowing something about but educating older physicians is still a CHALLENGE.
No developed career path for coders; coders are under-utilized and not involved in many corporate activities
My employers do not recognize the CPC certification as  a valuable certification.  They feel because there is not  an associate degree attached, it is not valuable.  There are  four of us working here that were grandfathered in so they feel they are stuck with us.  They do not understand what it  took to get our certification, because none of management took our exam.  They do not let us code outpatient surgery charts.  We are only allowed to code pain centers, ERs and lab reports.  They even created a lower pay scale for CPC coders than other  coders that work in our hospital.  I guess what I wanted to  know is, Are there other CPC coders that have this problem?
My current work environment is a "coding mill" for an extremely large ER Physician Group on the East coast with multiple hospital sites.  Although we have Policy & Procedures, on site management is more interested in production numbers than accuracy.  Yes, we have a QA process but management will constantly switch the hospitals that coders are familiar with and have established accuracy and efficiency in order to sabotage the coders efforts.  It is a no win situation and surely an embarrassment to the profession.    When the Coding Manager was asked about company reimbursement for CEUs, CPC Test, etc. her reply was that "it doesn't have anything to do with what we do here"!
I wish I could focus solely on the coding and not on other office clerical duties. I feel that the doctors don't always listen when I try to help them improve their understanding of e/m coding.
Code for two orthopedic surgeons ICD-9-CM, CPT, some HCPCS through CODE X software. The office is going to EMR and therefore, my job is being phased out.
I work at a VA Hospital for a contract company. My work consist of reading the encounter and deciding if it is first billable according to their guidelines. Emphasis is on quantity and then quality. I have had very little training in an atmosphere best described as a sweatshop. My every move is scutinized (i.e., bathroom breaks, no deviation from schedule without a 24-hour notice, no paid breaks). Overtime is the norm not the exception. I have experienced more negativity for my work than praise even after working 60-hour weeks. There is absolutely no respect. This is the third contract company I have worked for and I all but have come to the conclusion to leave this profession.
I am not currently happy with my work environment, but it is the only position I could find that would allow me to work from home and continue my education. My manager is not certified, and often pits one coder against another to cover for her own incompetence.  I provide feedback for my physicians and never hear back from them.  My manager is not interested in hearing about compliance concerns.  A lot of the documentation I receive is incomplete and illegible and my manager is unwilling to send it back to the physician because it would delay money coming in. I am not provided with all of my books, nor software that I need to do my job.  My company does not assist with my dues or financing CEU opportunities. I really wish this company would realize how valuable my services are and use my knowledge to further the success of the entire company.
No one acts like credentials seem to matter. Sometimes people are asked to code when they have never had any experience in doing so.
Most of the coders I work with are noncredentialed.  This is the first time I have worked with noncredentialed coders and it really makes a difference.  My manager does not have a coding background which makes my auditing duties more difficult.  I may change jobs because of the above 2 reasons.
It doesn't matter if it's right, only that you are PRODUCING!  When I have to follow up on another coder's work and change the codes to what I KNOW to be complete and accurate, I get dunned for having too many DRG changes after discharge!
I was originally hired to train as a vascular surgery coder, but after hiring & before leaving the other company to come on board, the company changed how it did things & the job I was hired for disappeared. Eventually I was billing  for several doctors which requires some dx coding & checking the doctors' CPT codes for accuracy & applying modifiers as needed. But I really don't do all that much coding. The job was NOT what was promised.
Unfortunately providers are mandated to use a specific program that does not accurately reflect the CPT, and ICD-9 data. Many times for one ICD-9 the program that is used, will have 63 different definitions for a diagnosis. There are also times that the system has the incorrect definition listed for a diagnosis code. Usually, their system will downcode all of the providers' E&M .
I feel I spend a lot of time filling out spreadsheets to identify what I did that day, I find it time-consuming. Physician education is a must. I have physicians who are very resistant to change and need to have updated education on what is necessary in documentation and compliance.
The coders have little say about daily assignments.  This is handled piecemeal and leads to frustration.
I work in non-hospital based radiology practice.  My manager feels that the only workshops I need to attend are those related to radiology.  Therefore, I have to arrange to attend workshops or meetings on my time off, which sometimes means changing time off during the week ( I am now working four days/week).  And, of course, fees and dues are my responsibility.
I work with several certified coders and data entry people.  The providers are off site and receive coding guidelines from the auditors within our organization.  I find that the providors do not code  well  even with the classes given them.  I am constantly calling and asking for more documentation and/or recoding to the documentation I have.
My employement does not recognize CPC as an essential in their offices. They do not give us the materials that are needed to do our jobs. The billing is done from a central location and they have billing people in offices doing nothing but entering charges and they do not supply any training for the CPC to do their jobs effectively. I am looking for another employment to use my CPC skills and to learn and grow.
Too much time searching for information in order to be compliant  with work of coding outpatient cases and at the same time they required accuracy and productivity .When audit comes the percent is too low. I am personaly in disagreement with the method  and scale to measured  performance.
Small number of staff expected to do large volume of work. Management has no  respect for coders and have used receptionists to code at times transferring them from reception to coding/billing with no experience claiming, "Anybody can do this; it's an open book test."  Did not bother to replace coding manager or insurance adjudication manager upon becoming director of billing services.  Very serious lack of communication facility-wide.
This is an old practice group that is not in touch with the 21st century in many areas besides coding and reimbursement. The CEO hasn't a clue what the real world is like.
My current work environment leaves a lot to be desired. I have worked in this office for over ten years and have asked so many times for help on becoming certified because I am not comfortable in a lot of areas. I am told that certification is not necessary and I was shoved into this position with absolutely no training. The office manager (i.e. owner) isn't certified either and I have found many mistakes on her part.  What I've learned these past years I taught myself. I am seriously thinking about taking classes and getting certified on my own.
Underpaid. A lot of research and studying is done from home. No time at work to research coding questions
My boss is horrible
My work environment is most unpleasant as we have several employees that goof off, talk constantly and rarely work. Management doesn't notice or doesn't care. 
I feel like coding is a very serious and detailed job, but we are responsible for so many providers and have 100% abstraction that I feel like my coding isn't as strong as it should be.  Rather, I am becoming a paper pusher.
My employer cares more about quantity over quality.
We have an EHR with the codes built in, these are extremely inaccurate and the verbiage is often incorrect.  The providers must use the codes and verbiage in the system and coders must correct the codes. The providers don't actually us cheat sheets or picklist with this system.
I wish that there was somewhere or someone to ask regarding coding question specific to our practice.  For instance, if the coder and the physician are in disagreement on how to code a px, we are required to show black and white proof of our arguement to the dr before they will allow us to change the way they are coding.
Too much emphasis is put on reimbursement. We need to be staffed appropriately for the volume of patients and ensure that the documentation supports a good claim. Our issue is not enough documentation and not enough provider education programs.
Love coding and working in the office. Sometimes, I need a little more to keep motivated. Too much other stuff to get done. 
It would be less noisy to work in the office setting currently in and work from home. Having had the opportunity to do this before our office policy changed, it makes productivity higher in some cases. Without the noise I was able to read through the operative reports, properly select the codes and sequence both the ICD-9 as well as the procedure codes. With interuptions in the office, it can be difficult to work. We even tried using signs to indicate when someone needed quiet, but that was ineffective at best.
I am single and have a special needs adult living with me. I paid for the CPC exam out of my pocket for December 2007. So I am recently certified. To obtain CEUs I will have to pay for these out of pocket also which can be very expensive.     My job is 100% CPT coding. I have not been shown anything else. I've worked in this capacity for about 7 years. I was certified as an ART (now RHIT) in the 1970s. Why lapsed? I had 2 young children and no support from my husband (now ex) at the time. No family either. 
Our practice is multi-specialty.   Only a handful of doctors would know coding staff faces in a line-up.  We work in a basement with hand-built cubicles  as our work spaces.  Our nearby co-workers are Medicare and Medicaid Review Specialists and posting clerks.  As well as coding for multiple physicians, we are required to answer an incoming physician referral telephone line.  All of these calls are simply transferred to another location in the practice.  We are simply instructed to answer them promptly and send them on their way.  It can be quite difficult to code something specific that requires intense thought when you are interrupted to simply transfer a phone call.    I am exhausted, have back, neck, and shoulder pain from my non-ergonomic working conditions, constantly interrupted by the incessant ringing of a telephone, rushed, stressed, and have not even been approached by management about a pay raise.  I am angry, disappointed, and daily wondering why I have stayed at this job for the last six weeks.
Our work environment is very stressful, our employer seems to put more value on productivity rather than accuracy.
I work for a large city based hospital in the central billing office for a hospital based practice (womens OB/GYN clinic).  The front end billing is done by the front desk staff (no coding training, lowest pay scale)leaving a huge mess to clean up in my area (back end billing) with many coding errors, denials and lack of documentation.  This seems backward to me as I have been coding for many years and believe strongly in accuracy at the front end first.  Send a clean claim and get paid the first time!  I am not hired as a coder but as a biller but I must use my CPC knowledge to complete my job and I am not paid for that certification.  I have been an educator, coder, biller for many years.    Please, please offer more training to the hospitals in teleconferencing for billers/coders that can be done on a lunch and learn basis or something similar.  This needs to be marketing strongly.  My employers in the past have always supported my education and I find that isn't true when you are hired as a "biller".  We are doing the work but don't have the support and must do it on our own. 
Coding would be much more accurate and faster if the providers would attend formal training on coding and documentation.
not enough hours in the day
Most employers still do not really know that much about certified coders, they just know that they need them. For what I do (risk adjustment) it is required by CMS. My company hired a CPC-A and didn't know the difference. My company (and I think many) think that if you are certified you can code anything and that all certified coders are created equal.  My company hired a CCS and is paying her less than everyone else.  My company has certified coders doing abstract coding of hospitalist inpatient notes and they call them billers!  It is very scary what some inexperienced coders are coding.  Also, I have found that certified codes are not very knowledgeable regarding ICD-9. When we interview coders we give them a simple test and no one has done very well which means I have to train them on basic ICD-9 coding. (The worst is no one knows that you need two codes for a manifestation due to diabetes) And forget documentation guidelines. Everyone is clueless.
I was hired as a Contract Analysis Specialist, entering and reviewing contracts for reimbursement and billing inconsistencies. Although I have been certified since 2003, I was never given a coding position or opportunity to shadow, denied even by academy members.  However, knowing of my CPC, I am constantly engaged for coding assignments; relied upon to answer questions and instruct the practices on coding issues (Who are not staffed with certified coders).  I often feel stressed to provide the most accurate information, yet exploited because I am not reimbursed for my certificate. I am even contemplating removing CPC from my resume altogether.  Thank you for the reference websites, though my company's firewall blocks many as "job seeking", there are many I am able to access and utilize to provide valuable information.  Despite all things I strive to convey the best coding practices for optimal reimbursement and compliance as an asset to team and practices we serve.
I love coding and I am the only certified CPC. But I am in jeopardy of losing my job to a coding service where the coding is done from India. The last six  years my certification has cost a lot of money personally to keep up but  professionally has not benefit me over non-coding personal.
The coders work the front office along with coding so it is very difficult to find the time to code.
I work for a hospital-based practice and my CPC standing is not acknowleged. They do not use me as a coder.  There is supposed to be a reimbursemant policy for which they denied any payment to me.  Another person in this office did the same classes, the same teacher and all of her supplies and classes were paid for.  The cost of taking the test was paid for.  I paid for my own. Therefore I keep my eyes and ears open for better opportunities.
The hospital I work at signed me up to take the CPCc.  it was the wrong degree.  When they found out it was to late and I had to go through everything. I am commited to the hospital until June.  Therefore I am not utilizing my CPC.   am a coding associate at the hospital. I code one times which are people that walk in for lab and medical imaging things. I just code the icd-9 codes and do a lot of data entry.  I cannot answer these questions.  i would like to find a part time job working in a office.  No luck yet.  My bosses what me to go for the CCS exam.
My company has decided to outsource coding to another country. Due to the changes the company has made,  people are losing their jobs and not doing the job they have worked so hard to maintain and have lost the pride they used to have in their work and the company they work for.
The providers do not understand the importance of coding and documentaton requirements.
There is little to no training for providers. When do they have time? They learn by us dinging them. This makes them feel we take away their funding. If the providers are going to expected to code then it should be taught in med school.
I currently don't work in the medical coding field. I completed certification requirements and have attended a mastering Medicare seminar along with maintaining my continuing education.  I contacted the local AAPC chapter secretary about joining and never heard back from her.
I am the only coder in the practice. I find that the older doctors are not receptive at all to coding issues.
I check doctors coding and correct it as necessary. Add modifiers, figure assists codes. send in document corrections to facilites. I bill all surgeries and some daily office charges. My work environment is not pleasent. Even with getting certified I don't get much respect from the doctors or assists. Coders rank low on the food chain where I work.
I currently work in a medical multi-speciality clinic that does not  have a coding dept.  All nurses code for their own Drs. for in office and hospital charges.  I feel that if they would come on board with a fully staffed coding dept that the revenue lost from inexperienced coding would make working there a much more enjoyable experience and also allow for updating of our very outdated systems that we work with.  Our  overall loss of money is  out of sight
All physicians should be required to take coding classes before they graduate.
Work hours need to be flexible to allow for more "quiet" time in performing the coding responsibilities.
Coders are not given the time of day by physicians and we are underpaid for our knowledge. 
I feel that where I work, the importance of the coder is not recognized for the value they have in bringing in revenue.
It is very sad that at my job my work is not recognized. Managers many times don't even know what  a CPC coder is. Until we let them know that we are the revenue providers in the company.
I feel as though my company lacks the knowledge of how important credentialing is and that they don't feel as though I am as important as the licensed techs we have in the facility. However, my job is equally as important, if not more. 
The focus of my job is to review claims that are kicked out by our claims scrubber on the front end.  I conduct annual physicain audits with feedback and education.  I get involved with the difficult appeals.  I am the coding resourse for a 100+ physician group.  I feel that I am spread too thin at times.
I am the only certified coder in the practice & the only coder.  Due to the implemtation of EMR I do more data entry than when not using EMR.  The only reason that I handle the claims filing processes is because of my knowledge of computer systems.  I also have a BS Degree & feel with my CPC I have an advantage to be employed in any state.  In the next few months our practice will be adding at least another physician & possibly more later in the year.  Our practice also employs an ARNP.  This is a family practice speciality & as a certified coder due to this specialty I don't get paid as much or have as many benefits as coders due in surgical fields but as a coder I think we see more unusal coding scenarios than surgical coders & don't get the same respect or pay.
In the family practice that I work in, the owner/provider also has a pain care practice.  Among the dozen billers that I work with I am the only one certified and all of the other billers have no interest in becoming certified.  This boggles my mind. I am told that they see billing as a job and not a career.  The owner/provider will not hire certified coders but he will give you the training to become certified on your own.  Does that make any sense?
The most frustrating part of performing my assigned duties is dealing with Medicaid, Peach State and Well Care (All Medicaid programs in Georgia) and United Health Care (Georgia's coverage for state employees) and PPO networks (to a lesser degree) and their ability to disregard common coding practices and make up their own rules as they go. Also, dealing with an unreliable software company that does not seem to understand coding and the importance of accuracy, compliance and timeliness.
Drs. do not believe the coders when they tell them what the limits/requirements are. We have even brought in speakers from the Medical Soc. of VA who are also certified coders to explain the liability they take when they insist on using codes we know are not correct but they don't believe the speaker either because they think they are always correct. Coders play the roll of "code police" and try to correct claims before they can leave the office, but do it discretely. We constantly worry about audits.
Because I work for a large corporation who employs 100's of physicians I only answered for the few I am personally responsible for.  Physicians should be required to take coding and  compliance as part of their medical training.  My physicians are not receptive to my recommendations when it comes to documentation.  They percieve it as me telling them how to do their job.  Fortunatly, I have the backing of my company, unfortunately they still don't do what needs to be done to get paid.
I work for a medical billing company who is in the process of streamlining the different departments into teams - charge team, payment team and AR team - I personllay have done Urgent Care billing for the past 5 years and now am expected to know pediatrics, surgeries, hospital, etc billing.  I know change and increased knowledge is good, but this was tried once before and it failed.  Not enough training on the specialties or the right amount of time to learn.
I love my job, but am often caught in the middle with compliance/finance and my physicians.
I am the only certified coder in this practice.  But the office is far behind in technology.  I purchase my own coding books and have to pull all updated information on Medicare and other insurances coding policies on my computer at home.  This office is not internet ready.  I want to do so much more but the office manger does not like change
I am often asked to perform front desk duties which takes away from time needed to verify codes from doctors and comply with CCI and CMS regulations.
Sometimes it is very hard to keep your intergrity intact when your manager/management wants numbers and not quality.
Coders are considered part of CE and their say is not valued many a times. We are under the pressure to code the way client tells us to do.  
My comment is that even with the information provided on the importance of accurate coding, some providers feel they are being asked too much when asked to document and/or code properly.  Another sore point is that some of them feel that coders and others involved in compliance are trying to tell them how to do their jobs.
Physicians pay for what they get. They are not willing to pay for education or experience when it comes to coding, billing or compliance.
I live in an area where the hospital and the doctors do not give any respect to their coding staff.  They are looked at as a nuisance they have to tolerate to get their reimbursement.  They do not believe they will ever be audited.  I made it very clear that I would not under any circumstances code for money.  I have educated myself using CRN online, I pay to use Code Correct out of my pocket, pay for my own dues, and pay for my own supplies other than the ICD9 or CPT. I am not sure if I will take the board as it will at my own expense and due to the area it will not make any impact on my salary.
I work at a military treatment facility, which is different... The doctors use EHR software with the coding component.  Mandated by the pPresident in 2003. The problem - it is not accurate.  My job is to audit what the doctors do.  Because of budget cuts the coding staff, which I was supervising, was not replaced as they retired etc. leaving me to manage the auditing, educating, task meeting, report providing, etc. So a small percentage of what they "code" actually gets looked at.  We have approx. 30 doctors.  I make sure that the encounters attached to third party insurance are audited 100%.  The Surgeon Generals Office provides 2 monthly Coding Video Teleconferences.  I was allowed to attend an AAPC Conference in 2004.  I sent an employee in 2005 but again budget cuts prevented my going again.  I still put my request in every year.  I teach  coding and reimbursement classes (schedule 4 per year) which is where I get the majority of my CEUs.  Thanks.
I have 7 surgeons (3 specialties).  There is just me & 1 part-time/casual coder. Both are certified.  I do all the coding/billing/claim submission/payment posting, reviews, patient collection and end of month finance reporting.  I have four of the 7 surgeons coding their E&M - of which only about 50% is accurate.  I have 1 surgeon coding his surgery & constantly unbundles, irregardless of training/compliance.  Otherwise, everything is left up to the business office.  I am overworked/underpaid.  However, due to healthcare environment, I cannot find work for what I am being paid (salaried/managment).  In addition, I support our 3 sites with registration/insurance entry questions.
I work with Electronical Health Records. They provider choose most everything and I review only the ones that seem odd. I only look at notes occasionally if needed. The providers don't like to think they made an error. Some providers feel extremely threatened! Most don't appreciate the work or help we have to offer them.
Our physician network now emphasizes compliance in E/M coding and sends charts for audit every week. The results are then sent back to each provider.  But our physicians have not had hands-on CPT and ICD-9 coding. Just a presentation every couple of years on E/M documentation. They feel like they're still struggling to learn it. Our physicians would also benefit from an in depth ICD-9 presentation which would make our diagnosis coding much more accurate.
Respect is the most important and that is seriously missing.
Coders are still not paid what they are worth and a lot of the positions in a physician's office are grouped under management and not recognized still.
Not given enough time to do all the work expected of a coder.
I have been doing billing for almost 8 yrs now with physician offices that are privately runn and currently work in a smaller practice with 5 physicians where I have been doing billing now over 3 yrs now.  Never has there been a biller/coder to be certified working in the office. I just currently became certified as a CPC and am the 1st in my office to be certified.  I work for a pediatric department and they will not increase my pay by much and have told me they can't pay me what I can make somewhere else as a CPC.  This is so discouraging knowing my ablities to the office and how much hard work I put into the coding and billing.  I even follow up on claims to get them paid for the physicians.  Other billers we use are people in the office we have trained and people they have hired in that have no billing experience.
Front desk checkout needs coding training.  Physicians need to understand the significance of correct coding.  They need to realize they can not always get paid for every individual item they perform; that sometimes their notes do not support an additional procedure being paid.  If they can't convince me, how can I convince someone else?
Unfortunately we have a clinic administrator who suffers from ADHD and doesn't  listen well to execute things brought to her attention. She  misses major contributions by employees.
My employer does not take an interest in what I am coding or me.  The administrative assistant (my Boss) only takes an interest when I approach her with a problem or question.
I work for a Medicare Advantage plan with current membership of 10,000 plus, so questions regarding "practice" situations, don't apply to me.    My company also has commercial insurance plans, however, I am the only claims person /coder for our Medicare product.  We outsource our processing, so my "co-worker" is only available through email & phone.     My tasks are provider appeals, claims auditing, investigation of claim issues  for resolution to correct payment, tracking of claim issues, investigation of compliance issues to determine if there was a HIPAA violation.   I also research Medicare coverage of various procedures and services to answer questions from other departments, such as customer service and pharmacy.    That together with too many meetings - I need a clone.
Physicians in my practice need to allow practice manager and certified coders time to get their jobs done instead of having them perform so many other job responsibilities that they get burnt out trying to get the work done at home after hours.  This causes errors to happen, dissatisfaction with their job and ultimately the 'I just can get it done' attitude which affects the quality productivity.
Many physicians coming out of medical school have not been taught how to code, let alone how to document.  This needs to be done in Medical School before they get out and start their practice.
One physician was extremely argumentative and did not want to hear what "doesn't make sense" to him regardless of rules and regulations. Another was simply not focused enough to treat patients as well as code correctly. There was constant review of documentation b/c of these issues and I am now no longer employed w/ this practice.
Currently without a coding/compliance supervisor--recruitment going on now.  Answers above are influenced by this fact.  Billing volume is emphasized more than is correctness, unfortunately.   Coders' education, intelligence, and emphasis on accuracy/compliance is not appreciated as much as it could be.
The head doctor has a problem with ordering many unncessary tests on patients. He fails to understand that the medical necessity revolves around the dx/symptoms of each patient. Since he is opposed and watches the habits of the remaining physicians in the practice, it is very hard to explain to all the doctors why you need to watch this, when the head guy is cracking the whip.
It is sad that they want a CPC to be a follow up person and handle phones also. They want to incorporate our talent into low paying jobs and still protect their behinds in problems and audits.
I've been certified for almost three years, the only jobs I could get were what the locals called "back end coding", I did workers comp where they quite often told me that they did not need and would not pay for a coder.  I transferred to a central billing office for 24 plus clinics where I was a billing rep responsible for refiling denials.  I didn't use my coding in that position.  I then transferred to a position that I did get to use my coding skills as a compliance specialist.  My husband transferred to Idaho, but since we moved, I have not been able to get a job either in the coding field or in the billing area.  It's not lack of experience, I've been in the medical field for over 20 years, in medical records.  I even managed a medical records department for three years.  I worked in medical billing/coding for almost four years.   At this time, I'm on the verge of leaving the coding behind as I've been offered a job with the tax dept. .  It's difficult to collect CEUs, sometimes expensive.  I just think it's a shame that someone who is willing to certify, to take the classes, then the test, to maintain their certification, etc, that someone cannot find a job as a coder.    When you do your salary estimates for each region, do you factor in those of us who have struggled to get into the coding field and can't get a job as a coder?  I think it would bring the salary average way down but it would be more realistic.      I know I'm not the only one in this situation.  My co-worker in my old job who actually had five years clinic coding experience recently had to take a job in a position that doesn't recognize or require her coding certificate or expertise.  Thank you for letting me vent a little..... 
I need to move on...
My responses are odd because I am it........We are a solo practice in a somewhat rural area, I am the only full time employee, my job covers everything from vacuuming the office & feeding the fish to all coding, billing, and reimbursement analyst........I also fill in when one of our two part time staff are not here (reception & assist phys).  In my past life I was a compliance analyst at a large teaching hospital but made the big leap and moved 5,000 miles away.  I am doing a little consulting, but the regular job takes a lot of hours.  There seems to be very little knowledge here regarding coding/billing; a number of "will train" by the physician and family members working in the office..............But it is sunny and warm here.
Work environment is very caustic and I am searching for a new position. Work loads are extreme due to the huge atrition rate at this company.
My workplace has little support for its coders and the job that we have to do.  The providers and hospital want us here to increase reimbursement, but will not listen or open up to education when given to them.
I enjoy my work but not always where I work.  If the coders in my practice were not put on so many extra projects, we would have time to complete the coding.
I am the only CPC in the office and I do not do coding.  I do follow up on denials.  The people that do the coding are not certified and accuracy is an issue sometimes.
At times my employers make me feel they too interested in meeting a quota and we do not have enough time for accuracy.
Coders are viewed as important but not as important as the billers. They want us to code 70 charts per day and BE ACCURATE! Find they value us less and less each year. I also can't understand why they won't pay for us keeping our credentials???? 
I work for a Pediatrics facility and all E/M codes and ICD-9 codes are picked from a cheat sheet.  The physicians don't automatically send office notes over, so we have to request them a lot.  When they are sent over most of the time there is hardly anything written down, and the sheets aren't always signed so we have to send them back to the physician to sign.  My office manager has tried to stress that in order to get better reimbursement the physicians need to document more, but they say they are too busy.
I work in an Army Hospital. The providers do not want to code and they do not care if they code wrong. We provide feed back to them to help them understand the requirements for coding accuracy but they do not use it. Some of the providers are contract providers so they feel they get paid one way or the other. The providers that are in the Army are just as bad. It makes me wonder how they keep their rank.
I work in a specialist office the providers are good with procedures but for office visits (E&M) they don't understand the inportance of good documentation
I am sometimes torn by what my administrator expects me to do when I disagree with her ethically. I do not feel as the person responsible for all the ICD-9-CM coding and some CPT coding for a large practice that my skills are as respected as they should be. 
The coding I do is too much for one coder. The work enviroment where I work is way too noisy and too busy to have a desk in the middle of flow area,. Customers are in and out. No privacy or quite to really coincentrate on your work and coding. The pay is very low for some one who is certified. My wage is based on a chart average. If I was some where else I'd be getting paid more for all what I do and have a quite place to do my job.
I work very hard to be complient and to code properly. I find most providers don't care. They want to do things their way. But when they are denied it's the coder or the manager that is at fault. Doctors won't listen to anything we say. But when they get audited it's the manager or the coder that didn't inform them which is not the case. There is very little respect for coders or office manangers that are CPC. The doctor is always right. It is very hard for a provider to accept change when it comes to billing and coding.
I am the only coder in an office of 12 physicians and 2 PAs, between two offices, with specialties in Urology, Fertility, and GYN associated to Urology. I am expected to code and or verify all surgical procedures via op report for approximately 100 surgical tickets (ranging from 1 procedure to 10 procedures per ticket)( About seventy percent of doctor-coded procedures have a coding problem) I am also responsible for responding to all coding related denials for 7 billers with an average of 3 per biller, I am responsible for checking all coding errors on, approximately, 250 office tickets. Not to mention about a dozen other responsibilities. My manager is not a coder and I am their first certified coder and feel that their expectations are extreme and have caused me to develop an ulcer, literally. I am given a 3 day turn around for all surgeries and to the end of day for office tickets and 2 days to return billers questions. If there is ONE mistake I am warned via email, verbally, and with a degrading hand written note. I am expected to have a 1-2% error rate. I have been told that because they have no data at hand showing that a higher error rate is acceptable and that is why they "Just chose this one." I wish someone would write an article on how much work is enough and how much is RIDICULOUS!!! Also to include acceptable error rates (very tricky) with which errors should be considered unacceptable and those that are tolerable/ workable/ improvable. Please include how much work one coder can be expected to complete in 40 hours. How many doctors should one coder have? Depends on specialty, how many surgeries they perform, the complexity, the doctors ability (or lack of) to document in a manner that makes your life easy or very difficult, how many specialties are you switching between each day, do you have to hunt down the op reports yourself (I do), do you have to pressure the doctors to dictate or make addendums, do you have to explain every coding decision to your office manager (who is not a coder)? I could go on and on...but won't. I hope that someone writes an article about the above...
Most managers do not understand anything about coding and are not certified.
I wish we were appreciated for what we do.
I feel that my office need more space so we can hire more coders. Not enough coders.
work environment extremely noisy, not a very good work area
I currently do accounts receivable. The work environment is one that people are not very happy. 
I work as a coder for a lot of physicians.  I coded for the Hospitalists (13)physicians/PAs and did all their coding/charging/registering and anything else like getting the insurance and pre auth numbers that were needed. I was the only person doing this for this many physicians.  But according to my facility I am not in a coding position. Then the took me off the hospitalists and put me coding the operative reports for the physician services. This includes but is not limited to cardiothoracic/ortho/ortho /locums/general surgery/and plastics.  (This they also consider a non coding position). They put me in this position because I was the only coder they have to code these reports and because I am a detail-oriented person.  They supply the coding books for us, but they don't have the CPT Assistant or other materials that would be useful. They are using an Alpha II system that hasn't been updated for 2008.   I'm told to code from whatever documentation that is available that has the name of the procedure on it.
There are often wonderful coding workshops held by various medical societies and by AAPC.  Because of the cost associated with these (including travel, hotel) many providers shun sending coding staff.  However, the providers (both physicians and nurses) freely attend seminars to obtain CMEs.  It seems as though there is a double standard in the industry.  It can be very disappointing.
As a coder I work for almost 40 anesthesiologists.  I am working on becoming certified. I have been working for this company for almost 6 yrs. my job responsibilities include getting demographic and insurance info from the surgeon who performs the surgery, coding from the op report, and verifing that the procedure performed is the procedure that was circled by our doctors. and that everything our doctors have done that is payable is being submitted for payment.i also do the insurance runs paper and electronic and deal with any issues that reject or pend from the electronic billing. I have been training 2 other coders for this job to help me and I also audit there work. There are also phones to answer and filing to do. The enviroment is not the environment preferred by a coder.
As a department we feel that the physicians and administration dos not recognize or appreciate the work we do.  We believe that we are overlooked as somewhat not necessary.  We think it would be nice for them to understand what we do, what we can do, and how this benefits them.  We just can't seem to get them to pay notice.
Being a certified coder, I have a tremendous work load, my supervisor doesn't understand my job to the fullest and consequently denies my request to work overtime just to catch up with coding, while she expects our coding to be up to date within a day of visit. Supervisors need to appreciate their certified coders.
This is certainly not a good work environment in that the work that is done is not appreciated, it is considered a pain and a waste of time by the physicians.  They do not give appropriate consideration or appreciation to the important tasks of coding and compliance.  They ignore the risks of incorrect coding.  They do not appreciate the loss of revenue from missing charges and undercoding.  In general, this is just not taken seriously and it is difficult to get their attention and move forward.
Our physicians generally undercode except for a couple. They ask a lot of questions but don't really have a good grasp of coding.  I give them as much education as possible but they still fall into the same bad habits.  We don't have a coding program in place but I wish we did.  I am the office manager and a coder so it's a huge responsibilty.
Physicians in all sectors need far more education in coding then they receive in med school and residency programs.  Physicians are ill-prepared to come to the office ready to code, and many resent someone "not at their level of clinical expertise" telling them how to code.
Coders are not recognized as a crucial part of doing business and I think that every job is an important part of the overall business.  I code from the denial aspect and I pay for my own CEUs and it is not even recognized but is expected
We share an office with receptionist, clerks, coders, specialist, copy service and transcriptionist. It can get quite noisy and distractiong at times. It would be nice to have a quiet environment to concentrate on coding and to not have interuptions from customers and fellow employees requesting charts, information and other stuff.
I work in a family practice and I am the only certified coder. I work in follow-up and denials. I was advised that being certified coder was not requirement for the job in  our billing department.
Most physicians are wanting to be more involved in coding or at least doing it correctly. They however are not always willing to change.  Most smaller offices I work with are doing only what absolutely has to be done to manage or stay afloat.  Many want coders but their people are coders/billers, patient account reps, check in and check out personnel all in one.
I work for a small acute care facility that has 24 beds.  I am the only coder in the facility.....I am certified with my CPC-H and my CCS.  I currently code, inpatients, observations, surgicals, outpatients and all ER's.  I also set and input e/m levels and all emergency room charges.  I read all operative reports and input their surgical procedure charge.  I do all observations IV charges, pushes, infusions, etc.  I also am in charge of, along with my supervisor, the chargemaster.  I keep the limited coverage table updated.  I also do all the birth certificates in our facility.  I also do montly physician QA and monthly statisticals.  I also now have to do the monthly reports to the department of labor in regards to our monthly charges.  I was also given our policy and procedure manual to update and revise.  Along with all of this I still help in our medical records department as needed, answering phone and faxing requested reports.  This is an enormous amount of work and I know sometimes my coding suffers due to excessive extra duties.  I like my job but enough is enough.  My fellow coworkers are great but none of them do what I do.
The whole coding staff is pretty new to coding and to this office and it is my understanding that coders are not to code the E/M codes and we are only allowed to "correct" the ICD-9 codes. Otherwise, if we disagree with the CPT codes, we are to send a formal inquiry for the provider to correct the CPT code. Also, I would never presume to judge the amount of education the providers have had in coding and would not ever check anything that might reflect negative against my providers.
I can't seem to get my physicians to truly understand how important it is to be certified, registered.  They only look for coders who have been doing such for many years.
I do Emergency dept. billing. I read all of the charts and determine the E.D. Level and other charges incurred such as IVs, lacerations etc.    My title is Unit Tech. because that's what I did for years and if they call me a coder they would have to increase my salary.
Currently where I am employed, there is an abundance of change that needs to take place. My employer doesn't want to pay the salary for a "certified" coder instead they like to overload the worker that is certified and make excuses on why they are unable to increase their pay. They also play a lot of favoritism and in my opinion it really lowers the morale of the company.
I work in cardiology and we are responsible for coding all office e/m and hospital e/m and procedures.  we do not code our coumadin, pacemaker, nuclear, diagnostics, or echos. It is a concern that i don't see these superbills come across my desk.
The only coding that I do is ICD-9 I think that there should be a test just for ICD-9 coding and with the exam that is done now. I think that you should only have to retake what you did not pass. I have not done any CPT coding since college. That was back in 2003. I do not do any coding for that and I think it is unfair to make someone retake a test when they are only week in certain area's. If that was the case I would have passed my exam. I do a good job at ICD-9 coding and that is the only coding that I will do.
Never enough time to do it all or read everything I need to read. 
We do a lot of research for proper coding and chasing providers on the same day of service because they lack proper documentation.
Any coding position should not be done at the front desk in the office.  You should have your own office to manage your time efficently and not erratically.
High expectations for one coder to do multi-specialty practice coding for all providers. Need more support from management. 
I have been doing medical billing for over 20 years and I have a hard time with  testing. The problem is that I  will be put in another position  because I cannot pass the test. So all my experince in surgeries and E/M has been  a waste, because the physicans do their own coding. The people that have passed  do not understand the coding and have a certificate that they really do not  use or understand.
I enjoy my job here but I do wish we had a better working relationship with the doctors.  It would be nicer if they were more approachable and I am just not sure how to accomplish that other than just keep on trying.
The above survey is based on a position I held for the last two months, but just left.  The position was medical records director for a long-term health facility; however, I left because the I was being asked to compromise professional ethics in order for the facility to operate substandard.
A great deal of emphasis is placed on productivity rather than the quality of coding.
There is not enough time in a day
Coders should code, period. Related billing issues should be handled as a team  with billing personnel and management.  Coding is too technical and time-consuming to expect coders to handle anything else, even though they may learn a lot about it in the teamwork process and thus become more valuable coders.
I believe with my qualifications I should make more than the 10.97/hr I make. Do you think maybe 18.50/hr would be the right aound? I've been coding since 1987. Are tehre jobs online or that you know of that may benefit me in some way? Thanks.
I'm frustrated with providers trying to code based on what will be paid rather than on what services were provided.
It would be nice if Management would spend more time teaching & educating coders to code in excellence. Intead they are more concerned with employees being certified within 18 months of hire. Just because a person is certified, does not make that a good/excellent coder. It's up tp management to find out a person's strenght & weakness give that individual training, classes, seimars before kicking them to the curb. It's not good for management to make threats of putting employees in corrective action for not being certified.   My last comment is, AAPC should allow a person to re-take the  Exam in the areas they have missed only.  In February will be my 4th time taking the exam.  My frustration is failing in the areas where i'd previously passed.
Our providers use a documentation/coding program called AHLTA which is not user friendly and is set up for coders not clinicians. A different documentation system would be much more accurate and appropriate for our hospital.
Although I have repeatedly tried to educate my physicians as a group, I have found that the only one's who tend to be receptive are the newer docs to the practice.  The docs don't mind if I correct their coding (by auditing the visit) but they don't generally want to know about it or why it was changed.  Several of my docs seem to spin a wheel to arrive at a code, while others only charge one level at all times.  Very frustrating!
I code for multiple providers. Some of them are relaxed and understanding, but many of them expect to be notified when their own coding or their documentation is not sufficient, and then are confrontational, or rude about the notifications, even verbally defensive or combative at times. I work in a room with multiple coder and we share the experiences we have with the providers. As a whole, the providers seem to take a stance where 'coders don't know their job as well as *we* do' in regards to coding and documentation. The way I see it, coders are trying to help the Providers. I just don't feel that they want to receive help.  I had one provider ask for coding/documentation help by phone one day, and when I told her I would be happy to meet, she cancelled 3 weeks in a row. I e-mailed her and let her know that I had some helpful information I could forward to her if she wanted the it and she never replied.  I would prefer a relationship with them where we work together to help each other. I want to understand what they do and I want them to ask for coding/documentation help.
I find that most of the physicians and management really do not understand all of the work involved in updating superbills, performing denials and education for a practice where we have over 200 physicians and many of them brand new who know nothing about coding and we have to teach them.  I feel very overworked, underpaid and not appreciated.
Helping providers understand coding can be stressful when providers don't have the right attitude towards coding.
Treated as any ther clerical worker, pulled to answer phones, financial counseling, management not certified, and often told my certification doesn't mean a thing.
Too much pressure to get claims out the door at the end of the month. If coding gets behind due to process flow, management would rather let claims go unchecked by coders & let them deny & work the problems at the back end. Management will not deal with issue between coders & doctors that wont dictate properly or not at all.
Providers code all electronic charts.  Picking from drop down menus to choose ICD-9s.  E&M coding must be done in order to close all charts within a 24 hour period.  Due to this there is a lot of choices being made without full understanding of consequences.  Coding department has to do much backend work for the providers.
I feel in our area of the country, CPC are looked at by physicians and practices as not necessary, I don't they understand fully the risks of not coding correctly, and think that our jobs are data entry.....We are still very underpaid in our area with our certification.
In the office or in the hospital, the Drs use a "cheat sheet" for E/M. For procedures, they are coded by the documentation from the Drs dictation. Some of the Drs. don't bother about improving their documentation in order to bill additonal codes, etc. As in the location of an additional biopsy. Report states "biopsy X three". They do whatever takes the less amount of time or takes less effort on their part. (Not all doctors are this way). The bottom line always shows which Dr has the adequate documentation, but doesn't seem to matter..
My employer puts all coding responsibilities on providers.  They are not interested in paying for coders and the providers are not interested in coding.  The "biller" remains responsible for collecting every ethical cent as quickly as possible without steering the provider toward any particular coding reconsiderations.  We're allowed to say "insurer denied for contracted radiology facility." and the provider is expected to infer that the diagnosis used does not meet the payors criteria for side-stepping the contracted radiology (per the payor list you have been provided by biller) & suggest corrective coding if the documentation supports it or concede to write off.  Generally these denials and requests for reconsideration are ignored until they are written off.
I think there needs to be emphasis on credentialing coders and getting them certified, regardless of the organization it's through.  Out of four coders in my office, I am the only one who is certified.  I am constantly finding errors, and have to correct them and explain why I'm correcting them.  If employers would understand the value of certification, instead of the possibility of saving a dollar or two by hiring non-certified coders, the profession would take an enormous turn for the better, and I believe pay scales would be higher, as well as the dignity and professionalism in having your credentials in the first place.
I do not have enough time with my work load to keep up with my CEUs.
I work for a teaching institution. 70% of our patients are Medicare. It has been a challange through the years collecting from Medicare, and now its become a nightmare due to the Medicare HMOs and PFFS. They have their own set of rules.
I do not beleive that I have been trained in the billing side of coding. I basically code E&M, surgery and OB/GYN and forget about it. If it is denied I may or may not find out about it.
The coding done by our providers can vary from very good to very poor.  We only have a few providers that do their own coding, so the question 5 above does not accurately reflect everyday situations here.  The majority of our providers are not concerned about coding and how it affects reimbursement, denials, etc.  And the providers that do code do a fairly good job, but do not like to have their coding changed, even when it's wrong.  And they really don't like being told that it's wrong.  The relationship between the coders and the providers is fairly weak.  We are working on it, but have a long way to go.
Coding accuracy is only as good at the payers adjudicating the claim.  There are many payer errors, typos, payer guidelines and inconsistent processing that leads to unnecessary denials.
I feel that a person's pay should not be based on if they are certified or not certified. Most times than not, coders who are certified know less than a coder who is not certified. I think pay should reflect years of experience and how well you do your job and not a piece of paper.
Underpaid and overworked
Training physicians to code is a work in progress. Some are receptive, and comply with coding regulations, others disregard everything taught and do it their own way anyway (usually wrong).  Another problem that is slowly getting better is lack of professional respect towards a coder from a physician. I think somtimes a coder is viewed at a skill level of a receptionist, when it requires very different skills, knowledge and experience levels. I think the role of a coder is continually evolving and is now being recognized as a profession in the eyes of the physician.
Coders are not provided with a quiet work area.  Seem to just sit them anywhere to work.  Climate is terrible in work area also.
I love my job but wish that I had more coding duties. I'm able to get my coding and charge entry work done early every day and spend quite a lot of time trying to find things to do.   It gets frustrating sometimes.
I work for a very large payer & the coding environment is not conducive to higher learning or even the need to be certified.
I think that coders are sometimes taken advantage of and perform so many other duties that it's very frustrating and difficult to keep up with CEUs and primary coding advances. Lots of office-juggling and workflow management takes place, I believe.
There are several employees in our office, therefore, we have cubicles not offices.  As a coder I really would like to see more offices for coders so that there could be more quieter areas for which to concentrate.
Everything has to be run by the nurse manager and doctor's wife who have no idea as to what's right and wrong.  Very frustrating if I point out errors to them and show them were they are wrong.  According to them, they are never wrong.
My only comment would be that space allotted to us isn't conducive to productivity. We have many people in a small area.     We do have a great education incentive here.     We have a tiered system starting with Dept. Chair, managers, coding advisors, then coders.
I feel that even though the practice is concerned that we don't have a certified coder, they will not pay for it because they are afraid you will want a raise or look elsewhere for a better paying job.
Very poorly mangaged work environment where the manager has no understanding whatsoever of coding, billing, reimbursement or compliance issues and shows no willingness to learn. This makes it extremely difficult for the coding and billing staff to do their jobs.
The work environment is very stressful .  Most of the time the work is chaotic since we are now beginning the implementation of EMR. I am a coding educator that has no management responsiblities and no authority over the coders or in my position. We do not have audit policies and procedures or a solid compliance plan in writing. The focus in my workplace is to be politically correct.  This is not an engaged work place. More of an "I don't care attitude" is prevalent. I try to provide positive feedback to the coders but in their words "only more money matters to me" I provide one-on-one coding education after prospective review audits for all E/M services for over 165 physicians, 25 mid level providers. I also provide one-on-one coding education for minor office surgery procedures, surgery coding all specialties (pediatric, adult, general, vascular, plastic, oncologic), pain management, mental health, cardiology, OB/GYN.  I am a one woman show and am underpaid for the level of service I provide. I love coding and education and hope some day to find an employment setting that has an engaged work force where management is directly involved with the employees and generate the attitude of you are valued.
the surgeons sometime don't realize how much time you spend on getting the charges coded out in a timely manner.  A lot is expended sometime.
heavy load of documents to code
The questions in this survey are biased toward employees working in a physician practice.  The survey should have been more interactive to exclude physician-based questions for people employed in other venues.
My employer is very close to committing fraud with their coding practices and I don't plan to remain in their employ. The work environment does not comply with OSHA standards.
I feel that in general people expect you to know it all because you are certified. The assumption is since you are certified you can answer any question immediatly. Dont think people understand how much there is to coding.  Don't feel physicians in general appreciate our expertise. They are the first to not listen or feel the need for your knowledge
There is a lot of negativeness at our work environment, not so much from our Doctors but from management.  You can't go to management with a comment, suggestion or desire and get any type of positive response.  I also would like to see a closer relationship with all employees and Doctors instead of only there nurses, secretaries and management, the billing people including the Coder does not have a very close relationship to the Doctors because we are pushed off across the hall and don't have any dealings with them.  It could be worse though, we do at least have a job.
We are a multi-specialty group and do privide training to docs to enhance their coding skills.  As with all training, some take it well and others do not.
Drs do not care to be specific in DX nor to legible documentation of notes.  They don't seem to care about HIPAA regs.  Being certified doesn't seem to matter for salary.  Management and pay of employees seem to be low on scale of priorities.
The work environment is good.  But training people to do coding is difficult when you have people who don't understand anything about coding.  I tell them how to bill and they do it.  They don't ask why because it is not important to them to learn.
Wish the atmosphere was more positivie instead of being intense all the time
I am under-paid & under appreciated by the physicians (11 docs & 2 PA's) I work for.  For the most part they're not accountable for their coding and are unwilling to listen to me. I am the only coder presently employed here and I'm responsible for all coding issues, surgeries, auditing, appeals, etc..
As a Certified Coder, I wish we got more respect from the Physicians.
I feel that their are a lot of other duties as assigned that sometimes take time away from being able to evaluate and research to apply the right codes to claims.  It needs to be a separate position than just put in as a biller to do all other functions along with billing.
It is hard when you are asked to work on something outside of your specialty. You are not as familiar with the guidelines that accompany that certain specialty. When you are out of your comfort zone you are bound to make mistakes and in this business accuracy is everything.
I would like to handle EOBs  We have an employee that just enters insurance cks and EOBs, but then I don't see how we are reinbursed per pt and insurance
After being certified for over 5 yrs as a CPC, I still have the problem with radiologists who transmit vague reports without sufficient documentation to bill claims for medical necessity.  Radiologists still insist on billing certain services because it is their "protocal" to perform a CT of Abdomen & Pelvis when the Abdomen was the only service requested by the referring doctor. My billing manager and I have repeatedly talked with these doctors to keep them up to date with CPT/ICD9 changes.  These meetings help for a while, however, the doctors seem to fall back to their same old ways if we do not keep on top of it.  Any suggestions on how to drive the point home to them?  Thank you.
My employer will not pay for me to get my national certification. I was told that I don't need it to work here. I also cannot go to seminars because we are a rural health clinc, and there are not many rural health seminars that come to ND. and the cost is too much money. I wish that would change.
The frustration with the coders in my organization is that very high standards are laid out by our Compliance Department and the coders are expected to uphold those standards. While the physicians do have to undergo mandatory auditing, those with bad behaviors are not truly re-directed since the medical directors always side with the physicians. No matter how hard the coders try to uphold those standards if a physician disagrees they are allowed to continue in those behaviors.
I am expected to do too many other job duties in my department that are time consuming and don't leave time for coding, such as physician credentialing.
My providers are going thru many issues.  They don't want us to question their coding but then expect to put many other expectations on us and when we do research and if it is not what they want to hear they get frustrated and challege us even if we have the backup.
The role of the coder changes in different settings. In my current position 10 surgeons 2 coders. We do auditing, denials, charge entry of clinical charge tickets and code operative reports. We try and do a monthly newletter for the docs, education to the fellows and compliance. The pay should equate with responsibility and years of experience and certification.I believe the role of the coder should be marketed in a larger scope than just coding...
Certified Coders should be paid for Coding and not be expected to do clerical work that could be done by someone else for less money. Where I work - Mom is the Supervisor of the daughter, they share the same office.
The volume is too much for the 22 hours per week I put it. I code for 14 providers
Support from Management is very minimal and we are informed certification is no mandated for our jobs. I would like to retire and seek a job in the private sector where i can be appreciated.
Unfortunately I feel like the group does not value their coders or the coders feedback, the coding department and the insurance reimbursement team need to work together, we have insurance gals correcting claims (coding)
Some colleague coders are ill-equipped to perform coding duties outside their particular area of experience.  In many cases, these are the same individual who refuse to gain continuing education in weak areas.
I have no time to research coding issues at work. I have been tasked for the past six years to bill claims in addition to coding encounters. I spend 90 percent of my time billing instead of coding.    I have no support to attend conferences or training provided by the AAPC Academy. If I want to attend outside hospital training, the cost will have  to come from my pocket.
I really do not have any outside contact with other coders.  I really do not have a basis to fall back on to know whether or not something is right or not.  I have requested to attend local chapter meetings only to be told no.  I have asked for more training on the E/Ms (because what's the point of my certification?) and that was started last Feb., dragged on and stopped in August without it ever being completed.  I haven't asked when it will be reinstated.    I am becoming more and more uneasy at work and really want to quit.  I am currently looking for another position.   This is the first coding job I have had and I am so grateful to have gotten my foot in the door on coding and have gotten experience.  However, now is the time to move on.  I just hope something comes up soon.  I might have to get more training as a CCS.     I know our back end staff is running one to two years behind on some claims.. (!)
I am the only coder at my new place of employment, a new eye ASC. I do not have coding experience in the eye field, only in ENT (am told this is similar) and that experience was in the office setting. I am new, trying to grasp a lot and finding myself stressed. The office manager doesn't have any medical background at all from what I understand. Therefore, I have been told she doesn't want me to bother her with questions as she doesn't know what I am talking about, therefore, I am now going to the Internet, finding sites to ask questions and help I need to get my job done.
I am the only coder/ biller for our ASC. Along with these responsibilities I am also the business office manager, responsible for all A/P and insurance A/R.
I work in an ambulatory surgery center coding for the physicians. For the most part, I have a good working relationship with the physicians. I can talk with them regarding the surgeries they perform and go over the codes they think I should be billing. My surgical technician background helps me to understand a lot of what they do and I can correlate that to the codes.
I mostly do outpatient coding. I enjoy my job and the work enviroment in good for learning and asking questions if I am unsure.
I work in small physician office that is hospital owned. I am the office manager as well as the coder. The office biller has some coding knowledge but is not certified.
I am the coding supervisor of a 400 bed hospital. I am responnsible for all aspects of managing the inpatient as well as all outpatient coding, correcting registration errors as well as moving charges fron 1 encounter to another when they are entered inappropriately. I am also the auditor of charts and responsible for teaching.
This survey did not apply to my position as the chargemaster compliance analyst for a hospital.
I work for a hospital system that I do charge entery for their staff physicians in all fields of specialties. They are only audited on their E/M codes and not on the entire office visit. I have expressed my concerns on the entire visit be audited, but at this time, only E/M codes are being audited with no change in sight. This really concerns me. It also concerns me that when I have brought some coding issues to my managers attached, he/she did not understand CCI edits and why certain codes could not be billed together. Also, as of Sept 2007, some codes on the physician encounter forms were incorrect and when I brought this to the attention of our manager and auditing staff, there were no changes made and no information sent out to those charge entery personal to inform them of the incorrect codes. I was told they would be changes at the beginning of 2008 with the new CPT codes because it was too costly to correct and reprint encounter forms in Sept and possibly have to turn around in Jan 2008 to update and reprint more encounter forms. I love my work and I do work with some physicians that understand the importance of coding and documentation, but those few are totally out numbered by those that do not know as well as our management staff that does not know.
I am answering this from the perspective of someone who works strictly within a hospital and in the Revenue Cylce department.
I work in a hospital and for now work just on outpatient coding. I have been working for the last four months as a coder so I am very new to coding but enjoy what I do and I am looking forward to learning more as I go.
I work for a hospital but all my work is associated with the physician practices owned by the hospital. I feel that our department is seen as "the last department" that qualified for support - in terms of education, staffing, overall importance to the organization. Yet, we are constantly berated for our "low" and "under projected" revenue.
Coding outpatient and inpatient records is an important job which should be done efficiently as possible regardless to reimbursement. I hope to continue coding for a contract company part-time. I enjoy working in the medical field because you are continually learning new guidelines and new medical procedures and diagnoses.
I enjoy the work I do on a daily basis, but I feel that within the last few months the company I work for has forgotten the importance of efficient coding versus productivity. I code for ASC centers across the nation for a billing company. Recently my company has downsized in employees to cut cost, but has increased the productivity goals for the day. This concerns me greatly for many reasons.
I do all the coding, charge entry and medical records management in a 28 bed rural hospital for ER, Inpt, Outpt, Swing bed and Surgery.
I do outpatient coding for a large hospital corporation and will soon be coding from home. The work is always interesting and always challenging. I learn something new every day.
I work in a hospital so a lot of the question didn't seem to apply. I used the physicians that I do know.
At our facility, we currently have electronic medical records running with coders being assigned out on the floor in different areas reviewing charts. We find that our work space is very limited in which we only have room for a desk and chair.
I work in a hospital based home health agency. I am the only coder we have and it is frustrating not to have any one the you can network with and ask questions to. I have to spend a lot of time being on top of things.
I work at an urgent care. We have charges that are built in so that we have certain charges for different procedures that we use. It is associated with a hospital. We dont use the CPT books. Everthing is built in charges. We use 3M encoder from online, which is nice. We have flex hours, just so we get 40 hours per week. Maybe the future we will be able to work from home, cause we are starting chart scanning.
I code all surgeries and hospital inpatient visits, ER visits, outpatient visits at the hospital. I also assist with office visit coding. My doctors code from cheat sheets approximately 50% of the time. The rest of the time I code for them. It is my responsibility to make sure what has been coded is accurate. I apply all modifiers and review codes for bundling.
I work for ASC. Therefore, most of the above questions do not apply. I am the only coder here, and I am certified. I do speak to the physicians when I can in re documentation when they come through here. However, that is done by the coder in their office as I do not always see them. My employer will pay for seminars if they are work related. My job duties are coding, data entry and filing electronically, trouble shooting with EMC, chart auditing, appeals (we have very few and I do not do the EOBs), and assist in working the A/R when time allows, but the person handling the EOBs does the A/R on a regular basis.
I am a coding complaince educator. I review charts to identify risk areas and report to the hospital Complaince Officer and Directors of each facility. I am more involved educating the practitioners on correct coding guidelines and touch a little bit on the reimbursement issues. There are a few practitioners that refuse to code for themselves, however, it has been made clear that the practitioner is responsible for the codes submitted for reimbursement. I must say this is the first position that I have held where I have not felt overwhelmed by coding and reimbursement demands from practitioners and office managers. Seeing that I work for such a large organization, I am not fully aware of the education of the coders hired in each practice.
I code inpatient exclusively.
I am a coder and an auditor who assists in the collection process for payment to my hospital of third party hospital charges when our clients are required to receive care in a non-government facility. We are corporate members and appreciate the support we receive from AAPC.
Four years ago, my hospital created a team of coders to educate and audit the providers. We are a team of 20 coders. I work with the Hospitalist and Orthopaedic Providers. I have the main hospital and the second campus. I also have the Skilled Nursing Units . This year I have also been assigned the Orthopaedic Surgeons in addition to the Hospitalist. I travel a lot; but I love it. I enjoy teaching my providers. Five chart audits are performed quarterly and then we meet with each provider individually to go over the findings and to educate them. We also have two mandatory large group training sessions for each group. My providers know they are responsible for what is coded and they have improved drastically over the past four years. Because of the constant, excellent education I get through AAPC and the hospital my providers trust me. Thank you.
I have worked in the radiology field since 2001 and as a certified coder since 2005. I enjoy the field very much and my employers. I have had bad experiences in the past with physician education but for the most part it was only one doctor that did not want to comply with regulations. It got to the point where I stopped coding for him because it was the same problems everytime, upcoding or reports were lost or even worse medical records were lost. So I decided to find another office to work for because the faclity manager could not even help the situation.
I work for a hospital, so many of the questions were not applicable for me.
We are a small 30 bed hospital and we don't have much to do with the billing end. We have our own billing department for this. We mainly code the ER and outpatient claims in our office. Our manager codes the Inpatient claims for our hsopital. We do however work with APC's and all claims that our scrubber kicks out with denials before billing is done.
Hospital based, outpatient coder. Do not interact with physicians on a daily basis.
We are a large multi-speciality Hospital based Clinic with both physicians and non-physician providers. We have 19 coders who review the documentation and assign the CPT and ICD-9 codes. Some providers mark the levels of service and the coders verify and give feed back to the providers. I do not do any provider coding. I audit the coders in our department to insure accuracy and compliance.
I am a CPC for a Home Health Agency. I am the only coder in our office. My concern is not only the cost of CEUs and dues, (I pay for my own) but also I have been a CPC for almost 4 years and I have never seen anything in the AAPC magazines or web site regarding Home Health coding. The guidelines Medicare sets for HH coding are different than hospital coders and physician office coders have. I have a friend who has been a CPC for many years and she said she would live under a bridge and eat grass before she would do HH coding. It is very different and has its own set of problems. I would, along with several other HH coders I have met at other agencies, love to see the AAPC do some articles and continuing education with HH coding. Thank you.
It has taken the hospital a while to understand the time involved in coding a record accurately, and respond by providing our department with the authorization for more coding staff.
My role at the hospital where I work is a dual role of utilization review nurse and also optimizing coding to maximize MS-DRG reimbursement.
I code for a local hospital. Mmy job duties as of right now include urgent care coding, ER coding, newborn chart coding, and same day surgery coding. I have the opportunity as time progresses to learn more intense coding of inpatient and observation charts. Also, the opportunity to learn more intense auditing and reimbursement review of records for DRG assignment etc as time goes on and I prove myself capable of learning these new phases and advances.
I work at an ASC with a small business office staff. Most of us are crosstrained to cover other positions within the business office. I am the only certified coder and the only other person allowed to code is our manager. However, I am also responsible for depleting charts as I code them, help manage the medical record room, cover front desk and scheduling as needed, answer patient billing phone calls, submit claims electronically and on paper. I am currently responsible for coordinating the credentialing of physicians at our facility, although I hope to be relieved of this shortly - we have been open 3 years now and our case load and number of doctors prileged here is increasing so I don't have time to code and credential. I have asked that when this happens that I become more involved in appeals, posting eob's, etc. I love my job and my workplace - plus my manager is great and encourages me to pursue continuing education at the facility's expense.
A large number of CPCswork in a hospital setting. I tried to respond as closely as possible based on how our facility operates in relation to physician and coder knowledge, process, etc., however, I think that you need to take into account that the questions could have been worded to be reflective of the diverse population of coders who are responding to the survey rather than just office specific. In other words, your findings may be skewed. Good luck. I am the Director of Health Information Management at my facility.
I am a full time team lead at a large hospital and code inpatient and outpatient records and review failed claims.
In my current work enviornment having the credential of CPC is not as important as having the CCS. It makes it difficult to get the same respect for the profession. I know there is difference between the two, however we must both live up to the same coding standards an I don't feel that is done in my office. Those of us who code outpatient do not seem so be valued as much as inpt coders. The hospital is a whole different environment from physician.
I have not answered most of the questions because I work in a hospital enviroment not in a physicians office so a lot of the questions do not apply.
I am the back-up coder to all the coders in my department. I also level the ER (E/M) visits. I work the rejections reports. I review all charts that are requested to be reviewed. I assist my manager on special projects. I train all ER E/M levelers and new outpatient coders. I also do concurrent coding for DRGs.
I have my own business. I code for ASC facilities and was doing billing for physicians but currently I don't have any billing contracts just coding. I would like the AAPC to focus on ASC coding more. I went to a surgical chart auditing workshop last spring put on by the AAPC and it was definately geared for the physician end and not facility. As you know ASC are different from Hospital outpatient departments and there needs to be a lot more resources and seminars geared towards the ASC's. Many people and payers are preferring the ASC setting to the outpatient hospital setting.
I am a brand new inpatient coder in a large healthcare system. I'm just learning how things really work. But I find it rewarding.
I work for a hospital corporation as a corporate coder, coding outpt records
I am a coder for multiple ASCs across the country and I monitor new coders, and coders who make a low score on external audits. I answer all coding questions for the company.
I code for the facility side of an ASC. I work for a coding/billing company. All of the coders are certified either before being hired or within 6 months. The work environment is VERY stressful because of the high "turnover" in our office and most of the coders are always on the alert for another coding job. If you try to talk about your heavy workload you just painted a bullseye on your own back.
I work in the outpatient registration department of a Hospital. I code the outpatient labs/x-rays etc., and then I also back-end code from the results of what the radiologist finds.
My position as administrator/chief of operations for this medical practice is always a challenge especially when it comes to the coding rules. The managed care plans take many of the codes and manipulate them to their advantage to lower reimbursement or pend claims for additiional denial. In addition, the patient population refuses to provide accurate information at the time of service, so we run real time on-live verification through WEB MD to catch patients who lie or attempt to defraud the claims processing for their services. These are the primary issues we face daily.
I work in a free standing physical rehabilitation hospital. We also have a busy outpatient department,providing OT, PT, and ST. I code in the outpatient department and have had difficulity locating coding resources for these types of services. My manager codes for the Rehab and SNF units at our facility. She is used to coding aftercare and some acute disease processes. I do not get much guidance with the outpatient department. I would benefit from specific outpatient coding resources.
I work in an administrative regulatory compliance role at a University Hospital. The hopital employees a relatively small number of providers. The work perfomed is primarily facility based. I do not code and abstract services for billing purposes in my role, although I use my coding skills for compliance activities.
I work for a 4 hospital acute care system, urgent care and a surgicenter. My role is that of chargemaster coordinator and I work from the Finance Department. I am responsible for all of the chargemasters in this healthcare system with some clerical support. Many of the questions above are not applicable to my job.
I do not work with the physicians but the ASC. They are responsible for getting the corrected or missing information that I inform them about to me to be able to submit a clean cliam to the ASC for submission to the insurance. All of the operative notes, H&P's, implant logs, physician queries are attached to the coding records for documentation. If it is not supported, it not coded.
I work in a large hospital radiology department and do the coding for all modalities. I do not work with the EOBs or any billing issues; strictly coding and documentation compliance issues.
I work at an Ambulatory Surgery Center in Knoxville, TN. I am the only coder at the ASC. I code approximately 650-700 surgery cases a month, plus do all the charge entry for each patient and send electronic claims. We are a multi-specialty ASC. I feel I am expected to have a wide knowledge of the CPT book from the 10000 to 69999. At times it feels overwhelming.
I am in an ASC and have the luxury of a good cooperative working relationship with the surgical coders in our surgeons' office. Those coders, while not credentialed, do consistent education and work with the surgeons and clinical staff to build their understanding of how to most accurately code the surgeons' procedures. Because we are a new/small center, the majority of my time is spent in administrative and management duties.
I supervise ED facility coders but I am with the whole group that also codes for the faculty of the hospital which I have been a part of in the past.
We are provider based CAH Hospital. The professional coders belong to the practice and have less and different benefits for CEUs than the hospital coders.
The coding for an ASC is a little bit different than for a physician's pro fees. That difference makes it a bit challenging, but interesting too. I do the coding, the charge posting, billing, reimbursements and claim follow-up. So the better I code, the better I can support my claim using the documentation.
In the ASC coding community there is not enough time alloted to code all of the surgeries. Since they are pretty cut and dried, the coder is responsible for over 100 charts a day with little or no resources since free st anding ASCs are hard to find articles or help regarding. Most of the area's ASCs have outside coding companies complete their coding.
I work solely as an outpatient hospital coder. I no longer work in a physician's office. I'm not responsible to work EOBs, do appeals, etc. with my new position. My responsibility is to code productively and accurately many charts per day for outpatient services.
I work in the finance division of the hospital and review records and charges. I review CCI edits and work with departments to educate where necessary and help with process improvement when necessary. I am currently getting prepared to take my CCS exam as well.
Worked as manager of the business office and did coding, denials, appeals, had nine employees under me and 12 doctors. Added an ASC that we also coded for. 9 out of the 10 doctors did surgery, was a single speciality office.
I am a coding supervisor for a freestanding ASC. We do not code for the doctors. We code for the facility. The coder in my facility does the daily coding and data entry. I handle emc filing, state reporting, coding audits, helping A/R with appeals, assist with payroll and order and maintain all of our educational materials and anything else the Patient Accounts Manager whom I report to needs assistance with.
Very professional work environment -- I do coding for both Medical Oncology (Clinic and Treatment Bay) and Radiation Oncology and also PET/CT -- we are a free standing cancer center.
I am working for an ASC and I love it. I work with one other coder we are both certified. She does all the G.I. procedures and I do all the surgical coding. It works out great. I'm also wanting to do some remote part-time contract coding so whoever reads this please keep me in mind.
Sometimes we are required by the CEO of the ASC to code charts without dictated operative reports. This makes me very uncomfortable depending on the complexity of the case involved and the hand written documentation.
I am one of four coders that works for a small hospital. We have a clinic and four specialty clinics (cardiology, podietry, general surgery and cataract surgery). We only do minor surgeries at the hospital. The others are done at bigger hospitals. We have an eye clinic also and an ER. We have one coder that does inpatient,. She also helps with the rest of the coding. We have three billers so they handle the EOBs, denials, etc.
I audit facilities. My audits are based on CPT guidlines and contracts. I have a good working relationship with my facilities and we can discuss the interpretation of codes to everyone's satisfaction. my employer encoruages this in order to have all claims paid correctly.
I work in a hospital setting, in the medical records department. I am a coding and reimbursement analyst, and I audit Medicare outpatient claims for corrrect coding, charging, and compliance. I also make corrections to claims, and provide education to charge entry staff, department managers and directors, and to providers when necessary.
As an outpatient coder for a hospital, I am responsible for coding any outpatient procedures performed in the hospital. This includes: ambulatory surgery, cardiology, radiology, endoscopy and emergency department.
My work is performed in the hospital setting. My coding responsibilities include same day surgery, ambulatory, out patient in a bed and observations. After 5 yrs of working in another hospital where the emphasis was on productivity and not accuracy I have been fortunate to gain employment at a hospital with a very well developed chargemaster and a boss and coworkers who emphasize the importance of accuracy and compliance. I'm very happy to be in my new employment facility.
I work as a concurrent documentation specialist in an inpatient setting, and many of the questions did not apply to me.
I work for a very large hospital system (almost 40,000 employees) and many people handle many different roles that have to do with compliance, billing, reimbursement, coding and physician education, so sometimes it is difficult to find educational opportunities that apply to exactly what I do.
I work in a hospital/specifically radiology
I work for busy hospital based radiology department with primary responsibility of diagnosis coding. i also take care of edit batches and do some CPT billing for procedures. Right now, i am being trained to do interventional radiology, which i will overtake the responsibility once trained.
We are a dedicated coding department offering coding assistance for practices and ASCs. We do not work onsite. I don't have much verbal contact with my clients.
I am in a newly created position as a coder for an anesthesia dept of a local hospital; located at their billing site which is not part of the hospital community. I, however, am part of the hosptial community. I see room for important changes and growth within this new position. I have 18 yrs in medicine as a CMA, CMT, and now CPC and hope to become involved in auditing.
I working in an ASC and I do 50% scheduling and 50% coding and data entry. I work some with EOB's but there is another employee who does that duty who does not have coding experience but does ask me for help when coding is an issue
My work environment is hospital based with outpatient and inpatient coding. We also verify APCs. We work very closely with the billing department to send out clean claims. Our coding goes through an OCE edit and we then try and correct or clear up questions before claim is filed to insurance carrier.
I work in a rural hospital, so do both inpatient, outpatient and ER coding, also work with patient accounting quite a bit, as I am the Revenue Integrity Coordinator. I am also responsible for the CDM at this facility. I love my job because it is so varied.
We are a 10 speciality ASC. We have a coding department which does all the coding from operative reports and the data entry of the CPT & ICD codes only. We also have a separate billing department, which submits the claim, works denials, posts all payments and does all follow up. We all work closely together.
I am the sole coder for the providers in my practice and I am also required to know registration to to cover the front desk staff should that be needed. My providers are pulmonary, critical care and sleep medicine providers, requiring proficiency in all three areas. In addition, I am expected to help out other offices that are short-staffed with their coding and data entry for billing. My biggest gripe about my job is that the biller-coders in the hospital HIMS deaprtment are paid on a higher scale than I am. The reason given is that they must compete with other hospitals in the state. I don't feel I am less qualified in my field than the hospital coders are and many of them don't have any credentials yet.
I also am responsible for submitting data for Core Measure Reporting for JCAHO via a contracted vendor service.
I'm employed by the hospital coding dept. but am currently located in hosp-owned multi-specialty physician office. I have been left to fend for myself in all areas. It seems management at the office passes the buck to management at the hospital and neither compliance issues nor staff/physician education is as important as the profit margin or hospital managers' other agendas. The documentation is lacking...today is 1/16/08 and today I received transcribed office notes for one patient for three dates of service (she was seen 4 times) and they dated back to November! Why is this acceptable when there are "policies" in place that are not followed? Sad as it makes me, because I am certified and uphold our higher standards, I sometimes wish a payor would come in and pass out fines and jail time so managers will hear us and make the necessary changes! I'm tired of getting tuned out and have run out of positive ways to approach docs with big egos that don't want to be wrong or aren't ready to change the way they practice. Help!!
I work full-time at one ASC as biller and coder, and I also do all the coding for two other ASC's, working from home. Since the three ASC's have different specialties and a variety of surgeons I learn much more than if I just worked for one facility. I find coding challenging and always interesting.
I have just started coding and work in the ED dept. I am learning how to talk to the doctors to get the correct information necessary to do my job. I am learning.
It is very hard to get support from my manager and senior coders as far as learning anything new in coding. They want me to know what I know and do my job so they aren't put in a position of having to do the job themselves. The cross training theory is tossed around but never comes to light and that is why I've wanted to find a new job. I am not growing as a person anymore, but the pay is good and the hours are flexiable. Probably typical of a small hospital.
The inpatient coders are given a heavy workload to accomplish in a short period of time. Some days we have 30-40 inpatient cases to do along with the professional fees to code by the 14th of each month. This workload is expected regardless of time off, holidays etc, inclement weather etc.
Unfortunately in a hospital environment things are political sometimes and people that deserve to be in jobs that they are most knowledgable aren't the ones they are in. They are in lower paying jobs and expected to work way outside their realm...coding in lower paying positions ... it is my biggest complaint. If they are going to pay for you to learn the coding and do it right, the jobs should be awarded to those people. Unfortunately, this doesn't happen. Many denials happen where they shouldn't.
I am the medical auditor for a seven hospital system that is spread over two-thirds of the land mass of my state. In this job I use my coding knowledge to verify claims, review and support charges and to audit processes and practices. I have created a very aggressive staff education campaign at two of the hospitals. In the classes I use my coding skills (among many others) to educate the medical and nursing staff about the billing process and requirements to improve documentation and overall compliance. This program is being slowly rolled out to all of our hospitals. I also use this knowledge in revenue cycle type activities and in certain compliance activities.
We are a hospital owned outpatient PCP and specialty practice; our billing office is staffed with 18 billers/coders/keypunchers/supervisory employees as well as 2 compliance/audit staff (which I consist of)our purpose, originally, was responsiblity for yearly audits of "all" physicians and incoming physician education. We are, instead, inundated with billing staff inquiries ranging from code questions on a superbill, EOB denial questions, and a requirement that "all" level 5's be audited can get out of hand. I wish we had more time to spend on provider education and a way to make providers receptive to what we have to say.
I work in a hospital setting in the HIMS department - I strictly code and abstract - I do not review EOB's and do not have any billing responsiblities.
I work in the coding dept at a hospital. I code ambulatory surgery and Observation accounts. I occasionally do ER patients. We have a documentaion specialist who works with our surgeons/physicians.
I work for a multi-specialty organization consisting of physician offices, ASC, Cath Lab, and Dialysis unit. We employ more than 100 physicians and I do all inpatient coding. I am one of the senior employees, therefore I am capable of helping the others with their load of work too.
I am a Regional Coder for 3 ASC's in Austin,Texas. My CEUs are somewhat split between me and the centers. My immediate supervisor is a business office manager who is required by our company to get coding CEUs although he does not code.
In our facility there are many individuals who are not certified but are select for higher positions in the revenue cycle.
I work for a corporation---and do coding and billing for an ASC----Being certified makes a big difference in pay. I am audited (internal audit)quarterly to make sure I am in compliance, and accurate. I have access to everything I need to do my job, and my employer pays for everything. They are very "educational" oriented. I am one of the "Lucky" ones!!!
I work full time at the hospital coding. I also work part-time at a doctors office where there are NO certified coders and I will not code there because my coding certification is very important to me and I do not agree with their coding practices.
most of this survey does not apply to me since I work in a hospital.
Hospital coder - both outpatient and inpatient. Hospital pays for one membership (Ahima) and some CEUs and coding references. I pay for AAPC membership and whatever additional references I choose to purchase to maintain my own personal coding resources up to date, plus CEUs still needed to complete maintenance requirements. Our coders are fully cross-trained to code all patient types and we're credentialed.
You questions were rather limited. I work for an in pt and out patieant hospital, that also has private practice billings, and radiology professional billing. A "yes" answer for one, is a "no" for another practice. I work all practices.
I work in a hospital based anesthesia practice which usually requires that we cross code to many specialities, and to numerous payer requirements. This makes coding and billing somewhat challenging and not as easy as some believe anesthesia coding is.
I code the interventional radiology and cardiology procedures in a hospital. The codes are connected to charges in the Chargemaster so I charge for inpatient and outpatient but the CPT codes only appear on outpatient claims. I work with the physician's coder to provide accurate coding and documentation that benefits the physicians and the hospital.
I am the only coder for our ASC. I enjoy what I do, just wish I could be in a different enviornement with more time. I work in a cramped office with all the ASC front office staff. Hard to concentrate with others on the phone dealing with patients and insurance compaines. I am the back up schedular and work the front desk when needed. I also do end of month reports and returned mail, and all other duties as assigned
I have left the pediatric world and now am in Hospice and Palliative care where we bill both UB04 and CMS 1500. The environment now compairs to the environment that I left is less stressful. Management knows what they are doing.
On Question 2, it didn't let me answer with disagree and strongly disagree. Our facility does not have ANY certified coders. We have to pay out of pocket for it. They hire a certified coder to come once a week to review our inpatient coder's codes - this has gone on for years. I am coding outpatient and I am going for my CPC-H this spring. Our facility does not wish to pay us more to be certified.
If you do not have hands-on experience your certification is not important when applying for a coding position. I heard it from several others that even with the Xtern program most employers do do allow the time away from the job to participate. I also know several that code for physicians that are not certified. Why are they not required to be certified? I will continue to promote the certified coding expert at work and will look elsewhere for additional experience.
I have not had the pleasure of being hired as a coder. It is very hard to get hired when you don't have experience. I am currently doing medical records, and the closest I came to any coding is a job where they wanted me to work the front desk 75% of the time and doing insurance referrals 25% of the time without a raise in wages. They say this is how I'll get into coding. Well, I guess I'll just keep trying!
We also have two CPC-As in our practice.
Employers will not except school experience at all, even with credentials.
I am still going to school. So I don't work in office yet but hope to in the next few months. I am just finishing up my externship at Medical Express Billing service.
I currently send bills out and work with coders, my work is looking for experienced coders of 3 to 5 years of experience. I hope to gain experience in the near future but need someone to take a chance, look at my experience as a cost analyst and my certification as a CPC-A (A stand for apprentice). I'm looking to drop the A by attaining a medical coding position. Do you know of anyone who would give me a chance to show them what I know?
As an apprentice coder I found it almost impossible to get a job coding or even to do billing. I did get a job in a billing company but not as a coder but I was hired to work eob correspondence from payers. I can only hope they might let me work in coding at some point.
I would have loved to obtained a coding position. Was unable after numerous interviews. I even volunteered to work 1-2 days a week for free just to see what the job would entail. I'm not quite sure I understand but have my suspicions. I would have thought that the A.A.S., Coding Boot Camp, obtaining the CPC-A certification first time around, and 35 years of nursing would have impressed someone. So I am utilizing my LPN license.
As a CPC-A I am looking foward to gaining the experience that I need to be a good coder that anyone can be happy to have working for them.
Single coder for urological clinic with four doctors. I do surgery as well as office coding. Billing is separate. I am a CPC-A with no medical background. They hired me and worked with me very well. I have been here six months now.
Well, as a CPC-A I find very difficult to find work as a coder. No one is interested without at least two years experience.
I am currently a student at Med Tech College. I will complete my Associates Degree in 2009. I have not had any experience as of yet however, I will get practical experience when I complete my Externship.
Need to have externship. I do not have a job in medical billing/coding due to no experience. will not hire me with out experience. Can you help me?
I have held a CPC-A certification for over 2 years and my own hospital will not hire me as I do not have experience - and I have worked in the outpatient therapy setting for 15 years. I cannot find a mentor in my area so my certification, fees, and CEUs are, so far, a waste of my time and money.
I am a CPC-A and gettting a job with this certification is next to impossible. Any suggestions.I did not get certified to enter the dr charges and answer phones and call insurance companies.
So many companies are not giving Certified Coders the chance to work in the job role as a coder, you'll always hear "not enough experience" something needs to be done about this. Where do you start when no one will give the oppurnity. I had my certification 2 years. I am currently a Physician Coder inpt/outpt. I did take advange of the internship program.
I am currently a CPC-A and in a fairly new position of a Central Billing Office. At present, my main responsibilitie include Insurance Follow in this dept. I have no direct encounter with coding, other than denials which are forwarded to CPCs for reviewing. I am working toward the coding aspects of my job in my present position.
I am the first and only professional coder my employer has ever hired, to the best of my knowlege. It has made this a very interesting transformation for both them and myself As a CPC-A without a mentor, I have spent much time on line with both a former instructor and and web sites to gain what both I and they lack.
Apparently studying and passing the test means nothing without experience. I do not live near the CPC-A training programs.
In my position as an LVN, CPC-A I do an annual quality assurance review of HMO's. The plans sometimes have prepopulated data which are by codes. We are to accept these as accurate and as part of the data needed to complete the review. If the data is not accurate, we are to submit it anyway because we just review what the health plan provides us. If they question the accuracy, they are able to go back into the database and see where we obtained our information, and if they want to investigate furthur are able to go to the group manager and have them do a query on a particular submitted code for accuracy.
Well it would be nice if I was even working the field. My door is shut right now because I am CPC-A. All everyone wants is some one with experience.
In December 2007 i just received by CPC-A. I have not spent any money yet.
I can't find employment as a coder, so I'm completely out of the loop, I've had my CPC-A since Summer 2006, but no work other than an Internship that was not a paid position.
I am a newly certified coder (CPC-A). I am not sure if I have answered your survey appropriately or certain as to which questions actually do apply to my employer as I am still learning this coding duties/responsibilities. Thank you.
I am acutally a CPC-A and my facility is the first to hire me with only school training, It is very hard for an inexperienced coder to get a jobs. Most the hospitals I have applied for, not only want you to be credentialed, but for you to have at least two years experience. I was certified two years before I landed my current coding position
I am the only coder in a speciality office. I am still an apprentice, so I am always researching.
Honestly, I think CPC-As should practice doing coding before attaining certification as well as after obtaining certification.
Currently studying your handbooks and when ready will take the CPC test.  My provider knows the importance of accurate coding and does a great job, however, when it comes to my education does not feel it's warrented because of his knowledge.  I strongly disagree and purchase my own membership through AAPC and purchased my own handbooks and study on my own time. I don't know how much this helps., but I'm an example of an employee in a good work environment that wants to strive in this position but not assisted what so ever by management to help me with coding education, payor updates ... Thank-you
Having the support of management for CEUs, paying for exams, encourging education is such a benefit.
I personally have $1000 educational account for my coding and medical manager credentialing.  My staff each has a $250 educational account which usually does not include books unless they want their own. We have 5 certified coders including myself. Each coder has one surgeon to coder for as well as other front office duties. They rotate each week between checking pts in and out and catching up on their coding. All office coding in done after the dictation is available. Any denied claims are reviewed and opportinities for education are then gone over. Thank you!
The importance of our job is not accepted. The pay is not up to par.  I wish I could get our providers to see that we are their backbone to remibursement and that we are just as important as the clinical staff.
I have worked for a solo practicioner for over 30 years as office manager.  I recently completed the ISP program through AAPC (for which my employer paid) and I am scheduled to take the CPC examination March 1, 2008.  It has not only helped with the billing, but I also process all the authorization requests/referrals for several IPA's and the coding is helping in processing more accurate auth. requests as they require ICD-9 and CPT codes on all submissions.
I am currently employed by an inner city non for profit organization and am currently paid more per hr than when I was employed by a private practice. I was allowed $1000.00 p/yr for CEUs.  At my current employer I am pd a higher salary and don't mind paying for my dues,ceu's etc.
I work for a single physician practice. With reimbursements down and continuing to fall, I supply my own books and pay for my CEUs.  I do not make a lot of money, but I choose to keep my standards high.  The AAPC does not make it easy to continue to remain a member, financially, I do not know how much longer I can continue to belong to this group.  I enjoy my work very much and I know I make a difference.
I love my job, I love the people with whom I work.  My supervisor is the main reason my complany pays for my education/CEUs; she is fabulous.  I wish I could spend more time with the physicians in our clinic, because now I only see them at the educational audit (which is twice a year).    My greatest wish is for an increase in education for all physicians in the importance of correct coding, compliant clinic practices (correct procedural coding, correct E/M coding), and the importance of documenting clinic policies (how the clinic handles "Incident-to", RN performance, documentation requirements, expectation of dictation standards, etc.).
I am just beginning to actually do more coding since receiving my CPC -- did it for 20 years prior.  I would attend more seminars and the annual confernece if my employer reimburesed me or paid for these.
I am proud to be a credentialed coder, but would like to get my CCS-P, but with my salary the $385 exam fee is hard to save up for. Wish salaries would increase along with the work that seems to be generated from transitioning to EHR-which falls on coder shoulders.
Raises are only based on a VERY high production expectation.
I am still coding from paper charts and also am NOT being paid as a coder.
i was currently moved from coding outpatient records to coding only heart caths and peripherals at no increase in pay, even though I did ask my supervisor to check with her boss, she never did.  Also was made to take this position against my wishes.
I am recently certified CPC and do not actually perform as a coder.  I more or less problem solve, catching errors when denied and am a source for other coders questions as not all of our coders are certified.  I catch errors from insurance remittance and provide problems to my manager for poster's meetings.  Also my employer paid for testing, books, and may pay for some CEUs (not tested yet) but I pay yearly membership fees and CEUs.  Our corporation is just starting to get certified coders.
Iwish more employers would help out the coders with more resources and education. Also paying for our renewal each year.
I manage all of the coding and front-end staff as well as do physician education, clinic education and set up policies and standards for staff and clinics. Coding is a vital piece of the puzzle and needs to be emphasized and recognized. The current pay scale should be addressed and the importance of the position reflected in a rise in the scale.
I look forward to the day when a CPC credential is respected equally with the CCS (AHIMA) credential in our facility.  I feel that I am just as qualified as an AAPC credentialed coder as the AHIMA credentialed coder, yet the CCS is paid more.
Not paid enough for all of my job responsibilities
Unfortunately, I work for an employer who is only interested in the almighty dollar and will not support me financially in my endeavors to keep updated with CEUs.  He also refuses to pay me for my ability to get payments ffrom the insurance companies in a timely fashion and get full reimbursement.  I feel that medical students need to be required to take coding courses before they graduate and Ifeel that physicians should be required to have CMEs in coding. My employer enjoys the fruits of my labor with no gratitude for my efforts.
I work in a hospital-owned physicians' office. We do not receive any money for CEU or membership. There is a central office that is over all the clinics in the network. They have all the resource information and will only pass it along if we request. Sometimes it is a matter of trial and error.
Sometimes it is very difficult to attend conferences and/or seminars since it is an out of pocket expense that is not reimbursed.  Airfare, hotel and conference adds up to a lot.  One or two day seminars are much easier, especially if you can travel back and forth each day.  Coding books are not always supplied by the employer and therefore we either go without or have to purchase on our own.  Local Chapter is wonderful.
I do some coding but my department does not really have a person coding a a job.  I only happened to study by my own and get certified and pay my own membership/credentialing each year.
I work for the VA and have a very good supervisor and supportive environment but would like it better if they pd for some of the seminars the AAPC offered as they are quite costly and not conveniently located.
I feel that it is interesting that the cost to renew my annual coding certification is almost three (3) times the cost of renewing my nursing license.  Not to mention that CEUs are much more expensive as well.  I don't see how those without a nursing license and the higher income associated can afford to keep their certifications.
In general, I love coding. I recently, however, went part-time in my office and  took a full time job (outside the medical field). I informed my employer I could  not get by on the hourly wage they were paying and after almost 12 years of service I felt I was being underpaid. I was offered a raise to stay on part-time  (as they had no one to replace me) and that was what I agreed to do.
I changed jobs in Nov 2007, enjoy being a part of a group that finds coding compliance so important. Would be nice if the employers would be as involved with helping to pay for the CEUs.
I love coding and working in the health care field, but it is very expensive to maintain credentialing.
The providers needs a review of the necessity of properly trained professionals and more current books and or material to improve on the quality of production
Work flow is not regulated. It is a surgical practice and the ops come in spurts, no regular schedule there are now 50 surgeons and 2 full-time coders. A few physicians code their own and we have to check it. But I code in a process when the codes are already on the case one tends to "skip" some steps of the process and miss issues. I was hired as a general surgical coder and in short order learned I was the chosen one for vascular and interventional. I was sent to one seminar, which was excellent, but the bulk of my learning vascular/interventional was on my own time without any reflection in my pay. I spend a lot of my "free" time keeping abreast of changes and learning new codes etc.
It wouls be great if my employer would help pay for CEUs. They do provide current code books each year but anything else is my responsibility.
Coders are not held in high importance and get little repect. They are viewed as complainers and trouble.  When a coder approaches a provider they say "Here comes trouble."  The billers who handle the posting of money are held in much higher importance.  It is very discouraging.  Plus coders have to go through education to get certified, take the 5 hour exam, and keep up their CEUs.  It is very difficult with the level of pay we get to pay for CEUs that are so very expensive to get.  Sure there are free CEUs out there but they may not include the information you  are truly interested in or really need.
I wish my office would help with the financial costs of keeping up with coding when I sign up for CEUs and classes. They are benefiting from my expenditures. Also, our pay scale is low compared to the national average.
I work for a government payer which is totally different than working for a physician.  Although my employer only hires experienced certified coders, they do not pay for conferences, workshops, or membership/testing fees.  The do provide basic coding reference materials.
I've worked in the medical field, doing the coding and billing since 1982. I worked for this pain management and anesthesia group as a biller for the last 3 1/2 yrs, Dr decided to outsource the billing in June 2007 which turned out to be a mess. He called me back last Dec. to work from home taking care of his A/R and also asked me to teach him how to do the billing and coding for pain mgmt and anesthesia since he decided to do the billing himself. I was in the process of studying on my own to take the certification test, this is my goal, but I had to stop my study and hope to resume soon.   My only concern at the moment is that that the out-of-pocket expense once certified, is very high and I find it will not meet my budget, therefore, I am having second thoughts about it. 
I am actually a claims biller/followup account representative, who had coding experience and decided to get certified in order to futher my career.  Since CPC is not required in my job duties, my employer does not pay for anything relating to my certification.  Nor do they allow me to attend AAPC functions on the the clock.  But, being CPC does assist me greatly in my job with denials and appeals and with rejected claims. Since I am a coder, I can identify coding errors that have caused claims to reject.
We work overtime quite often and it goes unappreciated quite a lot.  We dont get  the pay that is often mentioned in your salary surveys..
I feel that there is a misrepresentation of what a coder does.  There are very few places that do strictly coding and from what I have seen in my employment search and current position, CPC is expected to do a lot the billing duties.  My CPC has helped with the understanding and reviewing of the doctors choices, but that is the extent of my coding.  The few places I have found that need coders require 5 years experience and I feel the school and the AAPC misrepresent the salaries.
This survey is clinic/hospital based, however some of the questions apply to payer relationships between medical directors and coding personnel (both employees of a payer) regarding quarterly code updates, claim appeals, documentation interpretation, system set ups, coverage policy creation and/or revisions, educational communications to provider networks, responses to FAQs, etc. I, and my credentialed coworkers, work daily with one or more medical directors (and these MDs know documentation requirements!). This is why I responded to those situations that do occur in the payer world, with a selection other than the NA button. My employer pays limited funds for CEUs as long as it's all instate and relatively inexpensive.  National Conferences or the CPT Symposium are out of my pocket. Thank you for the opportunity.
The only coding resources provided are the current ICD9 and CPT and the internet. Any other resources used are the employees'. The practice wants credentials, but does not reimburse the annual dues and does not pay a higher salary for certified coders.
CEUs are important to keep coders up to date.  The fact that proof of CEUs is now every two years is helpful.  The fact that the cost and time to obtain CEUs keeps going up, is counter productive for my business.
The clinic I work in is a hospital based speciality physician office, General/Vascular/Thoracic.  I do all the procedure coding, E/M coding/auditing & including the billing for 3 surgeons.  There is a department that deals with the insurance, but I have to do any inquiries that might come from my office. The general surgeons I work for are the best, however the clinic directors and VP do not view me as a "coder"  I am merely a billing clerk that they prefer to pay $10.01 per hour for my knowledge.  They quelch any idea of "coders" and demode those of us who have become CPCs.  We all are looking for other employment, but in a rural area, there is not much to find.  I am only building my coding resume and will leave as soon as I find something else.  We are not allowed a voice and get in trouble for questioning our terrible compliance department.  I'm good at what I do and I want out.
First of all I love coding.And second is that I like my job but I think the salary should be much more than that for a certified coder.
The job and enviroment are lousy, the pay is not the best, but is hard to get empoyed
I am entry level with data entry.  I am still an apprentice so I have a lot to learn.  I am very happy in my position but have ample room to grow.  I am very interested in learning as much as I can and to possibly move into credentialing as an E/M coder, or an auditing position.  Because of my entry level position, I am careful about how many buttons I push with cost reimbursement, etc., however, so far the group has agreed to most of my request for educational material, etc.  My cost comes from going to my local chapter meetings.  I feel these are a must because I  am able to gain more knowledge in the field through the audio conferences.
Work is extremly productivity driven and not well paid as compared to other professions for the amount of education and credentialing expected.
My company has limited spending, and it is very hard to keep abreast of the update. Most my education is coming out of my own pocket.
I am new at my current job. I have not found the need to pay for CEUs as I have found plenty of free resources and my employer provides time and space for our own chapter, and our providers often provide lectures. However, I find our providers are not very respectful of coding.
I am responsible for reviewing, entering and posting physician office charges for three family physicians and one ENT.  I also code, enter and post anesthesia for two hospitals.  I use the aAnesthesia crosswalk after coding the surgery performed.  I work 40 hours every week.  My employer does not reimburse for any of my CEUs.  What a shame.  They require it but won't pay for it.  Linda Weinberg CPC, CMA, Educator
Unfortunately, coders are underpaid, underappreciated, and overworked.  I work for an institution that welcomes the most of its coders and billers, but is not willing to contribute financially to their continuing education, and my employer does not foster or support the employee who wants to aspire to the top level of credentialling.
I only wish practices would recognize salary requirements which experienced coders would like to be compensated for and reimbursed dues and CEU out of pocket expenses.
My employer pays for all my expenses with my coding certification. I am the only coder in my practice and there is very little extra time for spending on keeping up with all the new updates for everything. But compliance is very important to me and I always try to do the best I can. Sometimes my physician and CRNAs get tired of me confronting them on documentation issues but it is my job as a coder to do my best to get it right, and they always don't see it that way. But we carry on.... 
I am coding in Homecare. However, as of Jan 1. 2008 coding has become even more important in Homecare since the inception of PPS.  I am fortunate that my agency sends me to educational classes and pays for all my CEUs.  I am also required to recertify every two years, so it is VERY important to remain on top of any changes.
Thanks to one of my employers, I can cut the amount of money I spend on personal books since they now provide CPT books for us every year.  i still prefer to buy my own ICD-9-CM book and a Procedural Desk Reference. This same job also allows us to go to seminars and meetings for CEUs without us using vacation time for it.   They also arrange to have a lot of in service audio conferences at the office to help us with earning CEUs without cost to us.   
I am new at this position and previously I paid all my ceus and membership which cost around $350.  I work doing mostly denials and research why specific CPT codes deny frequently.  I alos research modifiers and their reimbursement with Insurance carriers. My work environment is adequate. About like most offices.
Working as a coder for almost two years and am disappointed in the salary.
I do have a very supportive employer.  They only hire certified coders and support us in any way they can.  Materials, reference books and seminars are paid for by my company.
I like my work but I don't like the pay. 
It would be nice if there were more seminars that were free to keep our CEU credits.  After paying dues and then having to pay $$ for CEU credits, it gets to be a little expensive.    My work environment is great and I have a great boss.
I work only part time in a small audiology office.  It was the only place near my home that would hire me without my having experience in the field.  I am greatful for the job but I wish I could do more coding than I get to do.  There are only certain codes that I get to use therefore there is no need to use my books.  My boss will not pay for the books and does not care if I get my CEUs because she does not care if I am certified or not.  It is really discouraging but I continue to work for her so that I can get my two years experience in so that I am not considered an apprentice anymore.  Then maybe someone better will hire me.  I really enjoy coding.  It is like going on a scavenger hunt.  You have the doctor's notes and reports as clues and it is up to you to find the right code.  It is also a very valuable part of the medical field.  Without coders things would run very slowly in a doctor's office.  Payments would not get made and the doctors would not get paid as quickly as they do.
Work is great.  Enviroment is a pleasure.  I really feel that question 7 is truly twisted in regard to money.  Anyone who is certified automatically has to spend $150.00 minimum just to keep their membership with the AAPC. Never mind the CEUs for keeping their certification.  A high percentage of providers do not pay for the continuation of keeping their coders certified.  And now I won't even get into the CEU area.
Work environment is very good.  However, doing a mixed position (coding, keying, and transcription), the pay is low.  I also noticed from reading the Coding Cdge that my state seems to be one of the states that doesn't pay certified coders very well.
My company used to pay all the cost of CE, however, we are being asked to bear the cost due to the DRA.  On the whole my company is very supportive of the coders. They supply us with all the books we need for research and ask us for opinions on very coding software and new books.
Too much responsibility and liability is placed on the coder.  Salary does not commensurate with the responsibility place on  the coder.
I have been unable to find a job as a CPC in the area where I live.  I did have a position as a coder for about 1 year but the practice cut my hours to half-time and I was forced to seek a position elsewhere.  I was then forced to take a position as an LPN as no one was hiring a coder at that time.  At my present position, the lady who has been doing the coding for the past eight years (non-certified) will be retiring this summer, and I will be moving into her position.    I would love to be able to attend conferences, etc., but my employer does not pay for those items and as I am the only person working in my family. I cannot afford it.  I did get to go to one in Atlanta, Ga., and it was great.  I enjoyed meeting the coders from the other states, etc.  My wish is that one day, I might work for someone who will send me to another one.
I am sitting for my CCS and will drop my CPC because it way too expensive to keep up.
I would love it if my employer would pay more for CEUs but at this time I don't see it happening.  We are lucky enough to get an audio conference here and there so that helps.
I have 12 speciality doctors that I code for.   My provider has had helped me with my membership/CEUs but recently I've become a part-time employee working under a contract just for coding/billing.  I will be responsible to pay for my CEUs/membership.
The only downfall to my job is my job does not pay for CEUs or for our renewals each year.  We have to pay out of pocket for that each year.  I do not feel it's fair because they pay for the continuing education for our nurses and our doctors but not our coders.  They need to think about possibily offering to pay for them.  Or at least pay for half.
In my environment the manager is a CPC but seems unconcerned for growth of her CPCs.  She has went to National AAPC convention by herself, not even letting the other coders have an opportunity to go with her and not sharing the information when she comes back.  She also will not let us take on the job time to go to a seminar, excepting maybe once a year, if we find the seminar and it happens to be in our minimal budget for continuing education.  We are forced to go to local chapter meetings on our time for our CEUs.  If there is a seminar we wish to go to on company time chances are we have to take our own personal time off to do it.
I am very happy with the practice I am employed by. I have worked for physicians for about 28 years and my current employment with orthopedic surgical practice is by far the best job I have ever had (Next month starts my ninth year with this practice). The practice paid for my CPC credentialing, including keeping my CEUs current.  I have a great office manager who makes sure I have the necessary tools to my job correctly and efficiently.
We are offered no money for CEUs and I feel this needs to change
Coding resources and related information are not easily accessible and they come very expensive in the market. AAPC can do a lot about this.
We are poorly paid based on the regional average - only about 12.00 per hour
Great place to work.  I only pay for one or two CEU per year.
It is too expensive to keep the certification
I love doing the coding and I wish my office would be more supportive in keeping up my credentials so I wouldn't have to pay for everything myself.  The people are nice to work with, but the owner is VERY cheap when it comes to his people and equipment, his idea of a raise is a quarter per year!! But he enjoys out of the country trips while we have to make do with very out-dated office equipment that does not work half the time!!!
I wish I would get paid accordingly, the pay around here for CPC'S is lousy. I work in Kansas. I make just a little above minimum wage. I  think that is appalling considering all that I have to do and have to have CEUs on top of that and above all that I am certified.
I've been doing thi for 5 years and still don't make enough to live and I make 25$ hr. So i dont care much for my job or what happens in the office
Becoming a coder was very sugar coated. It has been very disappointing that the employers don't pay for CEUs or any credentialing dues. You have to buy your own books.
I am not given any $$ to get CEUs nor any time other than my personal time to get CEUs for my CPC - the only on office time CEUs I get are ones that are related to something the practice manager wants me to attend for other than my CPC purpose.
It should be noted that most employers in this locality DO NOT PAY for CEUs, testing fees, or any other education.
my work environment is very noisy and I am expected to hurry to get the charges in. I feel a lot of days that I cannot give my best as a coder because of fear of falling behind in work which is not fair for me or the patient. I would love for my employer to at least help pay for workshops snce they are so expensive I pass a lot of them up because of the cost.
It's so expensive and as a single mother it is hard to find the money to pay memberships and then have to pay for CEUs and coding resources every year.
In the office I work for they want a coder who is certified but wants to pay them as if they were not certified.  I have had to buy my own books, pay for any CEUs participated in, paid for my AAPC membership and testing for becoming a CPC.  When I began the process to become a CPC it was for for betterment of our practice but as I completed my classes and approached my date of CPC testing my employer became threatened and has made my working conditions very difficult, which in turn has caused me to pursue other employment for as a CPC.  Employers want a CPC but are not willing to pay the wage for one.
As a previous Office Manager I found it very important to share all coding updates with fellow employees.  I also purchased my own specialty books to make sure I was following specific guidelines to avoid insurance denials for specific provider groups.
I am very fortunate to have the doctor's support and pay for everything, including my supplies.
Although my employer does pay for membership/CEUs, I often will purchase materials to assist in coding knowledge/reference materials.    Only 1 of my 5 physicians has any interest in coding.  He is younger and new to the practice.  It is very refreshing and helpful to have a physician perspective to accurate coding.
I am greatly disappointed that continuing education in medical coding is not encouraged in terms of financial assistance and/or paid leave for attending workshops, seminars, on-line audio sessions, etc. by my current employer.  However, I also realize that profits at a physician's office are decreasing due to decrease in payments from both private insurers and from government-supported (i.e. Medicare and Medicaid) insurance programs.  Therefore, physician-owners are reluctant to increase expenses.
It does not make any sense that it is so expensive to obtain the necessary CEUs for re-certification.
The providers codes and diagnosis are always checked by a certified coder and if there are any changes needing to be made the provider is always consulted with an explanation as to why and the provider has to sign the change.This helps to create and maintain a good working relationship between the providers and coders, it also allows for the providers to see that their money spent on continuing education for their coding staff is very beneficial.
I have worked here 7 years and have paid for all my coding classes and CEUs. They do not reimburse me for any of my expenses. 
Good environment. Wish we had more opportunity for paid education .Wish I made more than .50 above the other person in office who is not a coder and does same type of work.
I have been credentialed as a coder and am still living on the poverty level.
As a certified coder I feel like I am still underpaid.
Physicians of small practices do not provide the necessary materials or provide  a matching fund for coders to get CEUs updated.  In my physician's practice, each time she dictates an op note, for example, she codes all of the CPT and ICD-9 coding.  She learned her coding thru the professional arm of her specialization.  So, for her to pay for me to keep current does not make much sense to her because she does 90% of her coding and I just make sure it is correct and follow up with ins.  It would be nice if the seminars and books that were offered to coders could include a price reduction for those whose employers/providers do not pay for those things.  In my case, it would be an incentive to do more, but I am limited because of what I have to shell out of pocket, while coders in my chapter for instance, are paid for everything they do, meetings, seminars, workshops, time away from work, books, etc... small practices just don't have the revenue.
I have tried to get on as a coder where I work. They say I do not meet the standard to code in the hospital, because I do not have hopsital coding experience. If I leave the hospital and go to physcian office I have to take a cut in pay. I didn't go back to school to get certified and then turn around and take a cut in pay and still make less than what a coder starts out at.
I code for an acute care facility.   My company also thinks it is tremendously important that we keep our credentials, and have CEUs, however they refuse to reimburse for these expenses. Therefore, I spend as little out of my own pocket as I can get by with. That is the main reason that our magazine Coding Edge, and the local meetings are so important to me.
Our physicians are very good about paying for CEUs.  We try to audit their coding and reeducate where needed.
My employer pays all renewal dues and pays for my continuing education.      As a compliance lead I am able to provide feedback to the appropriate parties that are affected by issues that may or may not affect them.  My opinion is valued and my research, process and policy making is greatly appreciated.
Coders with experience and certification are being underpaid. Certified coders with no experience salary requirements are too high.
Certified coders are not paid enough.  Without our knowledge, most practices would not bring in the income or comply to compliance rules.  Coders keep most practices on the straight and narrow path with our ethics because we can be quite anal about everything being done to the highest standards. I am very proud to be a coder.
Coders here are not paid for their knowledge or experience.  Because we are from a small community, the wages are not very good.  I wish there were more local workshops so I would not have to travel almost two hours to get there.  There are enough coders in our area who would like to have it closer to Newport, Vermont area. As for this organization: they will help in education and do help pay for CEUs up to what you need -not beyond just for the education of learning and becoming more experience in the different fields.
There is no career path here for coders and therefore an increase in our compensation is not tied to quantifiable career path accomplishments.    The work is monotonous, as we only code surgeries--nothing else.
I would like it if my employer reimbursed for membership fees and CEUs
Since we do not do any billing in the government agency I work for, we are using ICD-10; mainly for research ability later. I enjoy the work that I do; but I would like to have my CEUs paid for by my contractor. They do not feel that a certified professional coder is a trained professional. They do pay a fraction for the continuing education our physician assistants need. At present time, I am working on getting a government position due to our contractors lack of interest in their employees. They want to keep all the money they make for their professionals; but do not want to help them with continual training to make them better employees.
1. This is the 2nd year that I have had to pay for my CEUs - so cost could increase in years to come.  2. I find that to do my best coding, I need to have a quiet surrounding. In my office space - I do not have quiet.  I find it very unproductive.  3. I think Physicians need to be better trained on how to dictate their reports.  Not just to fulfill compliance issues, but to aid in reimbursement.  Statements like:  "level of difficulty", "additional time spent doing...", additional risk to the patient, areas or organs that were already compromised, thus adding to the risk for the pt.  Ins. co. care about risk to the pt, time spent and skill of the physician.
Our company is unique in that we have incorporated on-site continuing education into our compliance plan.  I function as the auditor and educator.  Our physicians are expected to know the rules/regs and pass quarterly audits as are all employees.  We pay for/provide 75% of all CEUs when related to the employee's job.
We are a very large multi-speciality children's practice in multiple states. We have a strong compliance department with legal support and administration to support our compliance, billing/coding and physician education services.  Nothing is perfect and we all know that this is a very difficult and demanding job having the proper support, education, funding for CEUs and compliance/legal it certainly makes the position of manager over all of this more comfortable.
Coders seem to be the "dumping ground" for things no one else wants to do, and we are not appreciated by most of our co-workers because they don't understand what we do. It costs way too much to become certifed and for dues, so if your employer won't pay for CEUs and membership it is very expensive for the regular person especially if you want to have more than one certification.
I love the work I do.  I do wish I could get better at it have more time to review documentation and read more on the speciality I have chosen to do work in. Also wish it was a little less expensive to get CEUs.
I get my CEUs from magazines and your websites.
I am the only coder and our doctors do none of the coding. They do pay me to go to seminars for coding and compliance. 
I wish my employer would pay for some conferences that are out of town (like the National Conference).  I also wish they would pay  for the yearly dues.
The payer that I work for decided that although they previously encouraged my becoming a coder, they no longer support my continuing education and will not consider my CEUs or professional associations as pertinent to my position. Although I am expected to field coding questions, provide expertise, and consult regarding coding, I have been advised that the company will not financially support my continuing education because I am not "actively coding."
I would be more apt to complete more courses to expand my knowledge if the prices of CEUs would drop.
I don't think that AAPC grasps that a lot of coders don't get financial support to attend conferences to get CEUs or purchase books. I am out an enormous amount of money personally per year just maintaining my credentials.
Montana is unfortunately behind in wage scale for coders compared to the rest of the nation. Our cost of living however is not. I love where I work but may need to seek employment elsewhere out of state in order to have any retirement in 20 years.
We do not have a professional coder for our practice at this time.  We are a County Health Department and a Community Health Center (FQHC).  I am attending a coding boot camp next month and will be taking the test to be a professional coder at that time.  I have been working with CPT and ICD-9 for over 7 years at this practice and teaching our providers as I learn. This is the first year for me to be a member of the AAPC and my employer paid for my membership and is paying for the boot camp.  I am paying myself to take the test.
My employers enable me to go to one specialty coding course and one Medicare course per year, which give me all of my CEUs for year.  I pay for my membership in the AAPC.
My work has a confusing message.  They want experience, but not necessarily certified.  We can only ask for documentation if there is none.  It is a VA facility and doctors usually are not held accountable.  We have monthly satellites for coding and we can ask for books, sometimes we get extra.
I am a self employed billing specialist.  Question 2: My "employer" purchases coding materials & reimburses for CEUs.  I answered "yes" because, although I pay for it myself, it is a tax deductible business expense.
All of my physican's coding is reviewed by me for accuracy. It never is billed until I review it. My employer pays for CEU and membership and resources.
I work for an IPA so we have no physicians practicing out of this office.  I do clinical review of claims prior to payment and provide support to our physician offices when they have coding questions.  Once a year, we provide a CPC certification course for interested personnel in our physician offices.
my physicians are very good about paying for my membership and CEUs
I keep my ASRT license current and pay for that myself as I am not currently working as a radiologic technologist.  The hospital pays for all other resources and classes.
I am employed by a payer & they pay for my membership dues & CEUs needed. I am very fortunate to be able to diversify in my functions.
With the cost of everything rising, paying for CEUs falls into the bottom of the chain. May certified coders in our area are letting their certifications expire, hoping their employers would rather keep an experienced coder than let one go because they let their certification go. Between the cost of transportation to get CEUs or audio programs, the cost of maintaining certification vs the cost of eating or dressing families, certification goes. 
We code for the emergency room.  Our jobs are very important and it is important that we are certified.  Our manager is very good and very helpful. Our company also pays for all the cerification and CEUs and everything necessary to do our jobs properly.
Working for the VA affords the opportunity to complete a variety of coding.  This is an advantage over coders who only code for one specialty.  The VA is very good to support coders by paying for various CEUs and our coding books.  Some VAs will also pay for membership to coding agencies such as AAPC.
While our docs pick from a list when the code is not present the provider hand writes the diagnosis and/or CPT which is reviewed by me. If a code is changed or added, I notify the physician. I am not only the certified coder but the billing unit manager. I manage many sites including an ASC and regulated plus non regulated space, inpatient, outpatient and office. Our charge budget is $30 mMillion this year.  My practice pays for all memberships , CEUs, coding resources and credentialing.
I had to pay out of pocket for my class & books, but my employer renews my membership and provides me with current tools.  (This is done b/c being certified is a job requirement.)
The company actually pays for the #7 (coding seminars, new coding books, etc.)
My company is very willing to provide materials, but not willing to send us to coding seminars.  A lot of the ones of interest are out of state. My company will not send us out of state.
I work for a not-for-profit and am the only person that handles insurance billing/coding and compliance issues.  Due to limited financial resources the company is unable to provide financial assistance for CEUs and coding resources.  However, I am very passonate about the mission of our company to provide services to children with developmental delays and disabilities.  The purchases I make are well worth the success of our practice and something I am willing to do.
The standards for medical biller/coders are not at a high standard and are not respected as a professional in their field.  Pay is not at the national level as based on your past surveys.  I have tried to get certified but it is all out of pocket expense for me and I have no help with the financial end of the bill.  I have worked in the field for 24 years and still have not been certified.  I have worked in the cardiology field for the full 24 years and have very slowly received pay raises.  I think their needs to be more eduction done for employers and for employees both.
Answer to question 7 is I have just gotten my CPC this month.  Not sure how much it will cost me personally.  To get Certified cost around $1700.00.
I pay all of my own expense for AAPC.  You really need to make this easier for the average person that doesn't get the benefits of an employer paying for their CEUs or for their AAPC renewal.      This is extremely costly to the "small" town person.    
I'm a certified coder/office manager so my position is somewhat unique.  I receive some fund and support for CEUs but would like to see more.
The physician is working on the accuracy for the codes.  I'm consulting the practice manager for coding and consulting the billing specialist for reimbersments. The practice manager (she's an RN) and billing specialist took coding boot camp. They plan to become certified in the future. I'm contract hire-therefore I pay for all my own CEUs and Books.
I am the only certified coder thru AAPC.  There are 20 coders on staff. My manager or leads are not certified.  I am not paid according to my certification.  Every coder is paid the same.  I am not valued as a certified coder.  I recently moved from a metro area and was paid $25 per hour, now I am in a rural area and am paid $12.50 per hour.
Pretty much satisfied because I can work my schedule the way I want but I could use a bit more money for what I do here.
Just wish my physician's idea of salaries for CPC were a little better and they really understood the importance of being certified.
unhappy with salary for what i do.....very underpaid
Way underpaid. I'm trying to gain experience and all I've gained is a headache. The managers here are not coders and have no clue what it's all about.
My docs code their own hospital charges, which aren't always accurate.  Their office charges tend to be more accurate. We have to correct icd-9 codes all the time.  While they want me to be educated and up-to-date on coding, they do not pay for it, but do pay for the nurse CMEs. i also spend a lot of time correcting coding and doing reviews from work performed by 2 noncertified employees
Our providers have always paid for our CEUs and membership dues but they are becoming more and more frugle about it.  They are expecting more from us CPCs here but are wanting us to find ways to get free CEUs .  They want to reap the benefits but don't want to invest money into it...
My employer pays for my membership & CEUs so I have no out of pocket. Wasn't sure if you were requesting what it cost to maintain my credentials.
The survey questions are not easy to answer, I would say agree for some md's and disagree on others...  Regarding CEUs, until this year, we were not reimbursed for out of state travel expenses, which makes it more difficult to find educational courses that we feel are relevant in state, or we can pay for ourselves to go to something out of state.
We are working in a system which is being tailored for the companies needs. It is to improve patient visability, eliminate having to read handwritten notes and more.      At this point, there is still a lot of work needed.  We spend hours working in workques, due to interfaced, Epic, Ingenix and provider direct charges, which  are filtered errors. Also, when a new provider's name is not entered immediately on a system table, all claims are rejected and sent to a work queue.      We feel we are going around in circles. There are "Go Live" dates, meaning certain areas, such as anesthesia have not been added to the system. We have to be aware of the "Go Lives", inorder to code for that service.  You forget, work queue!    Since we are a huge operation, we code for an entire region...example Orange County, San Diego, Fontana...all different regions, with over 250 providers in each, every speciality you can imagine, a sure set-up for mistakes.    Do we think the pay is adequate, absolutely not.
My superiors are very supportive of my credentials, but are not able to pay for the upkeep of all of them-they chose the CPC to maintain, & the rest are my responsibility.  They previously paid for all 5, but policy changed last year.  I have had to drop 2 certifications, but do maintain 2 on my own besides the CPC.  I maintain CCS-P & CMC.  I am also a proctor for PMI, which is why I maintain one of my certifications through them.
I love working with my 5 physicians ( 90+ in the clinic).  I have been coding for 17 years and love the challenges it brings.  I wish the clinic would recognize how vital coders are and compensate them accordingly.  Pay is very low compared to other facilities locally as well as nationally.
I'd like to have more free or low-cost seminars for CEUs available.
I wish my company would pay for all my CEUs that are required each year. 
I don't know the outcome of my coding through billing to EOBs. Encouraged to be certified but won't pay any membership fees or CEUs. I am told throughout the year that I should spend my own money since I got certified and its my responsibility. Never recognized as specialized coder.
I like the work I do. I don't like that my employer doesn't pay for my continuing education.
In my office, my co-worker and I ARE the whole billing department. We do all the coding, compliance, physican & staff education, charge entry, phone calls, insurance claim denials/appeals, and the list goes on! We are very fortunate to have supportive physicans and are willing to hear when there is an issue and resolve it quickly. They welcome education for us and by us (complicance) and financially cover all our coding expenses.
Where I work, coders do not have to be certified and only have basic knowledege  of coding to be employed and they do not pay for any education for CEU credits  unless it is a mandatory class or seminar.
I enjoy my work and interacting with the physicians.  I feel my employer should pay the cost of CEUs per year.  I was fortunate enough to have my CPC paid by my previous employer, but had to sign a 2 year contract.  If I left the company prior to 2 years, I would need to reimburse them.
We are very, very, underpaid.  I make approx $23,000 a yr with 12 yrs coding experience this year.  The coders in our office, 4 of us, just took the CPC certification test Jan 11,2008 & are waiting for the results.  Even if we get certified, we'll never get to the estimated $39,000 a yr for cerified coders in the "Great Lakes" region.
My experience has been good for my first job.  However, I have been very disappointed that my employer did not cover expenses for my certification and materials to get my certification.  This is all work related and is investing in their success as well as mine.
I am not yet certified so some questions here do not apply to me. I do not know if my manager will be paying for my CEUs or if I will. I believe they will since they paid for my training and the certification exam. I audit the bills that come in requesting payment, so I deal with a different side of the coding. I am familiar with codes from many types of providers.
We have a new manager this year and she believes in paying for education. In the past I paid the amount I listed. The manager is trying to get more paid this year.     Providers assign the code and we do 100% audit in this office. We educate the provider. They want the education to code correctly.
Self-employed (billing service) so my "employer" covers certification retention costs.   Some of my providers turn a deaf ear to audits/compliance with billing.  Others want to do EVERYTHING correctly and the documentation supports the same.
I work for a very large hospital.  There is a suite of approx. 60 coders. It is a great place because all the coders work together. If you have a question you can ask others with specialty expertise. The floor works as a unit and the management staff is very informed and a great help. Management purchases and informs us of several different ways to get CEUs and allows us to flex time if we need to attend at meeting.
I work for a group of six general surgeons one of which specializes in vascular surgery. The physicians are wonderful about sending me to educational seminars and encourage me to be successful in my present position. They have financed my education and have been there with any problems or questions I might have. They are a wonderful group to work for! 
I would like the option to work from home more often, especially on the weekends.
Our office does offer some of the CEUs as a company sponsored seminar; however any remaining CEUs outside of the audio seminar's they purchase are the responsibility of each coder. They will also reimburse you for your testing if obtaining the credential is part of your job duties. If you have experiance with coding you do not need to be certified to obtain a coder position however you must be certified with 18 months of obtaining a coding position. 3 of my 8 physician's do their own coding; however it is my responsibility to audit their coding and educate as needed on coding and documentation requirements to maximize reimbursment and compliance. It is also my job to assist the appeals representative when necessary.
personal out-of-pocket expense is for membership dues only.
it is very important to keep up with updates for both the company and myself, but it is nearly impossible to do this with deadlines and having to pay out of pocket.  It gets expensive.
I am fortunate to work in a very productive environment.  I am the only Coder w/in my department, which consists of 35 physicians (including 3 mid-level providers)which is our Hospitalist Group.  I am responsible for educating the 30+ physicians w/in our practice on E&M docunentation, audit their H&P's and Consults daily, and enter the appropriate data and the charges into the 3-M system.  The manager in our department is extremely supportive of all education and CEU management.
I am pleased with the support I receive on the job everyday and that my employer still holds accurancy over productivitiy even though we do have to meet quotas everyday but we also have the backing of the employer to pay our tuition each year and to also pay for us to go outside of the office to attend seminars to gain our CEU'S each year.  They also pay us for the day's wages while we are attending these seminars.
UNDERPAID
My supervisor and I disagree on the importance of attending seminars in my fields of coding. My resources are also limited each year as to how many we can purchase. Whatever I do not receive I pay out of pocket.
I think there needs to be more CEUs dealing with  claim submissions and help with the appeals processes. Also, the price of CEUs are way too high. Since my employer does not pay for these seminars, I am burdened with these costs.
I feel underpaid for my job. I am actually leaving this job in a week to take an instructor position that will pay almost $10,000 more per year.
I just passed the CPC exam in Nov 2007.  My need for CEUs is new to my place of employment.  I am sure that they will help out with the cost for CEUs, etc.  The CEO, Director of Operations and the providers are very supportive of me, my experience, and my knowledge.
Our office has limited funding for CEUs. Most of it is in office done by our doctors some of it is teleconfrences. It would be nice if they would help pay for a conference out of the office.  We really do not have any confrenences in our area we have to travel to far a lot of times if we want to go to a confrence.
My physicians generally provide their own ICD-9 and procedure codes. Where they are correct most of the time, two of the three physicians are receptive to my advice to them when I perform random audits. They understand that I am not here to criticize, but to help them with compliance issues and to obtain maximum reimbursement for their services. I have to say that I feel that they do appreciate what I do. The work environment is pleasant as far as the staff goes. The demands made on myself (and the others for that matter) I feel are too extreme. The volume of work in our office is three times as much as most of the practices surrounding us and yet we are expected to get all of our work done in the same amount of time that the office with lower volume does. Also, the pay increase for becoming a certified coder was not as attractive as it was originally set out to be. The extra work I do in a day and the expense of going to meetings and feeding parking meters with my own money has me down to less than $1 and hour pay increase. I like what I do, but there are days that I just don't feel it was worth it to become a certified coder. As a single mother, I need all my money for my family.
My job is unique since I work for only one physician who owns her own practice.  She pays for my CEUs (up to a certain amount), I work from home and all materials and equipment are provided by my employer.  Our office is completely electronic which makes it easier for my physician to choose the right codes and to get the documentation correct.  I still double check her work but she is very accurate.  Hopefully in the future more physicians will take advantage of EMRs out there b/c they help streamline all processes and make coding easier and more accessible  (if they are used correctly).  My physician is open-minded to the education that I present to her and understands coding concepts well.
This is my first year as CPC and I have not worked out paying for CEUs yet with my employer.
Since I am a student, I realize that educating yourself is very costly. Unfortunately, the physicians in our office believe that we need to keep up with our coding skills at our own expense, even though they are the ones who profit. 
My employer only pays for one membership.  I have to pay for any other creditionals/membership I have.
I am the Billing Manager for the practice.  I became a CPC at the request of my employer (education, testing, and CEUs paid by employer), and I manage other certified coders in the office.  I perform coding activities on a daily basis but the majority of my time is spent managing staff, resolving day to day issues, preparing and analyzing reports, and negotiating with payors.
Although I do feel I'm appreciated, I do not make anywhere near what my education, experience, and even area says I should make.  I also have a very hard time keeping up with the CEUs as my organizaation seems to be pinching pennies always.  I do love my work as I code for a small physcians practice that also has one General Surgeon and one Ortho Surgeon, plus I code for many outpatient Docs.
Our office reimbursed $50.00/yr.
It is a constant struggle for providers to continue to pay for CEUs.  We are always having to prove the need for the course and it is rare that two of us get to go to the same conference.  I feel it is a benefit to have a coder who works denials as well as a coder who posts payments attend particular conferences so that they may learn together.
I feel I need to be paid more!
Must know it all. Huge multi-specialty group, hundreds of providers. 4 Reimbursement Specialists responsible for coding, compliance, management of billing staff, education for staff and providers. Overworked, underpaid.
I am the only coder in this office. I earn most of CEUs on my own. They will pay for a seminar every once in a while.
Certified coders should be paid more than experienced coders because they took the time and applied themselves to extensive study.  Certified coders are not appreciated much when a non-certified coder makes the same amount of money as the certified coder. Also, whenever you have to pay first for an inservice or workshop and then (maybe) you will get reimbursed for attending the meeting by your employee (reason being there is no money in the budget) tells me that the employer doesn't really support education.
CEUs need to be more obtainable and at a more reasonable rate.
Coders in the Illinois area are not paid what they are worth and are not valued for being certified and keeping up on CEUs
It would be nice if my employer would pay for my CEUs. And help me with the providers in our office understand how important coding is and how it could help them get every penny they deserve.
AAPC should do all that it can to provide FREE CEUs for members so that we don't have to spend all that extra money in addition to our annual membership dues.  I've actually debated whether or not to forfiet my certificate due to financial hardships.   
My employers say they understand the importance of certification, and are supportive of me to keep up my CEUs, but do not support me with the costs incurred with this. I dont think that is right, but do not have any options that I can see.
The certified coders in our department are poorly underpaid.  We are paid within the same pay scale as our NON-CERTIFIED billers. We are also very short staffed.
I pay for all of my CEU training up front and then I am reimbursed from the corporation upon showing proof of attending. I was promoted to a Medical Office Coordinator two years ago, so I do not do as much coding as I did. However I keep up on the coding on a daily basis. I check with the charge enrty and physicians to make sure things are coded correctly. I have to say that my company fully supports all of their coders and any seminars that we need to attend to maintain what we have learned as well as gain new knowledge in the coding field.I always make sure that I am available to answer any coding question that the coder or physician has. I have been a CPC for 7 years now. I love what I do.
My  physicians are very supportive of what I do and ensuring I am provided quality venues to obtain knowledge and CEUs.  They are very open to evaluating how they do things to ensure they are in compliance.
There is such a push on productivity that accuracy is affected. Our organiztion does not care how I obtain my CEUs and they are very reluctant to approve or pay for any educational workshops. I have been employed for 9 years with the same organization and have attended two educational workshops that they paid for.
I would like to be certified as a professional coder. The financing is a problem at this time. I would feel more comfortable with more knowledge as a coder.
I like the work I do, but I think it would be more productive if we were not in a cubicle setting. Very distracting. I also think we are underpaid in our region.
I wish the CEUs were not so expensive and I would like to see more of them offered.
We are a small practice, I am the only coder, responsible for all coding and correct billing of claims.  I am also the office manager, responsibilities in that area are sometimes neglected to keep up with the daily coding/billing needs.  My employer supports what I do, pays for my license and CEU requirements.  Finding time to go outside of the office for CEU is difficult, but manageable.
My employer will only reimburse management staff CEU and membership expenses.  The other coders have to pay their own way.
I would appreciate my employer helping offset all the costs of recertifying and renewing my memberships in all the organizations that I am a member of.
I am an LPN, CPC. I only make $22,000 per year salary. I work in a large family practice 11 physicians and one sports medicine physician. I bill for 6 doctors. I code, enter charges and answer phones about billing questions from patients simultaneously for 8 hours per day. My company does not mentor or encourage CPC credentialing, however my boss was very happy for me when I passed the exam. I have never been told I would get a raise. According to the AAPC survey I could be making in the $30,000 range but my company does not require certified coders therefore they will frown on me if I ask for a raise.
Regarding pay, I am paid per chart and for time off such as holidays and vacation. I am paid an hourly rate
I do outpatient coding in the facility setting. I currently have my CPC credential however my supervisor is pushing me to sit for my RHIT exam.  I am RHIT eligible. The facility I work for however will not pay for me to sit for the exam or pay my annual dues to the AAPC or if I were to become RHIT certified would not pay AHIMA dues either.  The only incentive to take and pass the exam is a 3% raise. I believe employers who ask for so much should give more in return in regards to certification and/or memberships to organizations.
It seems odd that they require coding certifications but will not pay for the yearly dues or any CEUs.
I really believe we should be paid more and companies should hel pay for our education.  
I am self employed and provide coding services for 20+ OB/GYN doctors in the Denver Metro area. Continuing education, coding books, and memebership fees are my responsibility.
I have been working from Home for two  years and can get more done from home than working in an office with other distractions.
With the EMR I will again be working from home very soon! : )
My work environment is great!  My employer allows me to work at home.
I work exclusively from my home office via on-line capabilities.  It is only part-time and I am paid hourly.  However, for tax purposes, I am considered a part-time employee versus a contract employee. I work for only one practice. I have worked for this practice for seven years.  I have an excellent working relationship with the physician staff, practice manager and the billing staff. This is, in great part, due to the fact that I am a certified coder and I attempt to keep current with all coding/billing guidelines. I appreciate the AAPC in its efforts to make recertifing possible by offering additional ways and means of CEUs.  Since I do bear the responsibility of paying for my annual dues and I am not reimbursed for education, it could be a financial burden.  However, because of the available credits via Self-Testing in the Coding Edge and the EdgeBlast, this makes obtaining CEUs more affordable while at the same time giving an added incentive for reading the WHOLE issue, rather than merely skimming over it.  Thank you again and again. 
As a coder, I would prefer to work in a quiet environment where I can concentrate, especially when coding op reports.  However, I sit in a cubicle with the office printer literally 6 inches from the back of my chair.  There are three others that share this office space, all with positions that require them to be on the phone continually.  Between my co-workers and the printer, silence is a rare commoditiy.  Our billing office is also short-staffed, so I find myself doing insurance verification and demographic entry in addition to data entry of office charges, hospital charges, and the rare opportunity to do A/R follow up.  I wish my employer would realize the benefits of allowing me to work remotely from home on occasion, even 4-5 hours per week.
I am a medical coding specialist. I am self employed. I work from home most of the time. 
Work environment is fine - coders here all have their own offices - we are suppled to current coding books and software.  We have requested to be allowed to work flex-time and work from home and those requests have been denied.
I work in office approximately 2 days per week.
I code just about 95% of the time.  The only other work I do is to email key people to make sure physician orders are present or to call the occasional physician office to see why the test I'm coding was performed if the diagnosis was left off of the order.  I'm an outpatient coder for a large hospital.  I work at home.
Love working from home,  I don't see or hear from MDs so my knowledge is limited in what they know.  I also do not deal with denial unless the billing dept needs a code reviewed (very seldom).
I enjoy my job. The physicians are open to discussions about coding and ask me about coding when they have questions. I'm also very thankful that I can work from home part of the time.
I am self employed as an independent contractor.  I work from my home about 20-25 hrs a week.  I do ER chart coding only.  I am paid per chart that I do.  Being fast is important to me, because that is how I can make the most money, but accuracy is important because if I score low on audits the company randomly perfoms, they would discontinue my contract.   The best part of my job is having more time with my young children, not driving an hour (one way) to work, and going out in the bad winter weather.    The worst part of my job is, of course, trying to read the Drs' writing. The more I see the writing the easier it is to make it out through being familiar with it.  I have some charts that are dictated and that definately makes it easier, but most are by hand and scanned on top of that which makes it hard to read.
My expertise is in the field of optometry and has been for 10 years. I work in a private 1 physician office as office manager, compliance officer, and insurance manager . I also oversee the insurance section of his other practice in a neighboring town. In addition to that I also am the insurance third party administrator for 4 other optometry practices under contract with their parent company. I am fortunate that I can work my insurance accounts at the main office that I work at, however, I do find myself working at home pretty regularly also. I love my job and the opportunity and variety it gives my to work with many people throughout my day. Whether it is working up a patient for doctor to see, dispensing optical product to patients, making an appointment, going over a statement with a patient, talking to one of my offices that needs help and support or working the insurance AR and talking to the many insurance companies of the day, it makes it all worth it for the patients and the doctors. I have a rare and exciting opportunity in the field of optometry and I love it.
I am responsible for coding all surgeries.  I also code inpatient stays when needed.  I strongly want to work from home, but that is not an option here, unfortunately.  I do work from home for an outside facility, coding all it's outpatient clinics, and I love it! My work environment is uncomfortable and far away from where I live and I've tried for a year to get the OK to work from home, but this VA is adamantly against it. I am checking into other VA facilities to see if I can transfer to one that enables coders to work from home.
Due to a change of jobs over a year ago my job title is Billing/Coding Coordinator.  Prior to this I worked as a senior coding specialist and preferred the focus of that job on coding.  I currently work for an Ob/Gyn group and have a good background in that specialty plus family practice, internal medicine and pediatrics. I worked as a billing manager in the past for several years and at this point in my life prefer to be focused more on coding and chart auditing.  My dream job would be to work at home on coding and auditing but it would have to be a job with benefits.
I work at home, but had previously worked in the office for this same employer.  I find the home environment much more fitting for this type of work. There are no distractions (telephones ringing, constant disruptions) and my productivity is higher.
I love working from home. I only wish they provided paid for our CEUs.
I enjoy working from home but there are times that I work well over the 40 hour week.  There are lags in the mail and even though we are required to turn charges around in 48 hours they definately take longer to get from physician office to billing office.  I do think that we should be paid overtime in certain situations especially when we are covering for another coder.
I code anesthesia and chronic pain from home.  My employer provides info for proper anesthesia coding.  My employer provides info for proper chronic pain coding, but does not make it easily available to this home coder.
Work from home all the time
I am a contract coder. I work from home with one client and in the office with the other. 
I love working from home - it is very beneficial for the employer as well as the employee.
I only do coding from home for anesthesia group, no other clerical duties.
I work mostly from the provider's office but only because I am the Office Manager too.  I desire a position where I can do coding and billing from my home and will continue to search for a position like this until I find one.  I have been in the medical field for around 22 years and been in most all positions from front desk to management and love coding and billing over all.
I am very fortunate in that I work from home three days a week and in the office two days a week.  However, I am the ONLY certified coder for 14 full time orthopaedic surgeons and feel very overwhelmed at times.  I also help when appeals for denied claims are related to coding.
I work for a very open group of physicians...they appreciate our feedback, and welcome any suggestions we may have. I worked from home for 5 years, but have now come back into the office environment due to a promotion...great people to work for!
I guess I have the best of both worlds; I code from home for a hospital  through my employer.  Since I work on the west coast schedule, up early and done  between noon and 1 pm each day.  This allows me to teach 2 nights a week at a  technical school on the east coast and schedule appointments that do not conflict with my work times.  Once you get used to the schedule, it works great.
I am a remote coder responsible for all CEU costs. I am also responsible for purchasing all updates for coding materials. As you know, this can get very costly, but well worth the expense!
I am a contracted coder and am paid per report.  I work from home, so I make the environment the way I want.  On the downside, I'm never away from work and feel like I need to work 7 days a week.  Otherwise, I love Radiology coding and working from home!
I primarily code surgical procedures for our orthopaedic surgeons.  Only one of them submits codes to me for his procedures, which is fine.  I query the others whenever something is unclear to me.  I would love to work from home but I think it would have to be for a practice that is totally on EMR so that I have access to records I would need.
I just became credentialed as a CPC-H and work in a hospital.  I also do an equal amount of Inpatient coding so I have to be proficiency in both ICD-9 and CPT. I am employed by a hospital but work from home.  It sometimes gets confusing switching back and forth between inpatient and outpatient coding.  I think it is more effecient to work from home because you do not get unneccesary interruptions.
I am the APC Coordinator for a large hospital and just recently started working from home through remote coding.  Our facility is now paperless which affords the coder the option of working from home.  My tasks involve chart audits and compliance and correcting all the edits.    I would love to see more information on APC.  Apparently there are not that many of us performing this function and I would be interested in knowing exactly what the rest of the people involved in APC functions do.  Thanks
My doctor is under a CIA therefore does not have a choice, he has to have a Certified Coder and someone that he trusts.  Each provider marks the charge ticket and I check each encounter with the chart documentation to make sure the code is supported. I choose to pay for my own CEUs because I don't want to be obligated to anyone.  If I asked him to I am sure he would pay for my expenses.  After working for him several years and because he is over 60 miles away he has allowed me to work one day a week in the office and the rest from home.  I code everything for the data entry person to enter the charges and file the insurance. The one day a week is for any problems that I have and meetings with the doctors.
As a coder located in an outpatient hospital based facility with so much of my work coded from dictated reports I would like the opportunity to have part of my work schedule be from home.  I enjoy and understand the importance of being available for my providers and would still be present a day of two of the week but working from home would be ideal.  As a coder located in a clinic sometimes the hustle and bustle of patients and staff gets a bit distracting.  Coders do a lot of reading and researching and sometimes the noise level is a little much.  I would like to see a push to give coders more opportunity to work from home.
I love the work that I do, I work for a billing company that has many clients from all over the US, with many different specialties. I am constantly learning about different states coding laws and about the different specialties. I also get paid for all of the overtime that I need, and I work from home one day a week, my overtime is at home.   Our company follows compliance issues, I turned in a physician for coding for subsequent hospital billing before the DOS and they supported me in the issue.
i do all my coding at home on the internet so a lot of these questions i cant answere.
I love the work I do I just wish I was allowed do work form home to fill the other 20 hours I have available
I work for a government contract for military facilities and they do not go for reimbursement but do have a computer program that they use to do thier coding and I audit what they did. The guidelines are not the same as the outside and this is very confusing and I feel harmful to a coder, I am trying to get away from this type of environment and back into the real world of coding but do want to continue to work from home!
i work from home and have 4 days to complete emergency room charts, I then forward the info to a data entry clerk. The 2 emergency rooms I have are very busy and I am responsible for the coding 350 out of 365 days a year. As you can imagine, the burnout rate is high.
Work from home and travel nationally on-site. Audit pre and post bill documentation.  Provide onsite physician and staff education.  Involved with coding,  auditing and education on Interventional Radiology and Cardiology procedures.
I work as a coder for a Medicare replacement payor.  As such I get to review charts in provider offices in 4 states and see a huge variety of coding skills.  It is rewarding to be able to help providers and hopefully give their staff correct coding info to raise their reimbursement.  I like having a "territory", the tools to do my job, and the trust of my employer to get it done in my own way from my home office.  It does involve a fair amount of overnight travel, but my husband is retired and comes along whenever it will work.  I don't think I can ever go back to working in an office --- especially if it has cubes!
Contract coding eliminates all the office drama, which makes me more productive.  I enjoy working solo
Do you have a list of companies that allow you to work from home? I am interested in doing something like this in the near future. 
I work at home as an independant coding consultant.  I love the flexibility and am thrilled that there are more remote jobs available these days.  I believe that working solo has allowed me to become a better coder - gives me the freedom to research my questions while setting my own productivity.  And there are no interruptions from phones or other office activities (like gossip!).  Hopefully more employers will realize that the coding function does not need to happen on-site.
I am a member of AAPC and hold a CPC.  I do mostly billing out of my home for 4 part time Drs.  They mostly do their own coding, (E & M), but occasionally ask me to code a report for them.  I pay for all of my books, CEUs, etc.  I am a one person office.  I get paid hourly and by a collection %
We have 4 office staff in our office, so when one is out, we try to cover as a team for that person.  I am the only certified coder in the office and I also instigate contract re-negotiations, handle the details, and review the information with the dr before he signs the contract.   I hope to be working from home two days a week in the next 2 months.
I work for an insurance company full-time from my home.  My primary role it to audit provider medical records for billing accuracy and provide necessary training and/or education as necessary.
I consult from my home office for hospitals nation wide in all disciplines of coding.  I never know what type of work I will receive from day to day and have to scramble at times to learn a new area of coding that I am not at all familiar with. The good part is I am continuously learning, just at a much faster pace than preferred.
I am extremely lucky to be able to use my coding skills to work in my home.
We have an electronic medical record which enables us to code from home 3 days a week which is great!     We code everything at the VA Hospital, that includes professional fees, facility fees, E&M, surgeries, just about everything in CPT! A difficult job to learn but the coding experience you gain is quite extensive.
I feel that more companies should offer benefits, continued training and reimbursement for remote coders and also encourage remote coders for those parents who need to work from home.
I work in a Veteran's Administration Hospital, in the Patient Financial services Department.  I code for 7 hospitals and countless outpatient clinics.  Many of the questions asked here are difficult for me to answer because I'm completely separated from the clinics and physicians.  My supervisor and our 4 coding Auditors sometimes travel to the various facilities in order to share information with the providers with the hope of making everyone's job easier and more consistent.  I code everything, except inpatient, so 'expertise' is more like i'm constantly learning how to code whatever I come across: cardiac caths, EMGs, fractures, any outpatient procedure, or ER visit that doesn't result in admission.  Oh, and I would give my teeth to code from home!!  I havn't been able to convince the powers that be of the wisdom in offering that option.  I given them articles and I bring up the subject whenever I can but so far I'm getting brushed aside on that issue.  Thanks.
I feel that in my office some people are overworked.  It is very stressful.  But I am just thankful to have a job.  I would like to work from home full time.
We have 2 coders in our office.  Coding is done at home after office hours as a separate job.
I'm able to work from my home so that my hours are flexible.  I do feel that the cost of CEUs are very high and I research ways to find more affordable ways to obtain them.  More CEUs are required to stay certified as a coder than I am required for my Registered Nursing liscensure.
We are now coding from home full time which is great thus making a good feel for coding in general.
I am an independent contractor for a billing/coding company.  I trained as an employee coding er charts for about 5 months (with a 1 hr drive each way!) and have been working out of my home for about 1 month.  I really like working from home since I have small children.  It is hard being my own manager, but everything is falling into place.  Currently, I only do ER coding.  My hours average about 20 hrs a week.
Working from Home is an area we as full time employees are persuing. We do contract with workers from home.    A few CPC-As have had trouble passing the CPC exam. Passing one section one time and then not the next. Test is too stringent, once you pass an area once or twice, you should not have to test again. Stigma, stress, questions from co workers enter into the nervousness.
I work as a contracted consultant to a 38 provider (4 mid-levels, 33 MD/DO) ED group. I have remote access to the electronic medical records sysytem and can perform 95% of my job from home. Our coding and billing is performed by an out of state company and almost everything is sent electronically Hard copy of charts duplicates are sent to the company daily and kept on file for coding and refernce at their site.   My responsibilities include, oversite of the coding process and issues, monthly compliance coding audits, documentation updates and provider education, review monthly coding reports, and monitor complaince policy
I'm a salaried employed in an entirely different business. I got my CPC after taking a year long course for coding billing and transcription. I'm doing part time transcription from home in addition to my full time job. I'm looking to get into the industry but finding it extremely difficult without experience.
We are currently transitioning from paper charts to online and it is a slow process.   Pay is OK.   Benefits are not good.  Love working from home.
It's actually a very good work environment here for a coder.  Our manager encourages questions and discussion.  Additional resources are made available to us if we have a need.
I work out of my home on my own, so a lot of the employment questions were difficult to answer based on this.  I prefer to work out of my home because 1) it is a quiet environment without distractions (other personell, telephones and most of my work is done while the kids are in school), 2) it allows me the flexibility that I need as a single mom with 2 children and last I can focus strictly on coding and not having to answer questions from other people, again less distraction which in opinion as a coder is very critical.
I am a certified coder CPC-H for an ASC in another state.  I have worked from my home as an independent contractor providing strictly coding services for an ASC across the country for the past seven years.  Prior to that, I worked for an ASC in my community for 19 years as business office mgr/related duties.  Since I am an independent contractor, I pay for all books, CEUs, computer, office equipment etc.
I enoy working from home. Emergency is my speciality. The flexability is wonderful. I get paid a hourly salary for vacation and sick and holiday time and I am also paid per piece.
I am self-employed, however, I do work with a company designed for at home coders.  In the questions above, when "practice" is mentioned I am referring to my host company.
My management would like to do more software, books, etc, but the funds are being used for updating hardware and physical needs.  Working at home is in a testing phase right now.
I am very fortunate that I am able to remote from home.  In my opinion this a great thing because I am able to be more productive with fewer interuptions.
I work from home auditing and/or coding for a VA facility.
I love working from home and enjoying time with my daughter. Being a Medicare Coding Specialist and working from home is a dream come true!
I love my job and love that I work full time from home. My pay is fair, however, while my company states they pay for maintain my credential and CEUs in reality they deny every request stating that most conferences etc are not geared for workers compensation. Our coders are forced to pay out of pocket for everything, except for CPT, ICD-9 and HCPCS manuals, which are provided. We have no compliance plan and the providers are required to code but have no accountability for errors or non-compliance.
I am blessed to be able to work from home.  My husband says I work a lot more hours than when I worked at the office.  My employer knows that I will give at the very least 8 hrs work for 8 hrs pay.  It boosts my confidence to know that my employer trusts me to work from home.  My coworkers and my director converse by phone or e-mail several times a day and I go into the office for required meetings with the physicians or when we have other important meetings.  My answers above regarding our providers (the physicians that we audit for) some of them are fairly accurate and some need education which we strive to give.  Just wanted you to know that an agree answer doesn't necessarily fit all our providers.
Love working from home.  On the pay question, I am paid by the chart and not an hourly rate or salary, so I couldn't answer that question very well.
It can be very rewarding working from home at times. My environment can be lonely at times working from home. I do like the freedom I receive and the ability to care for my school-age kids when needed. The pros definitely outweigh the cons in this situation. I would like a raise that could not be afforded at this time by my employer, but working from home saving from the high gas prices and time on the road do have its advantages.
I work from home for an outside hospital part time.
More employers should have employees who work from home.
I presently work from home. All of my work is received electronically and I have no communication with the physician at all, only managers. I receive no reimbursement for coding material or for obtaining my CEUs. The company I work for only provides HCC manuals. 
Our employer is very flexible with our coders as far as hours and work schedules go.  We are allowed to work from home frequently at the end of the month.  We have a large physician group and process a large volume of chages every month.
I'm a mom of 3 and I really enjoy the flexibilty of working from home, it's a great perk.  One suggestion, I do have is regarding CEUs I think that as long as we are activily working as coders that we should not have to come up w/ 36 CEUs every 2 years,these are not cheap and are very hard to come by.
I LOVE coding and the environment I work in!  BUT I wish there were more opportunities for remote coding from home offices. Especially in Anesthesia and Pain Management practices.  This is was a selling point for me when I got into coding and have no luck in finding a job to work from home. I have 10 yrs experience and a degree but I am a single mom and really pray for an opportunity to arise soon.
love my home office/working environment.
Looking forward to opportunities to work from home with my current employer part of my work week.
I'd prefer to work from home.
I work for a Medicare Advantage plan and handle post-payment review, some claims processing and ensure fee schedule payment amounts are in line with contracts and benefits for our members. I am planning to test for my CPC-P credential this year. Although I have a fantastic job, I sometimes desire to have the option of working at home part of the week.
We (the coders) have spoken with our employer about working from home. We feel like we could be much more productive at home with fewer interruptions and no patient phone calls. Our employer does not agree. This makes us very frustrated and unhappy. 
 I am looking to become an employee working from my home. If you have any resources for me that would assist me in my new adventure, I would greatly appreciate it.  Currently, I am a CPC, and enjoy coding more than words can describe. I would make an excellent employee for any physician, organization that would hire me as a coder working from home.
I prefer to work remotely full time.
I currently work part time from home (20 hours) I am currently teaching the PMCC class to our staff so they can become certified.  Prior to that I performed chart audits.
I love working at home with the flexibility it gives me.  I am helping take care of my aging parents and would not be able to do such if I had to work in an office setting.
I work for a billing company that is strictly providing professional-side and facility-side coding to emergency room physicians.  My role is being a Coding Specialist.  I code the professional side and if I make a significant error, the EOB is presented to me with a note to correct it based on documentation. I review the chart for my error, if one was made, and resubmit based on documentation.  If nothing is able to be changed, the physician is made aware of the loss in pay, and he is then educated.  We get paid by chart if we work from home.
I have an extremely supportive boss and work for a great organization that values the work i do. I work from home 4 days a week and commute to the office one day a week. It works great.
I work from home via secure internet. I code for 10 surgeons from 4 practices. There are 3 other coders in my billing company and we have a coder/supervisor. We each have our own providers we code for but help each other out in a pinch. I love coding and always gaining new knowledge. I feel I am underpaid for the skills  and knowledge I need to keep current. I am thinking of obtaining an in-pt coding certification. My doctors are varied in their responses to "corrections" in their codes. Some really hate to be told there is an edit or services are bundled. They feel they work so hard they want to get paid for everything they did. I work hard to make sure they get every penny I can but maintain high ethics in my job.
I appreciate these surveys and really look forwarding to seeing the results - thanks!
I code from home.  I only code radiology reports. We have a quota to do each day and a accuracy audit monthly.
I am a remote coder, employed by a company based in California, for a very large teaching facility in Texas.  I code the charts, and audit any charts that providers have self-coded.
Since I am a traveling coder I get the advantage of working flex time, so I have more home time each month than the standard 5 day work week, frequent flyer miles and hotel stay reward programs, and the people.  Generally, your not in an office long enough to get mixed up in office politics, but I have learned a lot about HMO rules and how differently they operate than the "real world". The disadvantanges are: loud, noisy work area, lots of interuptions, hotel room living.
Would like to get more time at home....much more productive.  Currently only work from home one day per week and in inclement weather (if prepared for it)
I am a contractor who works from home.  I have no communication at all with the providers.  My company values my productivity as much if not more than my accuracy.  I code a high volume of cases.  I am expected to accurately code well over 300 charts a week.
I work for a payer and work from home most of the time. I purchase my own resources because I am active in my chapter and like to train others. I purchase resources that my employer would not because it does not impact our area.
I love working from home and the flexible hours. I feel I can go to my physicians with coding information and they want to do it right. They just need help with all the coding changes and someone else to follow up on all the little details.
I am a consultant that is paid both hourly as an auditor of direct physician coding and per chart as an ED coder.  I work 100% from home.
I am in  one of  9 clinics.  We have a coding department that codes for ER, lab, x-ray and some other departments, but my clinic and other clinics code our own tags and it goes to our billing department to review.  In this department there are CPCs....
I am a Coder who also holds the titles of: Privacy Officer, Birth Certificate Clerk, Voluntary Declaration of Paternity Clerk, Transcriptionist, Quarterly Report Clerk, Birth Defect Network Clerk, Newspaper Article Writer, Assistant Supervisor HIM
I work in the Information Technology Systems Dept.   I do all the "behind the scenes" set-up for EMR and create all the insurance benefit plans for our billing dept. This requires knowledge of CPT, ICD-9 and HCPCS codes.  Assist in creating rules for billing charges, using LMRP/CCI policies. Earning my coding certification has been my most valued accomplishment! It goes a long way!
I work for a payer.  My major responsibility is ensuring that the we meet our contractual obligations to our contracted providers.  This includes reviewing payments made to those providers to ensure that reimbursement isin accordance with our contracted rates, policies, and correct coding practices.  I find that there is very little education aimed at certified coders in the payor-world.  A focus on coding from the payor perspective would be a great value add and maybe induce more of us to seek the credential.
Some providers welcome input from coders, others detest it.  Those that destest it want to shoot the messenger; they're frustrated with rules and regulations.
I think that my work is very important,and the coming of electronic medical records scares me because I think doctors are going to want to replace the coders completeley with the machines.
I work for a Medicaid Managed Care Organization. I am currently the only certified coder on staff. My job title is Business Process Analyst. My responsibilities includes analysis of claims submission from providers to find incorrect coding patterns and educate the provider groups. I recently arranged for a PMCC coding class to be taught here and the students took the exam this past weekend. I am hopeful that all have passed and that we will have 8 certified coders on staff soon.
I share coding responsibilities with a newer certified coder (we are under new management after 10 years of chaos with lots of new employees) and I am taking the certification exam 2/16/08.  I feel that once I have the credentials, the physicians may have more confidence in the work I am doing.
I am not certified yet but will probably do it this year. I have been attending and coding for about 5 years. I did take the test once, but failed to retake within the year. Coding is a very challenging field and has so many componets that  need to be completed. I feel that doctors do not realize we are a key component to a great office.
I think it might be interesting to ask doctor to coder ratio. For instance I am the only coder\biller for 2 doctors and a nurse pratictioner.
In subrogation there is a need to know coding to be sure that all related claims are properly submitted, for medical reimbursment on behalf of the medical provider, to the proper insurance carrier or person responsible for the injury.  This is also necessary for court cases and attorney litigation when reimbusement and settlements are being decided.  If you don't know the code or its meaning you cannot audit and submit the correct billings.
I work in workers compensation insurance so I deal with many different providers, from hospoitals to pain clinics, first treatment centers, orthopedics, neurology. Most of what I review are evaluation and management visits to different specialties. It is a very diverse group and I see a great spectrum of coding practices. Also I am the only coder in the office and do desk review of any automatically down coded office visits.
I am an ER coder and I am responsible for capturing all facility and professional charges  plus assigning the diagnosis code and abstracting the record per the documentation in the ER chart. I never speak w/the insurance carrier and only review a denial when a biller requests review, changes are only then made by me if something has been missed. Codes are not changed to get the procedure reimbursed as this would be fraud.
The coders here are on a time schedule due to data entry that needs to be done by a certain hour so we do not have the time to really scrutinize our work so we therefore do have errors which are returned to us as edits.
I perform chart audit for E&M , usually post audit review. I also do random pre-audit during my review of all edits for charges billed to insurance. I assist with reports by my manager for physicians.
I work for an anesthesia providers who bill based on base units plus time.  We very rarely have any E & M coding.  We are in a billing office and do not have direct contact with the providers.  If we need them they will return our call.
Manage the practice, comtribute to policies and procedures. Work with all levels of the department. Educate and re-educate as policies change.
I do the Medicare billing and A/R for our hospital and clinics.  We have professional coders that do the coding and other people who do data entry.  I have to edit the claims so they go out clean. If a code is incorrect I send it back to the coders.  I also do some training for providers and I am on the compliance committee.
I have worked for a larger office, and I prefer the smaller office.  The providers seem to care more about me as a person, not just a number.  It is much easier to form a relationship with the providers and discuss codidng issues with them in a smaller office.
I am the only coder at this clinic. No one else in my department is certified or helps with the coding/data entry. My providers are slowly coming around and taking the time to sit with me and go over their mistakes. The coding they do is minimal and I do view every superbill before data entry is completed for claims approval.
I am in education, teaching insurance and coding at least 30 hours for two semesters. 
I work in a government (Medicaid) environment doing CMS-mandated post audits. All the questions concerning interaction with physicians/providers are not applicable to the description of my work.
I am a coding float/trainer - filling in for vacations  and also training new coders.
My office has recently changed to Rural Health Center after many years of private practice and so I am leaning a whole new set of rules from Medicare etc. very interesting utilizing all the systems we use for coding.
Working as an inpatient coder and doing more that just coding.  Perfrom length of stay reviews to insurance companies, assembling charts prior to coding, attempting to start a concurrent coding process which seems to have lots of repeated functions and less time spent on actual coding.
New Practice:  A compliance plan, educating the providers and staff will be imiplemented.  Would like to see articles on 1,2,3 setup of a plan.
Oversee a 9-employee billing company.  Billing company currently has 10 separate clients of different specialties.
I'm involved in program and operations auditing of other provider offices billing claims to our health payor.
Up until very recently, I had been working for a payor in their Fraud Investigations Unit. Obtaining and keeping current with my CPC proved extremely valuable when identifying inappropriate coding schemes.
Auditing records for Medicare Risk Adjustment has become a major role.  There are not enough resources to aid coders regarding diagnosis questions.
I code radiology, mostly mammography, core biopsies, cyst aspirations, ultrasounds and x-rays.  We recently did scinti mammographies, but no longer have the equipment in our office because of cost factors.  So my coding is limited.  Our office also use to do CTs but again this was moved to another location.
I no longer work for physicians so the survey is somewhat difficult to do  but I do much coding with my students getting them ready to go out into the field and ready for the national CPC test.
I receive charges to key and submit for two doctors, two others are coded and submitted by another biller and an MA who are not credentialed in CPT coding. I do the follow-up on all four physicians. When the CPT and diagnosis codes are wrong, I have to have the new codes approved by the physician before I can change them. I do all the appeals, corrected claims, ect. I am not certain whether they use cheat sheets or not.
My work environment was not listed, it is a small hospital with inpatient, outpatient, and Emergency department.
I am Medical Office Manager, PCP, RMA
I am able to do every job, I code, and put charges in,  I print bills, I do follow up, I so credentioling, I answer patient calls and I manage 3 people.
Please understand, coders are needed for epidemiology.  We understand what the codes are trying to say.  Codes are not just for reimbursement.    Understanding and applying codes to the health of our population is my primary value.  Thanks.
I am currently the only coder for the urgent care center.  Until I started working there, they had never had a "coder."  It has been quite a challenge to try and change the way the process has been handled in the past.  I have gotten very positive feed back from the doctors and office staff that deal with the billing.  We are currently in the process of implementing the T-system to better help with documentation.  I look forward to working with another coder in the future to discuss difficult situations that arise and to use as a sounding board when trying to decide on coding procedures and the appropriate modifiers to use.  I am very fortunate to be working with a terrific group of people.  There are 3 urgent care facilities and I currently do the coding for all 3.  I greatly look forward to new information that is put out by the Academy and try to use it to the best possible advantage.  Thank you for all you do in keeping up-to-date information available.
I am an invasive cardiology secretary/CPC. I review procedures and dictation and code peripheral cases and electrophysiology cases (ICDs, pacemakers, EP studies, ablations, etc.)  Peripheral cases from angiograms to interventions (SFAs/iliacs/popliteal/carotids, etc.) I would like to see more peripheral seminars available closer to home. I could attend and gain more knowledge in coding. 
As compliance coordinator and medical coder as well, the responsibilities are extense, since I work at a multiespecialty clinic of 42 physicians. We are only two coders, but the providers have learned for the most part, to code their services and diagnoses. We have a well-structured billing and coding compliance plan. I constantly perform medical chart reviews for teaching purposes. The physicians are very receptive of any recomendations or advise.
In response to the review and correcting of ICD-9 codes or CPT codes, it is my responsibility to review, but when corrections are needed it is discussed with the physician and the correction is directed by him/her.
As a payer we try and communicate with providers to be more aware of our customized claim edits and reimbursement policies to reduce the amount of complaints that have to be file. We also want them to comfortable in knowing that if their cases have to be reviewed, Certified Professional Coders are reviewing the complaints.
I work for a major workers compensation company.  It is important for me to educate the providers' offices with the newest of information so they will submit bills correctly the first time for the prevention of denials.  I also inform our IT department of changes so our system is as current as possible.  If I can streamline the bills so they do not hit snags on the way, we and the providers are happy.
Hospital coder: Code outpatient surgeries, pain clinics, oncology, some inpaitent, and help others if there is time. 
I really do love my job. I have coded for a total of 25 years and the past 4.5 have been in anesthesia and even if I wish some things were different I can't think of another department I'd like to work in.
I am an instructor at a small community college. I am certified and teach medical billing and coding.
All primary providers at our facility code outpatient encounters on a daily basis, but usually low level E&M are used. I code a wide variety of providers (orth, pod, opthalm, vasc, x-rays, labs) so I was limited in my choices above.
The above information was supplied on practices that I am consulting with to assist with compliance and coding issues. 
There are about 70 providers.  Most of them do their own coding. I do coding for hospital surgeries of 3  providers who do not code their own.  I do not get to see the denial side of coding.  I would like to work the whole circle so that I will learn and understand more of the whole system.  I am very new to coding, so time will tell.  Thank you for this survey, I'm looking forward to the results.
We are a pediatric specialty clinic which includes Primary care, Xray, and Lab as well as Rehab  (pt,ot,speech,audiology,and wheelchair). We do a lot of very complex coding.
There are five coders in my area and we code office visits, surgeries, hospital rounds and bedside procedures for the surgery department, which includes general surgery, ENT, bariatric, vascular and surgical oncology.
I educate students on the insurance coding and billing process.
Process improvement will occur as we move to the electronic record.
The survery should include areas other than a physician or facility practice.  Coders provide value added services to insurance payers/administrators.  Their global understanding of coding and reimbursement methodology is essential.
I have no comments at this time...  thanks for asking :)
This is my first job & it is for a psychiatrist.  This is her first year in her  own practice so we both are learning proper codes to use at which time.  I enjoy  the work, but do things 2 or 3 times, because no one is available to ask the  proper way the first time.  I do everything from phone calls to urine samples.  I wish I could find another coder in my area to ask questions.  Sometimes my   boss does not think I am worth the mere $10/Hr she pays me.  My class did not  teach me anything about a CMS 1500 so I am self-taught.
The physicians are ver active in coding their daily patients. They have access to all of my books and use them regulary.
For now, I audit providers' charts at several (28+) sattelite offices owned by a hospital.  In the near future, I will be revisiting some of the intricate components of the entire practice - front desk education, physician education etc....
I am certified through the AAPC.  I have enjoyed working in home health care for 23+ years, but as a medical coder with an audit team for 4 years.  My boss relies on me to research and provide information about changes in regulations and updates regarding diagnosis coding, mostly ICD-9-CM codes, concerning home health care.  Medicare is one of our main payers, and it requires a lot of research to keep up with CMS changes and requirements.  The AAPC does not offer a specialty coding certification for home health, as of yet, so I am forced to look at other organizations for that certification and hope to obtain that this year, 2008.  I wish the AAPC would offer this specialty certification.
Our provider owned company includes over 50 providers of 26 different specialties.
I am a nurse analyst auditor in the compliance department of a large specialty clinic which also includes rural health clinics.  I am responsible for auditing and educating the physicians, and various department heads regarding coding, reviewing patient concerns for correct coding and compliance with Medicare/Medicaid rules & regulations.  I have had many years of nursing experience, 7 years of administration experience, and this is my 5th year in this position.
Some of the questions are hard to answer as I am not a certified coder.  I am also unsure how educated in coding most the the physicians are.  My goal is to learn more to be able to code and bill as accurately as possible for my physicians.
Busy!
I answer a multi-line phone and direct the calls to the appropriate area, put patient data into the system, make charts, discharge patients, accounts payable, file, fax, copy.
I am the bookkeeper in a nursing home. I use just some basic coding knowledge in  my position.  In a nursing home we have a MDS nurse who does all the coding   (RUG scores) and I get my info from her regarding reimbursement levels and  diagnosis codes (which I then check in the Medicare FISS System).  I input all  charges in accounts receivable and then I enter all claims in the Medicare system  for payment and do all follow up on payment/denials.  I keep up my credentials  because I do not want to lose my CPC certification.
I work for a Payer and therefore most of the questions do not apply.
We are a physician billing company located on the grounds of the hospital, we enter some physician charges, we do f/u on charges and patient service
I am the practice manager as well as coding all surgeries in a 4 physician specialty office so unfortunately, I don't have as much time as I need to code.
I feel our office is short staffed in the business office. We could use another coder or another person to work insurance denials. We only have 2 coders for 8 physicans, 2 PAC, 1 RNFA, 1 ultrasound tech so time is limited to code and work denials. I see our office moving in the direction that the coders will do all the coding and the physicians will not.
I appreciate the last coders' magazine comments about paying more attention to coders working for payors as I do.  From my perspective, if we all applied good coding practice to billing and reviewing claims, we would agree more, keep the lines of communication open, and understand each others' points of view.  Thank you.
I work for the government.  Being a coder helps me in my job, but I'm not a practicing coder.  I review appealed claims and perform other claims and provider-related activites which is aided by the knowledge that I possess as a coder.
As an employee of an insurance company we work on the other side of the health care industry from providers.  Nevertheless, having more certified coders at our company has greatly increased our ability to communicate clearly, correctly, and fairly with providers.
I have a full time management position in an ancillary field or health information management.  I do per diem ED coding and answered these questions based on the per diem coding work that I do.
Small practice, with myself and a receptionist running front office.
I audit numerous physicians throughout a large corporation. The main focus of my job is to educate the providers and staff on anything found during the audits or any changes that have taken place in the coding/billing world. I answer their questions, researching the answer if necessary.
I work for a payor, so although coding is important, knowing rules and regulations and knowing how to research for imformation (e.g., searching the CMS website, Federal Registrar and etc.) is also very important.
Not on payroll as I am wife of the physician. Also act as office administrator. Billing follow-up is presently outsourced.
Learn as much as you can and continue to further you education.
I am the only certified coder in this practice. I have other duties I must perform, chest xrays, spirometries, and blood draws. I code the hospital charges after the nurses put them on the charge sheets. I feel my coding talents are being wasted or underused. I am a "detail" person that loves investigating and digging for information. This trait makes me a good Lab Tech and a good CPC, however, I seem to be more valued for my lab skills in this practice.
The practice I work for is in the midst switching from manual charting to an EMR system.  The docs have always done their own coding.  The practice had never had a CPC on staff until I came on board 3 years ago.  It wasn't until the past 6 months with a severe change in management that changes have been made in terms of my job duties, salary, and misc. benefits, i.e., practice paying for my AAPC memebership and CEUs.  I am now educating the physicans in compliance, documentation, ICD-9 selection vs just charge capture and coding.  I am also auditing charts and educating our other "coder"-not certified-of complaince, documentation requirements, and CPT descriptor selection.  I'll review charts as requested by account reps because patients call in and complain about charges.  I edcuation account reps of regulations and guidelines regarding NCCI edits, modifiers, global periods, etc.  I will NEVER look at an EOB in my practice.  We code to code based on services rendered in the chart notes. I also codeout every single Medicare chart because of the complexities involved and the modifiers required.
I work for a healthcare software company. We provide consulting services as well as chargemaster software tools for hospitals. Our software includes comments and coding notes with regards to CPT/HCPCS coding, revenue code assignment and pricing.
I work as the only  certified coder in a medical malpractice insurance company. The bulk of my coding focuses on the medical event whice lead to the malpractice claim. This information is derived from multiple sources, the claim rep (usually a nurse) who is handling the case, from the doctor initial phone call or the medical records supplied to us. This information is then entered into the required various state health reports. Our company has new guidelines for medical coders, which require certification. At present I am the only certified coder in the company. The other 2 coders who work at our home office, were "grandfathered in" when the new guidelines were put into effect. They are both excellent at what they do and have been working as coders for this company for many many years.
I code for two physicians and I do everything from data entry to collections. There are others in our office that perform specific duties but it is easier for me to do everything and know that it is done correctly the first time.
I am a practice analyst and manager for a multi-specialty (orthopaedic and pain management) practice.
Most of these questions do not apply to consultants.
I work in a billing office that has over 150 providers. My title is Coding Specialist and I work in the coding department with 5 other certified coders. Some of the providers code their own encounters, while the office managers code for some. We code the majority of ICD-9s.
Certified Coders here are expected to audit and code encounters, answer the providers questions for our clincs and provide all the education and training for our clinics.
I would appreciate if AAPC would include MT/MLT as options for credentials. Include more on Path/Lab. It is way more difficult and challenging than most people think. We require MT or MLT background for this reason.
I think that coding education needs to involve more reimbursement information such as National and Local Coverage Determinations.
The coding auditor is located in our main office. Management does care if I am certified or not.
Not only do I code, I am also the financial supervisor.  I have 8 people under me, 2 of which don't do any billing/coding work.  We have 6 physicians, 3 PAs and 1 NP, and 45 clinical and clerical staff. I work in a urology office. The younger physicians  have a better understanding of coding and the EMR system we are on.  Currently, we are without an office manager, so most of my time at work is spent on everything but coding.  I take work home most nights, but I currently don't have access to the EMR system from home.  I am working on getting access installed.
Would like to see education for CEUs brought on site for all 15 coders at our location
I do chart audit on E&M records for different insurance companies.
 I am also responsible for updating, reviewing and maintaining the fee schedules for all of our payers.
I have completed the survey for my previous pathology/lab employment for whom I still do some consultation (10+ physicians).  The physicians assign CPTs and the coders review those and add ICD-9 codes with the exception of dermatology who does their own coding and the coders will verify accuracy.  Our billing office provides national support/services for the company.  Currently, I am an instructor for medical billing and coding program.
I always have to review, research and read a lot of new guidelines, regulations and latest books/informations.    Please keep informing members with updates.  Thank you.
Due to the nature of the office I work in, the majority of these questions weren't directly applicable to coders employed there.
I have several providers so it's hard to answer these questions with all of them in mind, some of them are very good and some of them do not know much about the coding aspect.  They are all educated by the coding staff regularly.
It is challenging because we are working from electronic records and learning a new system.  
I work full time as a nurse, but also review the surgeon's hospital coding prior to submitting charges.
Since I work for a payer I feel most information, including things like this survey are geared toward "regular" coders and frequently don't apply to what I do. However, I believe what I do to be a very important aspect of the entire process. It isn't an easy task to go behind what someone has done, undo it to determine what is keeping it from paying or what the coder/biller did that is causing a patient benefit to be interpreted incorrectly. I would like to see more from the AAPC from a payer perspective - not just CMS.
When I refer to my provider...that would be our MD medical director.
We do auditing and consulting for physician based coding.  We educate clinicians based on their audit results.  We also teach a coding class at a college and in an online environment.
I would like to be able to talk about appropriate codes with the surgeons to match the code choices to their actual procedure.
I spend a lot of time educating clinicians so they will document well and give me the information I need to code accurately.
I perform Q/A for one ER ......... mostly E/M.
I have been working in pharmaceutical industries for coding of clinical trial data such as adverse events, serious adverse events, medical histories and concomitant medications, with the use of dictionaries such as MedDRA, ICD-9 and WHO Drug Dictionaries.
Acadmic practices have significant compliance and coding risks.  Providers have mixed reactions to the coders due to their role.  Coders must act as liasons between the providers and billing practice which creates another level to what is expected of a coder.
I work at a not for profit medical assocation in the Medical Affairs department working with staff and physicians on correct coding & reimbursement.
I am in the field 80% of the time doing inpatient & outpatient medical hospital reviews as well as the health centers associated with our MCO.  Denials generated by our MCO to a physician who is making an appeal will be reviewed by an RN coder if clarification/expertise is required.
The majority of my work is veryifying that our oncology drugs are payable and I also verify all diagnostics for payability---I am continually educating providers about new rules etc.  We also bill out millions of dollars of drugs and so we also audit documentation for that--making sure what we need to bill is documented--asking either providers or nursing to document.
I work for an oral surgeon, so I have to code medical and dental.
I work at a teaching institution.  Coding certification is one of the minimum requirements.  A few years experience is preferred.  The doctors do their own E/M and ICD-9 coding for office visits and this is entered from the fee ticket by data entry staff.  Hospital based services (mostly surgeries) are coded and entered by the coders.  Some of the docs do turn in billing sheets (more to verify accuracy of dictation becasue op notes are dictated by residents).  Any payments, rejections, appeals, etc are handled by the billing service.  We frequently communicate with the billing service to assist in appealing rejections.
Low volume, specialty, 1 physician office owned by hospital ; highly educated physician in CPT and ICD-9 coding; small amount of errors found and corrected through audits.
I am the biling manager and have two front desk personnel. I recently took away from the daily charge entry because of consistent errors. This puts a heavy load on me and I often work 40+ hours to keep the department running as it should.
Need more training.
I work in a medical school physician practice. The doctors all must do their own coding--we try to help them be more accurate in thier choice of codes--It is an ongoing process--always new physicians to help.
I am involved in the Special Investigations Unit of a payer.
i work in a hospital, doing outpatient coding, hopefully training for inpatient coding. I work with 2 other coders for outpaient...and a supervisor.
I do have medical credentials, but currently I'm not in the field.  I hope to be in the near future.  I do work full-time, go to school, keep up my medical credentials, and (maintain a household like everyone else).
At my company we could use more training. I work for a contracted company that works for the Veteran's Administration. And we could  use training classes to help with CEUs.
On a daily basis I code anesthesia and pain clinic records, post payments, appeal denied claims, report daily cases and aged A/R to the executive board, answer phones and mail and any other tasks needed to keep the office running smoothly. There are 6 full time and 1 part time employees supporting 23 anesthesiologists (and 1 resident) at a community hospital as well as a cosmetic surgeon's office and an eye surgery center. Each of us has to act in several supporting roles in order for everything to get done. There are 3 certified coders, including the office manager, and one student coder.
Fraud and Abuse
Poor
I work for the military.  They do not bill.  The only function of coding is for HEDIS measures.  The military has it own unique way of doing many things and coding is one of them.  They also have an electronic medical record that has some significant glitches in it.  They don't update the codes time i.e. CPT codes for 2008 won't be available until May.
Company needs to take a closer look at responsibility of the coders in our offices and take into consideration geographical locations.
I work in a nursing home as a HIM Manager.  I am the only coder in the 300 bed facility.  I don't work much with physicians.  I don't do our billing either.  I guess I am a rarity.
I am considered a pre-bill auditor, I asign ICD-9 codes based on the initial evaluations from the providers. I check for documentation compliance and help educate the provider on proper coding and documentation.
I am the only coder in our practice. We outsource the billing. Providers depend on me to look up codes that are not listed on "cheat sheets" and to audit charts for accurate coding.
I live in a small town, but the availibilty for certified coders isn't available. The certified coders expect to get more in pay than what they are willing to pay for this area. I am working on getting my certification, but out of an office of 10 people none of us are certified including my manager.
The department I work in handles A/R follow up for over 20 specialties.  Coding knowledge in a variety of areas is very important.
I worked in a Dr. office for 12 years and the coding enviroment was very different then working for a billing company. My current employer believes strongly in education and compliance. We have regular A/R meetings and monthly meetings with our providers and chart aduits on a regular basis to ensure compliance. Also, now all I do is coding and billing  vs a Medical practice where I did clinical administrative and other tasks.
Administration needs to understand that sometimes coders need to take a little extra time to obtain additional medical records to ensure accurate coding.  This extra attention to detail will benefit the practice in the long run.
The physicians choose the E/M code they think is accurate for that visit and then I go through all the charts and audit them and assign the ICD-9 codes and change the CPT if necessary.
I am the only person coding, posting charges, posting payments, doing follow up, appeals and collections in an ASC that serves 11 surgeons.
I have been promoted to the Corporate Trainer after obtaining my certification.  Part of my responsibilities are to see that our coders stay in compliance and up to date with current coding issues.  I no longer code on a day to day basis.  I handle client coding and reimbursement audits when requested.
Our coders check all CPT and ICD9 codes provided by our physicians.  Although physician coding doesn't always save the coders time, it does point us in the proper direction if we have problems understanding the documentation.  Our physicians welcome coders' qustions and use this as a way to educate coders as to what the procedure may involve.
I work in a small 100 bed facility. I currently code outpatient services (DI,lab) and emergency room. We have one coder who is not certified who codes non-Medicare inpatient charts and then contract out all our same day surgery/and inpt/outpt Medicare charts. I'm expected to code and do ROI, as well as handle any  phone coverage as needed when clerical staff is not available.
I work in a business that basically does coding for EDs.  It did not require certification or experience but you did have to pass tests and then proceed with an intense 14-week in-house training program.  I appreciate not having to have experience because most places require at least one year.  Pay is not up there with regular coders and though accuracy is stressed--productivity (30-33 ED charts per hour--regardless of their level of difficulty)is stressed more.
I am the only CPC in our office. I work for a clinic that is hospital owned. I spend more time doing clerical/data entry.
I'd like to see more classes offered for Workers' Compensation Coding.
I work for the insurance company and ICD-9 and CPT coding is very important the the area I work.  I know if the provider's office is giving us the correct information and able to help them out when possible.
Not working in the medical field at the moment
I am not challenged as much as I would like to be in my current full-time position, however I do enjoy coding.
I am working as a Refund Specialist. I am a CPC-A & review EOBs and patient accounts and decide who gets refunded if there is a credit balance or research why there is a credit balance on accounts.  I review contracts and make sure insurance companies are paying the codes according to the fee schedules/contracts.I will have the opportunity to do some coding in the future, once I have totally learned my job and am comfortable. We are encouraged to have 2nd & 3rd occupations.
The AAPC needs to meet with insurance companies to implement a policy that  all medical offices need a certified coder in order to provide accurate coding and billing. 
Work for Medicare HMO.  Teach physicians ICD9 coding and documentation.
I work in billing office for clinical laboratory so we code the dx's we are given from the doctors office. A lot of my work is calling to get dx's that were not given to the lab and /or faxing requests to get dx's. Also a lot of it is making sure these codes are medical necessity for the tests and if not calling doctor's office  to make sure they dont have any other dx's that were not given on the lab order
We are in the process of implementing an education program to help the doctors code their E/M visits accurately.  Some are more eager to learn than others, but I have every reason to believe that soon my answers to does doctor coding reflect compliance and increase reimbursement will be agreements instead of disagreements.  It's a learning curve though and we're working on it.
Must always be current in multiple specialties. It pays to be very organized in order to keep up with particular desires and billing requirements of each physician office and specialty. Resources are helpful for coding but ultimately, the payers always have the last word. 
Compliance auditing, appeals.
We are a teaching facility and we do our chart audits and do have discussions with the docs after we abstract their charts.
I work in administration.  I am one of six coders for 40 out patient clinics.
Our office specializes in therapy/rehab. The majority of our patients have back and neck injuries due to motor vehicle accidents and work related injuries. We also do a great deal of hospital consults and daily visits to our patients who have been admitted.
I love coding but the 5 hour test just does not give you enought time to take.   And if you pass part you should not have to take the whole thing over, just   the part you missed
Our physicians, are going to electronic health records and the software helps them to choose the correct E/M coding and diagnosis
I am still working on getting my coding certification, therefore, my answers are not to detailed.
Having your coding certification helps with making decisions on certain types of appeals we receive in our office.
The extent that physicians do their coding involves writing their ICD-9 on encounter form and selecting services performed on superbill. The account manager/coders are expected to review for accuracy and correct as needed to meet compliance rules
I am currently the Office Manager; our office has EMR and the physicians rely heavily on that, though as a coder, I find the EMR lacking in certain areas and have informed both the software company and the physicians.  I have audited notes and have given the physicians info how to determine E&M levels and the importance of correct and complete documentation.
As a consultant I audit charts that have already been coded
I was hired as an assistant to a lead auditor.  Currently, I am verifying insurance benefits in a different office within the company.
Coding is very good job because not only for earning but also we can improve our knowledge every day...
I work for three cardiothoracic physicians and only two of the three physicians do any of the coding and then it is just CPT. I have to check all of their codes to make sure they are right. They have no idea about the use of modifiers. If I have to ask one of the three to redo an op note they act like I do not know what I have asked them to do. But when the denials come, documentation not being right is a problem -- my problem. 
I'm a coding consultant and my job is to educate the clinicians. We do monthly audits to establish level of education needed. We also do grievances and compliance issues.
unable to complete survey due to not currently working while in school.
 I would like to comment regarding the number of CEU  credits required by AAPC.  24 credits a year seems like a lot especially when  they are not AAPC approved and only l/2 of the credits are given i.e. AHIMA.  I would really appreciate your review of this area.
I do surgery authorizations. So I am coding before OP report is in. My codes are not always the ones used in billing. I am not part of the coding department although coding is a large part of my job. We have billing reps for the different insurance companies they are the ones who handle the appeals some are credentialed but most are not.
Most important aspect of coding for DME is HCPCS.  Drs are asked to provide Dx codes in the ICD9 format.  Only when they don't does company have to look up. Also, often Dx listed in progress notes don't show up on form where Drs were asked to fill Dx in ICD9 format.
My work area is extremely different from that of the outside arena.  I code for a military treatment facility.
My main job is insurance referrals to specialists that we refer our patients to, and prior authorizations for tests ordered for our patients.     I share the responsibility of coding/auditing our fee tickets with another biller/coder in my office.    I share an office with one of our providers who is very helpful about sharing his knowledge with me regarding tests etc.
There are never any neurosurgery classes or anything for CEUs in the Nebraska area. Most of your online classes don't include Neurosurgery, only orthopedic.
I can't stress enough that there has to be an open line of communication between the provider and the coder to help assure that both are equal in compliance with coding and feel comfortable in going to one another to help address any coding issues that may arise. 
My work environment is not that of an active practice.  My company sold our practice and went into Pain Management Consulting for other physicians so I have to stay on top of all changes that effect our company to keep all my physician clients compliant from coding, billing, documentation and reimbursements.  I love my job and the changes that we as coders have to stay on top of each year.
I am a owner/consultant of a education and consulting company that works with physicians and thier staff all over the country.
I would like to see more specialty training for physicians and coders
Our physicians and other providers are the only ones who can change codes.  The CPC can recommend and request codes left off forms, but the providers must change only.
Enjoy the coding, discouraged by babysitting clients for clarity.
My work is auditing physician medical record documentation and coding education for the physicians and coders.  Our organization has one hospital and many outpatient clinics with over 450 physicians.
I work for a large rural hospital, performing concurrent E&M coding, providing feedback/education to our doctors, and auditing notes to ensure the highest level of quality documentation.
Though I have my CPC, I am employed and paid as an insurance clerk. The way that charges are marked, entered, and posted, the insurance department basically deals with the claims at the end of the process. The physician marks the charge sheet, the cashier enters the charge/diagnosis codes, and the bookkeeper then posts the transactions. During the filing process we deal with errors that edit out in a report or get the rejected claim. Coding skills are used to update the chargemaster. 
I'm the manager of a multi specialty billing office with 4 cpc billers, 1 non cpc biller and a cashier.
I work in a multi-specialty medical clinic and most of our dr's do their own ICD-9 coding.  I code for the ED department and the dr's do their CPT coding but I do the ICD-9 coding.
I work for a general surgeon. He is the only physician and we have two NPs. I am certified in coding and he takes courses annually on coding. I am the office manager, receptionist, coder, biller, etc.
We are multi-tasked from verifing registration accuracy to reading op notes/dictation and coding to data entry, claim submission to payment posting, then working denials and appeals which includes work comp Intervention to Filing Medical request for low payments, also patient self-pay arrangments, collections and insurance aging.
I work for with the DoD.  These physicians are not reimbursement driven.
I work in workers comp at an insurance company
I do not work in a physician office or hospital.  I consult with a group of practices and hospitals, so many of the questions in this survey were not applicable.
As we have multiple physicians with different levels of coding experience, my answers are based on the average of all.  I have a doctor that has NO interest in coding and it takes assistance from myself & our compliance officer to obtain compliance.  I have another doctor that dictates with CPT language, clearly describes extra work, and is almost always correct with E&M code selection.  Most of the remaining docs fall somewhere right between, mostly near proper coding & documentation guidelines.  If there are documentation discrepancies, I am able to directly contact the physician & documentation is properly updated and verified.
I code radiology, try to keep supervisors up to date on new codes when they will listen.  We only have two coders including myself for 200+ doctors and sites all over the US.  I have a supervisor that thinks she is a coder.  She needs to go pass the test and get certified!  One thing I do not like about my work enviroment is my supervisor tries to make me code from signs and symtoms when I do not have notes from the Doctor.  I feel that is fraudulent coding.  She does not care she justs wants the claim sent out NOW!  This goes against everything that I was taught.
 I have been in nursing school for the last three years and a coder for eight. I hope to incorporate the two specialties in the near future.
I am a consultant.  I answered questions from the perspective of the many clients physician offices that I support.
My training has been on the job. My employer has been very supportive of that. I have also taken an online program which I completed with very good scores, and attended a CPC boot camp. I have taken the test once and failed. I'm currently scheduled to retake in May. I am a very detail oriented person and love coding. Wish me luck! 
I no longer work in a "classic" coding environment. What I would like to tell coders is that there are many different directions coding credentials and experience can take you. It's a wide open field with opportunities in many areas related to coding, compliance, education, and management. The sky is the limit!
I am the only certified coder in the practice.  The manager of AR has taken  coding classes, but has yet to pass the exam.
I wish that I could receive feedback from by coding, how do you know if you are on the right path.  If in fact what your coding yourself is accurate. I work in a teaching physcian environment, where there is a variety of specialties, and it's easier to educate on how to document then it is when you're applying the coding rules in an auditing situation.  It's tough when you have a variety of specialties, there's so much more research involved and you don't see the same diagnosis over and over again.
EMR will be implemented in our office in the coming months. Wondering how other coders have seen this change impact their work. What are new avenues for developing coder value to a practice with EMR in place? EMR is here, but no one is talking about how it affects coding!
I am the administrator and the coding manager.  I am the only ceritifed coder in my office
Coding experence is an enhancement to my role as VP/Director of the Finance Department.    Looking forward to obtaining other certifications as it relates to my role.
I am new to this job. I am practice manager and the only coder. I am certified.  This is one of the reasons I was hired.  New clinic with billing to be done on site.  That will be me. The physicians are knowledgeable in coding.  The CEO and Director of Operations know very little about the coding, billing aspect. Again ,that is why I am here.
OF the six providers in this office, we have two that are usually correct in their coding.  We have two that are almost never correct and two that are frequently correct, but not always.  We have one charge poster for office and one for hospital, neither of whom is a certified coder.  We do about half "prepost" review for accuracy.  The remaining half we get on the back end, after insurance processes the claims.
I work for Banner Health Corp. Compliance is handled through another dept.  I am a very small part of a very large corporation, therefore, our group feels that we are insignificant. Importance seems to be placed on the group which brings in most money, i.e Ortho, surgery etc. We are a very small FP group. Doctors are salaried and I feel that that fact alone diminishes their responsibility toward a) coding correctly, b)number of pts that are seen in a day. We are rebuilding after many docs left due to re-structuring.
I am the only coder in our office. I am also responsible for all receivable duties as well as other minor duties in the office. We also provide help to our senior citizens with insurance issues they are having. The office is located in a rural mountain community and we are the only health care facility in a 50 mile radius.
The function that I provide  as a consultant is performing audits of the selection of code(s) as well as their documentation. I meet with the provider(s) to provide them with continued education and to assist them with any and all questions that they might have regarding changes within the industry.
We have 3 providers in our practice and I am the only certified coder.  We have one person who does all the EOB postings and I do everything else.  We are short handed but can't get the physician to realize this.
I provide my providers with the information that they need to be in compliance.  They tend to stray from the guidelines about a month after I have given them coding information. The biggest problem being E&M coding which they do themselves. I am one of the main people in my office of 4 doctors that answers the phone and I do all the demographics and surgical coding alone. I do all corrections and help with appeals and am underpaid according to the average coders salary. I also live in one of the most expensive areas on the East Coast.  I have been in my position with this practice for 20 years.
I work for a payer.
I am a self employed medical consultant that teaches coding and compliance, has a medical billing company and is the compliance officer for many of my clients throughout the country so my information is diversified and best describes the majority I come in contact with.
Work as an independent contractor to audit codes in outpatient settings.  Majority of work is auditing E/M services.  I like the flexibility of completing an assignment with one company and being able to take time off before taking on another assignment with a new company.  Paid $25 per hour with no benefits.
Can Certified Fraud Examiner be a good addition to my current credential of CPC if I am serving my employer from investigation point of view to recover overpayments?
I work for a payer so medical bill review is my primary duty. Coding duties include but are not limited to coding any miscellaneous codes billed by providers, be mindful of fraudulent billings, CCI edits, & appeals & still be compliant with our State fee schedules, rules & statutes.
This is a new position for me.  Some of my answers could change fairly soon.
I do A/R mostly, even though I am the only CPC in the office. The coding is done by the office manager, most of the time, unless the physician tells her to code something differently.
I wish the local chapters had more outreach activities and more public announced speaker events held on a regular basis.
I just started this position.  I answered N/A to questions I was not sure of the work process.
In my work, they prefer that RNs review medical and clinical documents than coders
I am scheduled to take my cpc-h test in July 2008
I audit ICD-9 codes for HCC for a large IPA
I enjoy coding and wish I could work either as a traveling or home coder.  I find there are too many distractions in the Medical Record department when you have a mix of coders/processors/transcriptionists. Unfortunately in hospitals, and no doubt other medical departments, there are seasoned employees who are no longer as dedicated to their job as they once were, and you have the rest of us who are willing to get the job done no matter what it takes. This split in work ethics causes resentment amongst the two types of employees which can make for   some very frustration days.  Our hospital recently began having coders work every third Sat or Sun.  This was not welcomed by my fellow coders at all.  I do not have a problem working weekends, however there were a lot of tears and upset people for the past two months because they didn't want to give up any of their weekends.  It has been a tense situation and not a pleasant one to walk into every day. I take solace in the fact that I am currently training in Inpatient charts, which I love, and perhaps my situation will change down the road.  
In my work environment, we need someone or more than one person to be able to stay current on all aspects of coding (CPT and ICD-9, Medicare, etc).  We as coders do not have the time to research things and we get denials.  Wish we had more time to get together as coders to bounce things off of each other.
I am a practice administrator for a family practice, this is new position I can see the need for certified coders in this practice. My previous positions I did not the see the need. The other item that always has frustrated me with CPCs is that someone who is not certified can be a better coder. I recently was talking to a two CPCs on preops for family practice. Here is their thoughts that we always code a physical and a consult if the pt has not had a physical in the last year. Gag, choke, whattttt? But my doc believed this until I showed him the rules and the fact the OIG is looking at this issue this year. That corrected his misdirection.   So unfortunatly just because you can code does not make it right but a lot of CPCs think so. The other item that the AAPC needs to consider is that there are a lot of programs out there that are coding now.
I do the coding for home health
I work at a military facility where providers document on an electric medical record and code from the same system.  The coding portion is frustrating to the providers to use so they usually pick whatever the computer assigns to the encounter or whatever they find that is close to what they were looking for.  Coders spend the majority of their day verifying the coding on billable encounters, auditing and hands on training with providers.
Working in a military treatment facility is very different than working in the civilian world.  Coding of encounters is not necessarily done for reimbursement, although our facility brings in a good bit of money from claims.  Coding is also used to show productivity of the providers.  Their productivity is determined by the total number of physician workload RVUs that they generate. Providers do their own coding in our electronic medical record.  The coder's main responsibility is to review billable encounters that are found in the Coding Compliance Editor (CCE) that coders use.  Auditors audit the provider documentation in the electronic record and provide feedback to help them improve their documentation.  The pay of the providers is not dependent on their coding.  Being military their paycheck is always the same. This makes it difficult at times to do coding training and education because they are not effected monetarily by any changes that are suggested.
When charges are being billed by people who don't know a lot about coding there seem to be a lot more unnecessary denial. I feel education is very important in a billing office we should be able to have the support in a billing office to educate every person involved in the billing process in order to obtain full reimbursement without denial.
I'm a consultant so my environment is a little different.
We are expected to "translate" medical verbiage from medical records or lab requisition into codes. Our office does not use  the term coder or coding even though that is what we are required to do. We do have a few certified coders or those that have previously been coders but they are not in the part of the department that does the "translating."
I review medical bills for payment processing.  We have our HIM dept staffed with RNs, RHITs.
I work for a payer as a provider educator. Basically, if claims come in coded or billed wrong, I educate them on the right way to bill.
I am employed as the office manager/CPC.  There is an additional CPC in-office.  We use electronic medical records, so the physicians use a pick-list for CPT and ICD9 codes from the templates designed by  the physicians and myself.
I would like providers/ billing offices to understand the importance of correct coding/compliance/accuracy of the initial claims being submitted to the payors rather than seeing the emphasize on quick submission.
My providers have a pick-list available for CPT and ICD-9 codes, but they also select from the coding manuals.  My providers (including nurses) select CPT codes.   My E&M audits recommend the level of visit, but the provider always has the final decision.
I am the practice manager of a 2 man surgical practice.  I do not know the amount of training the doctors receive concerning coding, I am sure there is some.  The other biller and myself will submit bills that appear accurate according to the DX they write and the follow up indicated, if the E/M appears to high, we will review the progress notes before the claim is billed.
As a health insurance payor, my employer has numerous certified coders to help watch the hcfa/ub billings. It is surprising to see how many practices mis-bill services regularly.
I travel the country 3 weeks of every month as an Application Specialist, providing training on Medical Coding software from my company.
Many coders work in  consulting firms and woth attorneys, performing audits as part of an IRO, providing education and audits for hospitals, clinics and physician practices. They also provide expert testimony for Medical hearings.   Part of my duties also include working with accounting firms to review the coding and billing practices when physicians are purchasing practices. This survey did not capture any of the duties of a coder in a consulting firm.
Wish there was a website to get feedback on coding questions
 I have had as many as 75 coders under my charge in multiple location sites, auditing, mentoring, and supervising their coding efforts and more. My work varies from assignment to assignment.
I have not been able to find a job as a coder since I passed the certification exam.  I work as a Rehab Tech in a Skilled Nursing Home.  I am trying to find  a job as a coder.
It would be nice if there was more consistancy between payor rules.  My work environment encourages continual education and provides the tools to keep current with all payor updates.
I currently work for a medical group . It is a small but going group. I am a Risk Management Coordinator for HCC. We audit doctor's files for HCC diagnosis and make sure they are reported for maximum Medicare reimbursement on each patient. We report our findings to the doctors and create a "problem list" for each file we audit to let the doctor know about our findings. The Doctors are encouraged to bring the the patients in for full assesment each year to benefit the patients health by keeping in touch and also be sure that all diagnosis are reported acurately each year.
My family owns the billing company we work for.  There are 3 of us working  there.  All are certified coders.
Not enough importance is given to the certified coder.  It is assumed that anyone in the business over two years can do the same level of performance and accuracy.  I totally disagree.  If you do not keep up with the changes that occur every year, your practice is absolutely in jeopardy!!!!
I supervise 24 coders and auditors, train physicians, nurses, NP, PA etc how to document and how to code correctly. We audit 100% of our billable cases but most of our patients are active duty.
Neurosurgery coding classes in the Omaha, Ne area, PLEASE!!!
I work for an insurance company.  Most of what we do is educate provider's offices on correct coding, assisting them with online resources to assist them with submitting clean claims.  On occasion, we are called upon by various departments (ie Provider Relations, Appeals & Grievance, Healthcare Services, Medical Review, Claims, and Customer Service) to help them research guidelines for coding and use of modifiers.     I also work on a couple of committees that set up the new codes for benefit programming; research E & I procedures, tests, etc.      Many times specialty offices will provide us with documentation and websites for additional information to assist us when auditing claims.
Other duties include: compliance education/research, OCE processing, etc.
In our military facility, the providers are doing the coding using a templete in the electronic medical record system that we have.It is very time consuming due to all the documentation needed to get high RVUs. I do random audits on each provider and I do regular training either in groups or individual as needed.
I am a supervisor, and I am in the process of becoming a certified coder.  I took and failed the test, and I will now begin to study for my retake in the Spring/Summer.  We have an electronic medical records and billing system that can suggest the level of coding for the providers, however, most of them are very accurate with their knowledge.
The main problem i have found over the years as a coder and nurse is that we are undervalued by the physicians, so MDs think anyone can code. Others value our opinion but in general they still don't see the bottom line that we are very important to making a practice successful and we are not paid enough for our valuable knowledge and expertise. Continuing education is important and coding help in the means of paying for an outside service for questions and audits are important.
I have a 50/50 split with providers.  2 NP, who want to know more, & appreciate coding assistance.  2 docs (older) shake their heads yes but still do not comply.  Uphill battle.  I am the manager and only coder.  I review the work of the girls under me and trained them.  I have to handle contract negotiations, manager the office for charges at RHC but not payment, appeals, etc.  Done by hospital.  But I do the docs' personal billing for ER, outpatient services, and hospital stays.  Some of your questions were hard to answer based on what I do.  The RHC world is very different and I have to balance between both worlds for compliance and coding issues.
This survey did not really reflect the home care environment.  There are no physicians in the office and therefore most of this survey is not applicable.  We also do not have certified coders leaving the caregivers responsible for the coding.  We have coding seminars and I serve as a resource for their questions.
Physician documentation education is extremely important and must be ongoing.  Keeping abreast of current coding info for coders as well as physicians.  Random internal audits are extremely helpful.
I am the only certified coder in our office.  We have a staff of seven billers. Our office bills and codes for several hospital employed physicians consisting of Cardiovascular Surgeons, Neuro Surgeons, Pediatric hospitalists, Orthopedics Physician Assistants, Weight Management Physicians, one Cardiologist and several other Mid Level Providers.
My job consists of check and check out duties including coding ICD9 dx codes for services rendered and inputting charges at the checkout electronically. Handling the phone scheduling patients appts and also spending time on the phone with insurance companies to verify eligibility. Pulling charts, printing fee slips and correcting demographics/insurance when patients come in with changes. Dealing with patients face to face ranging from prescription requests to making appts and corresponding to doctors the patients needs.
I am the only coder in my office. We outsource ER physician coding. I believe that  employers are not willing for coders to spend enough time to research a code effectively. I usually spend time of my own learning. A billing company just wants to bill the standard codes to receive faster reimbursements.
In general, I think that the physicians doing their own coding is a good idea.  But my office is inconsistent with chart audits, educating the physicians, and compliance.
I work at an insurance company dealing mostly with reviewing notes from physicians' offices and determining if they support what is being billed. I am also involved in the appeals process and audits. The coding team is divided by our areas of expertise.
I am also CCP and CMBS certified (that is also what I teach at CIDMA).  I am working on my NR-CAHA and CCS certifications in order to expand my own credentials as well as teach a course at CIDMA regarding more hospital billing vs. physician coding and billing. 
I work in a military treatment facility as the task leader/auditor. Coding in the DOD has some more guidelines to follow that pertain more to military personal. We only code for statistical purposes and to follow certain diagnosis for Public Health. There are a few claims that we do process through our 3rd party collections. I will say that coding for the DOD is much different than coding on the outside as I previously coded for an SNF and an ED.
I am fairly new and I have not purchased any CEUs at this time.
My practice codes for 2 hospitals wherein the physicians are contracted. We do no independent imaging. The manager makes an effort to comply so the practice will not get audited, but there have been no independent internal audits for the past 5 years. There is no program designed to educate the personnel in the office about any medicare/medicaid guidelines. I am the only coder. They rely entirely on me, and I have no time to do anything except code! Really, in my practice, its only about earning money, and doing it legally.
I code for IM, Pediatrics, Endocrinology, Pulmonary, Acute Care Hospital Charges, and miscellaneous other charges.  For the most part I do have some very knowledgable physicians who listen to the coding guidelines and love feedback and follow what you tell them they need to do to follow the rules for seeing and complying with the guidelines of billing E/M services.  I review about 300 or more notes per day for correct coding issues and send back to the physicians any wrong documentation and coding errors for there correction before billing if done by the provider.
I do mostly coding of inpatient visits by the physicians and then charge entry. Very little of my work involves filing claims and reviewing EOBs as that is done at a different location by a different company for our practice.
Doctors in my practice mark OV levels and at times asked to make a choice of dx from a cheat sheet for tests sent back with dictation and fee ticket.
I work in a pleasant environment in the medical records department with other coders in a small hospital in my hometown. I primarily code the ER physicians and analyze IP and OP charts. Sometimes I get my feet wet coding some OP charts hospital side.
My employer and his 3 extenders are very knowledgeable about coding. We meet monthly to discuss issues and I have a very positive enviorment where we work fairly well together.  We do have EMR, so there are codes easily picked from a list but they are correct.  If I see something that I question, a email goes to the provider and an answer will come back before services are billed.  I also work as a consultant for a short time in helping a small practice get their billing in order.  I enjoy taking information to them and helping them to better manage their office.
Student status.
I do the data entry of charges.  The OM post the checks.  I do all the reviews on wrong payments, etc.  I file all claims emc or paper.  It makes it hard to send all claims in, do reviews; but, not be able to post checks to see what has been paid on the reviews.
Using dark shaded areas on the questionaire makes it difficult- to impossible to read those questions on my monitor.
I thought it the survey was interesting in that it did not capture coders who work for health plans. Coders have become increasingly important as health plans are being audited by the government and payment of Medicare patients is based on risk scores which are determined by physician coding.
I have coding issues with the new da Vinci surgery as most people bill with modifier 22 and others tell me as unlisted. It is a challenge with different payers as they won't pay for robotic surgery.
I do all the coding in my clinic.  The office manager is interested only in getting claims out fast, my educating the providers and keeping her up on problems.  Works fine for me!
I work for a Part B Medicare insurance carrier....
I review all charts and coding by a group of pediatricians for accuracy and compliance.
I think that some classes should be done on how to teach our dr's about coding
I my clinical setting I am the only CPC and review all charts and superbills prior to doing the billing. The posters have a responsibility to post correctly which reduces the amount of time I spend on reviews.
None at this time
I am not employed as a coder, this is additional credentials that assist me with my job.  I assist our corporate coder, but my primary responsibility is as a project consultant
Besides coding and entering all surgery and hospital admission charges, updating and being the resource for all coding questions, I am also a co-manager of the office and coordinate the scheduling of all surgery and any paperwork that goes along with that process.
As an independent consultant I have the ability to chose my clients.  I have found that I need to explain my clients how coding and compliance fits into their practice and why.  Educating them has lead them to value my services more.
Currently, I am not a coder.  I am a payment poster.
Training on coding issues, audit charts, review contracts with carries, and handle appeals for any denials. Help with company polices on coding issues.  Review and help update computer system regarding billing and claims filing.
I am a student finishing a coding program, waiting to sit for the CPC test.
The questions were not very pertinent to insurance companies.
I am the coding/billing manager for a large group of surgeons. Our Administrator does not understand this business and because the physicians are always complimenting me on my work and the changes for the better I have made, she is jealous and doesn't support me. They ask her to order anything I need and she plays stupid and won't so everything comes out of my pocket.
It would make it easier to have the charts available to the coders when they need to be reviewed for possible coding issues. The group consists of 8 outer offices spread through the state and the administrative office which includes the billing and coding departments are centralized. They have been working on Electronic Medical Records but it has had its share of problems. And for now has been put on hold.
Since I am a certified coder and was hired to do billing, I would appreciate not being pulled into situations where I have to do other duties such as answering the phone, pulling or looking for charts for the next days surgeries,and having to do other duties that do not involve coding or billing. I don't feel I can adequately concentrate on my work and I feel it is slowly slipping out of my control. I use to have a good handle on my age report, but now I have no time to work on that aspect of my job.
Answered questions as to how providers' offices within IPA handle the coding aspects in general.  The questions were geared towards a single practice rather than towards multiple practices encountered within an IPA.  I provide coding education to the multiple practices as well as assist with questions regarding appeals.
This is my first week on the job.  I'm still learning the ropes.
Overall the work I do is interesting, however sometimes I do wish I had more resources to back up some of my coding questions.  I am going to try to get more involved with the AAPC website and see what resources are out there.  Currently I do have a perplexing coding question that I have addressed to AHIMA's communities of practice. Sometimes Ithink more physician input or awareness would also help.
I have just starting working as an extern for a small practice 8 physicians. I cannot answer this survey at this time.
I am in a third party company which reviews documentation for CARA risk adjustment and compliance. This involves translating ICD-9 codes into Hierarchal Condition Categories developed by CMS. The coders at this company also spend a lot of time explaining coding to nurses, and other coworkers with less training and experience in coding which codes need to be assigned in the first place, and why.  It is both frustrating and rewarding at times.
I work for the government and we have an EMR. The providers select their CPT and ICD-9 codes for each encounter.     There are two coding auditors to audit the encounters.  We also provider the education and training of all our providers on coding and compliance.
I am in a unique situation.  I work a orthopedic surgeon.  There are the two of us in the office.  He is very hands on and we work well together.  Getting out of the office for any reason is very difficult.  CEUs are a challenge.  I have always written operative reports for my CEUs in the past.  It will no longer be accepted so I will have to spend money now to keep certification current.  I am not that happy about this new situation.  If you have any suggestions I would be most appreciative.
Coding for DXA and infusions are done by the Billing Manager/CPC.  Providers do use a cheat sheet for ICD-9 coding, but they have been made hyper aware that they should code to the highest level of specificity.  There is ample room for write-in diagnoses, which are then coded by the Billing Manager/CPC who will review the ICD-9 descriptions with the providers if there are any questions, i.e, 5th digit, etc.  In my position, I also credential, contract, and negotiate fee schedules for the practice, as well as supervise my staff.  Another important aspect of my position is to keep informed of copay assistance offered by pharmaceutical companies for injectables and infusion drugs, and private funds available for the same.  Most forms for these assistance programs do require some coding.  It is also important for the coder to have a good relationship with Business Account Managers from pharmaceutical companies when coding for new injectable/infusion drugs.  Thanks for the opportunity to respond.
I work for a small family practice of 5 providers, 2 of which are DOs, 1 MD, 1 PA and 1 NP. Our billing dept consists of 4 including me. I'm the only CPC. I'm also the billing manager, so I have to do it all, the others experience varies from none to some. We use a EMR system that the Dr.s use to pick there codes. I don't have time to check every single claim, but do review many that require some changes.
I multi task as many coders do in an office setting.
I work for the VA Medical Center.
I am a supervisor who codes, manages the office, set ups the surgery, does the payroll.  I do various assignments.  I do not deal with reimbursements.  That is done with another department
I'm a fraud and abuse analyst/investigator for an insurance company.
My work is as Fraud and Abuse analyst.
I work for a company where the coders are paid per chart coded,  sometimes the coders that have data or charge entry experience will perform those duties.  Not all of our coders are certified out of 7 current coders 4 of us are certified, which the only thing it means to our company, is it says they have certified coders on staff, as far as pay goes there is a difference.  WE never see any denials, we have no communication with insurance carriers about denials or anything.
Our office only does coding and data entry.   Our home office does the actual billing out and collection of reimbursements.    We don't see the claims after data entry unless there is a problem with the claim, and it comes back to us for research/correction.    This gives us a disadvantage of dealing directly with the insurers which would in turn give us a better knowledge of specific insurance nuances that could be avoided during initial coding/entry.   We are able to research policies of the primary carriers, but we do that on our own and do not have good leadership from our home office that leads us in this effort.   We are the only Emergency Department using this system, so we are rather on our own, and learn by our own resources rather than by company leadership.
I am the reimbursement specialist I do the audits, peer reviews and coding trainig of the new clinicians that are hired. Work with the established clinicians on coding and compliance in the office
I am the Education Specialist for the E. Orange VA and we educate and audite the staff at least twice monthly.
I work in a smal practice with 1 provider.
I work in a phys. office The providers fill out encounter forms. I code mostley dx. codes. They are still responsible for filling them out. I have a small office where it is quite and able to work. I do take patient phone calls.work denials and I have a very close relationships with the nurses that will help with coding questions that may arise when the phys. are not there.I do some cpt coding so i try to keep myself updated as much as possible. right now i am the only certified coder in our building. I am always willing to help the other ladies on their coding issues for the challenge.
We have a small practice with three physicians and three physicians assistants.  We have three full time office staff and one part time medical assistant that is here for clinics and prepares charts for the next days patients.  Because of our small size we often have overlapping duties.  I have been with this practice for 11+ years and enjoy the diversity
I work full time a well as part time as a certified coder. The full time employer support the need for CEUs where the part time employer does not, but expects to have all the most up todate information.
I am an office manager of a 1 physician office. There is only me and another girl who works the front desk. I have trained her to do PAs and that helps a lot.
Our providres only do E/M coding!
Payor environment, would like to see more marekting to payors about coding as well as support materials and promotion of coding in the payor world.
I worked for 3 yrs as a certified cardiology coder and now make more money doing reviews and posting office tickets, which I am now bored with doing. Finding a challenging position as a certified coder is becoming more difficult, as our area seems to be "flooded" with CPCs and not enough openings.
The office I am in does office billing by one group of people and hospital services by another. It has never had a coder certified or not. We are starting to build a program and are deciding how we can utilize coders in the best way. Right now I am the only certified coder.
I am the only coder for 14 doctors and sometimes it is a little overwhelming
I am the only certified coder. We have two other very capable noncertified coders. We have on average 19,000 visits per year. We are owned and operated by an Indian tribe, and it is more than 60 miles to the nearest hospital. We provide clinic appointments, advanced access, urgent care, walk in, lab and x-ray services, specialty clinics, and dnetal services.  
I'm a physician educator and auditor.  I audit physician coding and documentation and give feedback and education on the results
My physicians have a pretty good understanding of coding which makes my job easier. I mostly code the hospital rounding and op notes. The physician usually tells me the level of service performed and I have to audit the E/M at times. 
I am the Coding Manager and think it is very important for the manager to be certified.  My employer is very understanding with the need to keep certification current and provides us with all CEUs and all coding materials needed for the job.
My docs do the office visits. We, the coders, do endoscopy and hospital coding.
We are on a new health connect system where the doctors visits automatically drop in the system and we code from the visit, an E&M code is put in by the doctor but we verify it and change it when necessary and add all additional services rendered.
My title is Business Office Manager and I have less time to code than I would like.  My duties run more toward management at this time.  Our practice is growing and hopefully with more staff I can get into coding and appeals, etc more as we grow.
I honestly believe and I mean no disrespect but until coders hired are required to be certified, companies are not going to realize the value of the coder.
I am the business office manager.  I mainly oversee the billing dept. (8 people). In addition, I perform quarterly audits, handle IT issues, negotiate with ins. companies and implement new services.
I work for an ob/gyn practice with 2 providers and a nurse practioner. I am the only certified coder and biller, I also schedule surgeries for each physicians and also handle accounts receivables.  I wish there were more ob/gyn related workshops to attend.
Financial counselor who works with coding issues. I do not do audits.
I am the Manager for Coding, Reimbursement and Compliance for our IDTF and JV Cath Labs.  We have 1 credentialed coder who reviews documentation and charges for our JV Cath Lab.  She was hired right out of college with very little coding experience.  We have another staff member who reviews the documentation, charges and billing for our IDTF facility.  She has physician office experience.    I am responsible for overseeing their duties, education and maintaining compliance standards for these facilities including physician education.
I work in a small office with a doctor and a physician assistant.  We have just moved to an electronic medical record and this has temporarilly slowed down our coding and billing process and increased their responsibility for understanding coding requirements.  At the moment I review 100% of all visits, documentation, and coding.
One of the most important keys to fewer denials and faster reimbursement is to file clean claims.  The way I am able to master this is to review each charge slip before submitting the claim and make appropriate corrections.  Any errors found are reviewed with that coder to educate why the error is incorrect to avoid future mistakes.
I am currently a Medical Review Analyst - I review all claims for coding errors as well as handle all appeals and corrected claims.
In healthcare consulting I am called on to review new approved medical devices or drugs  assess existing coding systems and nomenclature available to report these items as well as codes for the diagnoses, and services and or procedures associated with their use. Recommendations are made on applciations and processes for requesting new ICD 9 codes, CPT codes or level II HCPCS codes as warranted. We also assist in identifying barriers to coverage or reimbursement by third party payers based on known payer coverage and reimbursement policies.
Since I am a healthcare consultant I only work with physicians not for them.
Our providers select the level of service performed, however if the documentation does not meet the requirements, the level is disputed and discussed with the provider, whether up-coded or down-coded.  This is part of the education process for our providers.
I work in a teaching institutional environment.  My providers think they know how to code from their documentation, I let them but my billing staff actually reads all of the notes and assigns the code based on the notes.  Sometimes what the provider has does match.  The providers use a pre populated fee slip on which the most popular diagnosis are but the providers leave out the detailed diagnosis and just check ones on the list.
My manager doesn't think you need to be certified in coding.  I am the first at this office to be certified.  It's still a new thing.  Most doctors do an accurate E/M  coding and we have a check system here to help prevent inaccurate CPT coding. We have a good working relationship with the doctors. We are readily able to discuss coding issues with them daily if need be.  The are very knowlegable in coding.
I am not employed, this is my own business, so therefore, I pay all of my own expenses.
Physicians and practices are our client.  We conduct audits and training for physicians and staff in regards to coding compliance.
I work in a public health womens reproductive health program closely linked with the state's Medicaid program.  Few, or possibly none, of the staff responsible for managing codes for program benefits are certified coders.  This is an area where AAPC might target outreach.
I work in a clinic where ther's a Part time staff doctor in the mornings and diffrent doctors that volunteer their afternoons. I'm the only coder, biller, RA specialist and the front desk supervisor!!!!
Ever Changing and Constantly Updating new procedures and processes.
I work as the Coding Supervisor for an entity that manages the A/R for the physician offices owned by this entity.  We have mechanisms in place to review certain billing practices, claim denials etc as well as hands on coding for ED, Urgent Care and limited facility coding at present.
Our physicians generally leave the coding up to the coders, although some do try to code E/M for hospital visits.  They do code the daily tickets and do a fairly good job at that.
I have 10+ GI Phy to two phy owned ASC's.  I am Billing Manager which entails responsibility of 7 employees in the Billing Dept. I have one CPC Coder, 4 billers, 1 pmt poster, and one Collections person.  Also meet full board with Phy on coding updates and/or at their request.  Keep all system coding updated and Audits when needed also make sure we stay and are in compliance.
Need to know more info on how to access free on-line info of questions regarding correct coding procedures with instant feed back on questions.
I would like to see more affordable opportunities for Specialty Coding. Credentialling is very expensive, and the cost to be current is becoming even higher in the specialty realm.
I am a medical investigator-an auditor and reviewer of medical documentation and claims. I work with nurses and fraud investigators.
I am the Practice Administrator who is also a coder.
I am the office manager for a billing and collections department for a small private hospital
Currently I am the most experienced coder in practice.  We bill for 9 physicians.  Only one or two do their own coding.  What they code and how we are re-imbursed differ greatly.  Most want me to code out as much as possible.  Trying to do coding audits to assist them in correctly coding out procedures.
I work for a managed care insurance co.  I educate providers & their staff on coding & compliance.  I conduct workshops annually & one-on-one if requested. I work some in the office and most of the time out in the field. My title for my job is a Clinical Provider Educational Consultant.
I do the surgery billing for 24 orthopaedic surgeons and 6 PAs.  The doctors give the code to bill and I review and make any suggestions for improvement.
I am Chief of Emergency Medicine at our hospital.  70,000 ED visits.  Physicians code own charts.  Certified coder double check our work before it goes to our billing company.
I work referrals,disclosure tracking, medical records and front desk when needed.
Based on Salary Surveys ... It needs to be documented that as certified coders managers and non-managers based on the specific demographic areas salary ranges are not accurate and need to be reflected so that coders aren't misled to salary expectations w/wo experience. The practice needs seem to be standard in Upstate NY not what education and credentials, you, as a coder can bring to the table. Physicians need to be educated on salary expectations and the strengths coders can provide a practice with higher reimbursements.
I use to be responsible for just coding but when I changed companies I then became the top coder, reimbursement specialist, ambassador to an "India" company, main person for compliance issues, HIPAA specialists and many other roles as needed.
Work as a coding educator and consultant. Perform audits for medical practices, along with litigation support.
Moving to an EMR environment in the next months. Would be interested in knowing experience of other coders as to how their job functions evolved with EMR implementation. What new areas of expertise can a coder develop to enhance productivity and value to a medical practice?
I do not work in a physician office.  My title is not Coder - however I hold a CPC.  I work in a Medical Review of a Medicare Contract paying for Carrier claims.
I work for a payor.  Every class I have attended sponsored by the AAPC is geared towards billers and it almost always seems that the payors are bashed.  Lets have some classes for the payors! I hve worked for payors for 20 years now
Providers only code their evaluation & management services through use of our EMR. They do not code any procedures. Those are done by a CPC.
I am in home care and find minimal continuing education  classes for ceu's in this field.  Inservices offered by my employer are not always APPROVED by AAPC for whatever reason.  Employer does NOT pay for continuing education and so it is a burden to find appropriate continuing ed. material at an affordable cost.  I am a RN and must  comply with that continuing ed., as well.    Need to see much more offered and or accepted for home care. This is a growing industry and we need ongoing  education WITH CEUs offered.
I bill for one practice and charge them a percent of my collections and all expenses associated with billing, electronics, pt billing, postage, resource books, etc.
I work in CDM Compliance not a traditional HIM coding environment.
I would say that there are times when the physician's coding is accurate, and does not need changed during the post-audit.    Also, it is my understanding that physicians do have some coding knowledge that is taught to them in their med school time.
I am a full-time coder/consultant and I am employed by a Fortune 500 company.  They match me with facilites in need of coders.  I travel and code onsite, and perform whatever the assignment requires.  My current position is contracting with a company that employs 1600 physicians across the country-I am working in the HIM department of the corporate office. This assignment gives me broad experience in so many specialties.  The docs I work on have failed two previous inhouse audits.  Because I contract I do not get pulled into some of the things in the questionnaire...however, that is also why I contract-I have been there.
I code billing tickets at my facility.  The work is fairly simple and the level of coding is pretty basic. I also perform other duties which directly relate to my position such as; data entry, accounting for charges, and billing issues.
As a medicare contractor, a lot of the questions do not apply.
I am currently in the group health insurance industry, I am now seeking a position in billing and coding. I was recently laid off.
Poor clerical support. The three coders in our office are always delegated whatever duties the clerks don't want to to. Manager assigns it to the coders regardless of what it is because she knows the coders will do it and do it properly.
I manage 10 outpatient coders for OP hospital services for more than 30,000 accounts monthly
I am a Senior Compliance Analyst/Educator.  I audit 500 providers for their CPT/ICD.9 coding. I educate providers on Teaching Physician Rules, Nurse Practitioner Guidelines, and E&M Guidelines.
Academic practice
I work in the Compliance Department and mainly work with a coding program that allows me to create coding/billing rules. These rules scrub the physicians bills and allows the biller/auditor to review and correct any errors the rules find before the claims go out the door. My job encompasses coding, auditing, compliance and IT duties.
I work as a same day coder in a hospital right now and some of the questions just don't pertain to what I do. I very rarely talk to the doctors or the offices to find out what codes or dx's are needed. I usually flag them in the doctors room and they fix it and I finish coding it.
We are a small office of 6 providers.  They all do their own coding with 2 CPCs on staff that reviews and enters the data for billing.  If codes/services are questionable-it is reviewed and discussed with the provider.  There is good reception with the staff/porovider.
Data entry for ten doctors, charge corrections for 24 different co, request op notes from facilities, look over doctor calendars to make sure everything gets billed out
We code from the operative reports, we assign CPT and ICD-9 codes.
Love it. Coding for an REI.
The company that I work for provides  education to all the physcians regarding billing and coding and has procedures in place for physician queries when codes may be questioned by the coder.
I am working on getting my CPC. The other two CPCs left!
I have been a coding auditor now for over a year. I have coded for almost 20 years and certified for 3 years. I work for a big company now where before I worked for a smaller, independent physician office. The difference is amazing. From pay to reimbursement of CEUs.   The department for coders has become very big and diverse. The only thing I have had a challenge is coming from the billing side to the auditing side. When I did billing, I had the component of coding and appealing claims and understanding when things came back I could understand the payors side. We do not have this component where I work currently. We get nothing back. We have auditors who audit some of our work for accuracy purposes. I felt I learned and kept up with coding issues having worked in billing. Where I work now, we have coding department and billing is in totally different building.
I work as a Revenue Compliance Auditor in a facility setting, so my coding experience is necessary in reviewing claims for regulatory compliance in billing, documentation and coding.  I audit both inpatient and outpatient services, ICD9, CPT, HCPCS and UB codes for accuracy and assist with denial management process for appeals.  I also look at all new and potential procedures/services to ensure that charges and anything that is hardcoded on the chargemaster is set up correctly and compliantly and that education is performed for both facility employees and physicians providing services to our facility.
I am the only certified coder at my office. We are approx 70 FTE
I am the only coder at our facility which is a critical access hospital.  I am also the Medical Records Director, Compliance Officer, HIPPA Coordinator, QI Coordinator and Medical Staff Secretary.  I have three employees who perform the other HIM duties.
I am a clinical appeals nurse. I used to be in the reimbursement area of the insurance business. During that job, I received by certification in coding. With my current appeals job, I don't use coding as much because I am looking at clinical appeals denials and not coding appeals.
I am the only "coder" in the department.  I do all the interventional/radiology codes for the busiest Cath Lab in Iowa.  I have completed the ISP and will be taking my exam in March.
I am employed by the US Army and am coding in Heidelberg, Germany. The DoD does not code by the same guidelines as the AMA. And billing is somewhat relative but not really important. We manly code for the sake of data gathering and trending. I would really like to see a survey gather information about salaries.
I work for a health insurance company, so a lot of these questions did not pertain to me.   I tried to answer as far as my job duties.
I am interested in getting specialized certifications.
I work in the insurance industry.  My coding knowledge is helpful when researching provider questions or customer complaints.
I am the Practice Administrator at my clinic.  I work in a multispecialty group, Our D.O. is a primary care provider and we also have a Nurse Practitioner, Chiropractic, Physical Therapy, Acupuncture, Massage, Infusion and Weight Loss.  It would be helpful to start seeing more seminars and information relating to coding in a multispecialty group.
I know the coding starts with the providers and goes thru the change of command for accuracy.  We do have training here for the providers. 
I am a Fraud and Abuse Investigator for a large Insurance Company.
I work in a rural hospital where my "manager" is the ER director. She has no coding experience but plans to attend one day. I do all coding, auditing, QI, QA, and monthly/yearly STATS for our department. I code for the professional side as well as the facility.
Code Paps fulltime for an independent lab.
My job function is in managing the hospital chargemaster
I am not a coder in the traditional sense of the word. I focys on laboratory charge master, physician education, Medicare compliance, and assists on helping to rectify billing denials. I am credentialed as a CPC in order to provide a solid foundation for the tasks listed above.
In most cases the supervisors seem to be afraid to challenge the physicians when errors they have made are found. They would much rather keep quiet then adddress the situation.
My current job has nothing to do with coding.  We have set codes that we use for home health services.  I only need to reference these when getting benefit verification/authorization for services or working on claim denials.
More flexibility would be nice as well as getting paid for the amount of work that needs to be done
My responsibility also includes being the database coordinator for our practice. Plus sending all our electronic clms.
I work for a Medical Informatics company. Most of the work I do is either compliance related or pertains to specfic LCD updates. I don't bill/or code per se, I gather data from many carriers and fiscal intermediaries, that is compiled into our data set. 
Since retiring from BCBS I have hired myself out to small physician practices (up to 5 doctors) and is most successful when more than one person is responsible for the multiple tasks associated with billing (Data Entry, A/R, collections and follow-up).
I work for a home care agency.  Coding is really different from what I've learned in class. I would like to have more training/information in home health care coding.
Auditing claims for physician practices/ groups.  I review for accuracy, and make suggestions when coding is inaccurate. I perform underpayment reviews and also appeals for denied claim.
I work in our Compliance department along with the Compliance Officer.  I am a healthcare analyst and I audit charts (in both the office and hospital setting) for over 200 providers that include physicians, physician assistants and nurse practitioners.  I also provided educational sessions on E&M documentation guidelines and teach chart auditing.
I answered these questions based on the last job I had which was working in the insurance industry.
No comments there, however, many comments about what the AAPC does for me.  Possibly send out a survey on that subject.
I do doctors credentialing and managed care and check the bills for coding errors and compliance issues.
I have been in the Pathology Dept 40 years and do coding from on the job training. I took the certified coding test but did not pass.  The majority of our coding is done by our pathologists. I only code the fall out of what they might miss.
I am a Coding Supervisor so this survey was difficult for me to answer so I did the best I could with my staff in mind.  Also, the above questions regarding the provider involvement in coding is implying I would be working with one provider.  Since this is not the case as I work with hundreds of providers, I answered them as agree if it was true for some of the providers.
I wourk in a  tribal health dDepartment.  They do not bill, hence they do not think that coding is of that much importance.  I, on the other hand, am trying to show them that coding is just as important even tho we do not bill.  Documentation is always an issue and the money I have to put out for furthering my education and keeping up with my CEUs is a real drain.  I feel that coding from home would cut the burden on myself - that is not an option in this organization.  I am one of the busiest people in this department, they do not realize the improtance of my position, they do not understand keeping up with all the state and government regulations takes a lot of time
Our medical directors - physicians at our insurance company -- are not certified coders. They do no code. We network with many national coding experts for difficult issues with our providers regarding coding and glad they are so helpful with our business. We appreciate them very much. We've met many of them through educational sessions where we get CEUs.
I am the supervisor of 7 clinic coders and 3 inpatient pro-fee coders.
My answers are based on the job I just left since I changed from medical to dental field.  Thank you.
I work for the Veterans Affairs Medical Center as a Lead Coder; I supervise 3 outpatient/1 inpatient coder along with 2 release of information staff.  I still do some specialty coding (Physical Medicine [therapy], Brace Clinic, Ambulance, Telehealth, etc..)  I also do coding audits on the coders and documentation audits on the physicians.  I do several specialty reports for the Chief of Staff.  I am involved with our Compliance Committee, Medical Record Review Committee, and the Veterans Equitable Resource Allocation (VERA) Committee.
I am the practice manager and the coder/biller also
I work as a fraud and abuse investigator for a private payor.  
Our hospital based clinic has 3 outside regional practices that we have to travel to and code for their radiation oncology departments as well as ours.  Along with coding we also get insurance referrals and prior approvals before treatments, so we are a dual purpose department.
We are a multi-specialty billing company with clients in CT,NY,& NJ.  We bill for private practices & hospital (professional component billing)  I deal with compliance, audits & education for staff & providers.
We do charge review and charge posting.  We work our outpatient claim edits also.
I do not code on a daily basis but use my coding knowledge to work denials and do appeals.  I work for a billing company and are exposed to a wide variety of coding, pathology, surgery, family practice.
We do 100% auditing on all our E/Ms and procedures. It takes a lot of work and a lot of coders for our large practice (about 30 docs and NPs).
I enjoy coding for anesthesia and reviewing charts for compliance.
The 40% in question #1 represents only "performing data entry" for my department in the form of set up and maintenance of new/revised CPT, HCPCS and ICD-9 codes and pricing in our computer systems, as well as coordination with the finance department regarding code set-up for provider compensation.  We have no other front desk or medical record duties.
I work as a medical auditor and while my coding experience is valuable, it is not required for this position.
I wear many other hats besides being the only certified coder in the office.  I am an Administrative Assistant to the Manager, as well as handle our marketing, credentialing, contracting, and coding issues.  We are an Oncology practice made up of 2 physicians.  I wish there were more coding classes offered for Oncology/Hematology specific issues.
i manage coders and do very little coding myself. I am certified. My employer would prefer we obtain RCC certification.
I am the Administrator for a 3 provider OB/GYN office. I am the surgery coordinator for two of the providers and I write up the surgery packets, code and precert the surgeries, and enter the charges after recieving the operative reports. I am the only coder. I handle all of the office finances and payroll for 3 different corporations. Etc, Etc....
I do provider and ancillary staff coding training based on the result of the audits that I do.
Part of my job is training new providers of compliance and billng regulation.
I am a Unit Cordinator presently when I have completed my exam I will be certified. I work at a facility and hope to stay here and complete my career here thanks
The work we do are for provider clients hiring us to audit, improve receivables, manage appeals or get involved in legal issues related to fraud and/or abuse.
Compliance coding analyst for 200 physicians
I am self taught and try to attend a class each year along with coding books and self testing checks as often as possible.
Since I work in a payer company, the review of claims for accuracy is important.  The coding is part of the review that we do for claims.  The payment to the provider is based on correct coding.
I am seeing a high rising trend of physicians purchasing software that minimizes the use of coders i.e. PCs in the exam room where the Dr enters information at point of service and the software basically dictates the code outcome.    Also an issue is that they are looking to coders more from an auditing source rather than actual sit down coding.
I am currently seeking my coding certificate.   Hopefully I will become a coder soon
my practice uses an EMR for their coding
Coders are expected to enter demographic/insurance info for hospital patients.  Very time consuming.
The physician code their E/M services using an encounter form.  They write the diagnosis on the form and the staff uses our electronic medical record and/or coding books to find the appropriate code.  We do not have coders in the dept with the exception of myself but this is not my role, I am the Business Manager and decided to get my cetification so that I could education myself, the staff and physicians on proper documentation, coding requirements, and to have a better understand of what exactly impacts the clinic revenue.  I have found this to be extremely helpful.
As coding manager, I'm now removed from day-to-day production, and my coding involvement comes into play when helping our patient account reps work their coding denials, as well as performing periodic audits for our physician clients.  I also answer physician questions re: coding scenarios.
I am currently managing the central billing department for the hospital off site clinics and speciality clinics.  As the manager I oversee the billing, review of denials and appeals.  With this I feel I should have more input into the provider education.  I currently have to go through the managers who in turn speak to the providers.
I am a coding consultant and do not work in any one physician practice.  I have multiple clients and provide a variety of services including auditing, coding support, education to physicians/providers and staff, and provide litigation support.  
i am certified but i am a insurance follow-up lead and I direct things that need to go to coding so it can be changed centrally and educate the docs
I am a redetermination officer for Medicare. I have physician consultants (Carrier Medical Directors) that are very informed about coding.
Although most providers select codes for the surgical areas, we still review operative reports for accuracy and application of any approprate modifiers, providers also receive annual E&M eductational reviews to be sure that they maintian an approved accuracy ranking for selection of their E&M servcies.
My situation is that I'm married to the doctor so he hears about coding at work and at home!!  He iS VERY    Alice Marshall
As a traveling coder, I do not see many of the same views as I would if I were stationed at one job.  Mostly I have been working for Hospitals and the Physicians surely could cooperate more with the HIM staff all around.  Their documentation skills are sometimes horrible and they are offended when you query them about their documentation.  They want the reimbursement in a timely fashion but it is hard to code a visit with bad documentation.
I've been with this practice for 8 yrs and the practice in finally appreciating the work that I do and it's importance, but we still have a way to go.
Billing Supervisor for Urology outpt clinic.  Staff consists of billing coordinator, patient service representatives.
I was unable to respond to a number of the questions above as I do not work in a physician practice setting.
Previous job/s involved clerical, appeals, auditing, pulling medical records, data entry, speaking with staff and providers regarding compliance and billing, and policy development.
I work at an Insurance Company so a lot of the above questions did not apply to my position.
Most of the questions are not pertinent to my coding situation.  Difficult to answer as I don't work for billing, nor in a doctors office.
I work for a health insurance company supervising nurses and coders doing medical review for reimbursement issues.
I code & bill out all the surgeries for my group (over 30 providers), I also bill out all hospital charges and deliveries for our high-risk Perinagologists.  I review all denials if our Collections Dept has questions, train staff & physcian's on Coding, run various statistical reports for our Medical Director, help when we have issues with insurance companies, update our yearly fee schedule & maintain the CPT & Diagnosis codes in our system.
My job clarification: Medicare Medical Review nurse.
Employed in the Fraud/Special Investigations Unit.  Review MD records for accurate coding/billing practices.
I am registered with the State of Washington as my own business. A/R Management. As of today I have one provider. I have been in business for myself since 03/01/2006. I meet someone to pick up work, for now, and I do the billing/coding only. I have them fax to me whatever I need, for now.
I review medical documentation and codes.  Make payment recommendations
I am in a very rare situation in that only 18% of our revenue comes from private party insurances. It is much more difficult to "force" our physicians into seeing the absolute necessity of accurate coding and documentation since our funding is provided by the government. In addition, we do not have RVUs to measure workload and cost accounting, etc.
Providers code office-based services in my office, but do not code for hospital based services. Tthe coders do that.
I code for two physicians in our practice and one is good about marking charges with CPT and ICD-9 and the other is not.
Our practice has one lead coder which handles audits and physician education. All other coders including myself work on AR with the insurance company. We handle research for all  denials and scrub the claims before submission.
Well I am the Pt Accounts Manager, a supervisor and the only CPC for a multi-speciality Neurology practice and have one other bill for 4 Dr.s & 3 NPP's.  The MOST important part of great reimbursment is my software vendor-it has all of Medicare's "special" rules built in - so I will know right away if a claim will be accepted/and or what I need to do to fix it.  My days in AR are at 30.9, which is down 45.9 a year ago. Plus eliminated 2 FTEs.
Coding done by our physicians (on a hospital card or on their PDA) is reviewed by a certfied coder before entering into the system that generates a claim, or through their PDA before the claim is released to generate a claim.
I work from home as both a sub-contracted coder and am also a full time employee of a billing company. Working from home and maintaining one and a half jobs has enabled me to gain more experience and make more money.  I know few people my age who have excelled in a career without a college education like I've been able to as a CPC.
I work for a large health plan, we do post pay, pre pay reviews and quality checks, this includes clinical staff and professional coders. We validate the payments by reviewing the medical records and procedures dictated. We also use coders to identify fraud and abuse cases.
I do hospital based work.  I answered on my knowledge of how things are handled here in PFS.
I work for a very large university-based physician practice.  Some policies/procedures are therefore not controlled by our department alone.  Also because we are so large & removed from the physicians we code for, we don't have much of a personal relationship with most of them.  In fact, in the almost three years that I have been here, I think I think I have only met one of them, and that was because he initiated the meeting with coding in order to ask some questions & clarify some things.  I feel that this is truly a disadvantage but hard to overcome when there are so many levels of red tape in a large institution.
Recently hired as a Coding Auditor II.  Love doing the CPT and ICD-9 coding and preparing the codesheets for billing.
Quanity is important, but quality should be more important.  Somehow this needs to be weighed out. To do the numbers that they want does not leave  time to search the chart for as well for quality. Some image accounts take a long time to download and this takes away from the time we are allowed to code a chart. Example: we are allowed about 1 minute and a half per chart, sometimes it takes 30 to 45 seconds to download  and that is half of your alloted time before you even get started. Image freezes up a lot which takes away from your time also.   thanks for listening.
I work for a large pediatric multi-specialty hospital. Some of the departments embrace coding compliance and see the audits as educational. Other departments are uncooperative and do not feel that coding compliance applies to them. We work hard to try and establish a good working relationship with all our providers and to make education our main focus.  We take a proactive approach to coding education instead of a reactive approach where the only time the providers see us is during a routine coding review or focused audit.
Our clinical staff does the coding. My day is spent reviewing the charges to make sure they are correct before the claims are released.
I am a coding specialist for a integrated health system billing office where we have over 200 physicians and the work that I do is very detailed and in tense because the practices do not have credentialed coders to review documentation and claims and the physicians are not coders either.  Much education and audits are very much needed and we are very busy.
I am the chargemaster coordinator for a large hospital system consisting of several individual hospitals, a large health campus and multiple outpatient facilities. I am responsible for keeping codes current and education of each outpatient department regarding their use.  In addition I am a resource person for patient financial services and am responsible for any invalid diagnosis code issues. Although I completed this survey it was not very pertinent to my job or hospital coding in general.  More CPC-H related articles/seminars, etc would be helpful.  Thanks
My employer has a great understanding of the importance of correct coding, billing, and compliance and is very supportive of continuing education.  Having the option of flextime really increasing the level of efficiency in this line of work!!
Employer requests nurses be CPC due to the bills that we handle/review.
i am an HCC traveling coder
I work with Coderyte so I basically compare Coderyte's coding with our IDX-RAD
The practice paid for my schooling; that's all. They've benefited somewhat. I mostly do coding of biopsies after they come back from path. I also occasionally review remaining codes for such encounters. I have done a self-audit for the practice.  I wish they would assist more in acquiring CEUs.
I work for a Family Practice Residency Program.  My wish is for the interns to come with a little more coding knowledge.
I'm the only CPC in my practice and much of my time is spent returing calls after patients have received their statements, espeically from the elderly. I'm being asked to receive all of these calls and fode for four out of the nine providers; two of whom specialize in interventional radiology. I'm also being told that I must follow the A/R from 60-120 days for close to a third of the alphabet. Also, I must do all secondary submittals for the same third of the alphabet. In my opinion I should be coding more and following the A/R a bit less. until recently, I was responsibile for posting refunds for patients and insurances; which can be up to 60-70 once a month. There is more but this is basically what I am challenged with daily and I do my best t o facilitate all of this as I enjoy providing my help to our patients in an accurate fashion. Thank you. 
I am not only responsible for coding/billing but all back office duties in addition.
Our physician complete their patient encounters in a coding software, so as they type the E/M note they select each components addressed in the (HPI, Exam & MDM) and when completed the software provides the level of E/M for the physician.  Overnight this data will then populate the coding software and as the coder I am responsible for reading the encounter notes and confirm accuracy of codes selected and/or select CPT,ICD-9, Modifiers and HCPCS II codes for the physicians.  About 70% percent of my physicians code accurately and the other 30% refuse to conform so you know all of their patient encounters have to be corrected.
As the only designated coder for a TPA I am asked to become an expert on coding from every standpoint. From validating the new code files that are used each year in our claims processing software to reviewing appeals sent in by any and all walks of medicine to participating in contract set ups as well as round table discussions with large clients.
Since I work in a billing office setting, we have multiple physician groups and specialties.  We have physicians that are good teachers and great with feedback from us, but we also have some that are difficult to work with....the later is a huge drain on resources and good mental health....but I suppose it evens out, over all.
Enjoy the job as a fraud review nurse
Working at the payer I only view claims after processing and determine if they paid correctly or not. That makes it difficult when asked to code a specific seniaro. I than use all materials available to me in order determine the correct answer.
Providers only asked to select e/m if incorrect coders correct and we have a quarterly training on how to select level of services and how to reduce overuse of  some ICD-9 codes.
We are a multispecialty facility. We are also on electronic office billing and soon to be on electronic billing for inpatient care.  Also almost totally on electronic record keeping.
I only do the ICD-9 coding.  Rarely am I asked to do the CPT codes.  It goes to a billing office after I code so I have no knowledge as to the reimbursement/compliance/denials, etc.
I love my job of working with coding and billing.  The two go hand-in-hand and is very important to the viability of the healthcare facilities.  The knowledge gained over the years of being a coder and working with billing and A/R has afforded me the knowledge needed in order to better analyze patient reports, billing reports and to make sure that our customers/patients are given the best service when it comes to their insurance and one less worry when they come to our healthcare facility.
I work for an insurance company, so a lot of this does not apply to me.  This is a new position the company has created to stay on top of all coding issues and changes.
I am an instructor that has a minimal amount of time spent with Providers. I am studying to get my CPC certification
Unfortunately, this survey is difficult to answer when there are over 700 providers.  Some code, some leave to the billing staff.  Some have great working relationships with their coders and billers, while others do not wish to be bothered with the administrative function.   Sorry I could not answer this accurately.     Nice try.  Have a great day.
We have providers that specialize in the coding part. The coding is reviewed against all other aspects of coding- CMS,CCI,  AMA etc...All aspects are taken into consideration before a code is used...
I enjoy my job.  I have been here 19 years and been certified for 5 years.
My work environment has been very demanding and stressful.  I sometimes feel like I have two full time positions wrapped into one.  We do denials, checking surgeries, new providers coding and feed back, we dont chnage any codes without physician approval. We also update fee tickets yearly. Answer billers questions.  Plus other tasks as required.
Mostly do the work of an A/R specialist.
I have my CPC but do only appeals, so many of the above questions did not pertain to my job duties.
I am a consultant and am currently paid per chart.  I work at several hospitals in any given week, so my responses were based upon the averages I see at each of those facilities.
Coding inpatient NICU patients and inpatient Family Practice is my main job.  It does include some clerical work and data entry for my own purpose to track my work.  I do not do billing of any type.
I work in a large academic hospital with more than 900+ billing providers. Obtaining CEUs has never been a problem nor having the accurate tools to do my work.
Thanks a lot for the survey and please keep it up. God bless you.
I am an office coordinator for 3 different clinics.  My role is more supervisory but I am the one the coders come to if they have a question.  We have a certified manager that is in charge of all the clinics that provides education and direction to both providers, management, staff and employees.  I believe the certified mManager is a CPC and an RHIA.
Our company codes and submits claims only after the notes or procedure reports are in the charts making it easy for me as a CPC to code correctly and accurately.
New practice open less than three mths. Things will change as practice grows. Currently I am only administrative staff w/one provider, two MAs.
I love working with all my Doctors and have just recently started training residents what an audit does to their billing. The residents have told me this is helping them understand how billing works and how their notes influence th level of service provided.
This is my first year that I have to aquire CEUs
I am the supervisor over the pathology coding department. I have 8 employees. And they are all, including myself, certified coders. Starting this year I will be teaching the class to help more employees get certified. We audit and code reports for several clients all over the United States.  And am proud of my employees what we do here.
Extremely underpaid for being certified. Often get questions on "how to" code.I have found that most hospitals do not want a coder with a CPC but want the CCS certification.
Most of the survey didn't apply to me because I am a Nurse Analyst and not a coder.  I became certified because i knew it would help with my job.
I code both physician hospital visits, procedures as well as office visits, procedures, labs. My main job is auditing but most of the time I am backing up the office/hospital coders. I also do CMS/Ins research for any number of topics. I also do  physician education when needed, as well as staff education.
I do not work in a physician practice so don't know that my answers will assist you with this survey
Training and education for providers and their staff.  We are coming up with education content to help providers and staff be more accurate in coding and be more compliant with documentation.  Also doing a lot of education in regards to Risk Adjustment
I started with this practice as the biller/coder.  I now have my CPC and have since taken over the responsibilities of office manager and have taken courses in that area as well. Now I am a RMM.  This is a small office and it is important that I know all areas of the office so that I can fill any position if there is a need. I also oversee all the coding and bill that is now the responsibility of my biller.tq
 In my job, I create edits/rules for a claims editing database that is utilized in software and other products.  I also perform Operative Report Reviews.  The company I work for has a coding inquiry service as well as support on coding issues for the clients that have our editing systems.  My department answers those questions/queries.
I work in a small rural hospital as an outpatient coder in the Health Information Management Department. We are critical access only, so we don't have to handle DRGs or APCs. I specialize in ICD-9 coding, and I code all outpatient services offered here such as ER visits, labs,   x-rays, etc. On occasion I code inpatient charts and surgery charts. There are only two coders in our hospital (both in the same department), myself and my boss who is also the department director. She is an RHIT.  Until 2006 our hospital only had one coder. Our business office handles all billing, denials, claims, etc., but none of these employees have any coding certification that I am aware of.
I work at a government facility and the doctors are very good at what they do. I audit their work and I am the only coder here. They will always need a coder but they try really hard to code correctly. I appreciate them allowing me to work for them and try to present coding in a positive light.
I work for an IPA, representing over 8,000 practitioners.  I am the only coder and am my own manager.
The physicians in our multi-specialty group need more training in the coding aspect to meet with compliance regulations.
I work for the military so the billing is quite different from private practice and other hospital settings. I have seen that when the provider is made to do his/her own coding they are resentful and feel we should be doing it. We audit and train the providers but it is complicated and frankly the providers do not have the time to deal with it.  Thank you
Use of EHR with coding program. Providers select ICD-9 & CPT and E/M is based upon documentation. Flaws abound. Coders audit documentation and coding. Providers given feedback and education by coders. Resistance by a majority of providers since their practice or pay is not dictated by the codes or documentation (DOD,Military).
I am the coding manager for a general surgery residency; minimally invasive surgery residency; podiatry residency; family practice residency.  We have an electronic medical record with an encoder.  The residents and faculty chose their own dx and px codes but often select in error.  Part of our job is to correct but to also educate the resident or faculty as to why we changed the code.  The  documentation guidelines are used in training by the faculty practice management instructor.
I am a biller first then a coder. I have the follow the rules of the insurance carrier. Some insurance carriers especially in an FQHC environment will only accept one code for the entire visit, regardless of the level of care.
I have recently been advanced into an auditor's position (4 weeks).  I have not yet begun the intense work.  They are developing this position.  But I came from a pediatric practice and I am the only certified coder in the county.  
I work for a single specialty one physician office.  I basically run the office, do the coding, scheduling ect...  His wife comes in about 3-4 afternoons a week and helps field calls or goes in with patients during this time.  She also helps direct patients and gets information(ins cards,ect) and puts some charts together as needed.  Otherwise I do all the coding, billing, insurance follow-up, and compliance which is hard with an older physician who didn't have HIPPA when he went to school but he does what I ask so that makes it easier.
Our physicians are hospitalists & intensivists who enter all of their charges into a PDA type device for downloading into our practice management software. Our billing department audits all codes for validity. Anything out of the ordinary is looked in to. ie: all high level visits, etc. All physicians are routinely audited by an RN auditor (not a certified coder) who then provides them with feedback - positive & negative. All new physicians to our group has all charges audited prior to submitting to payers & are educated regarding their documentation.
We are implementing a communinty-wide electronic medical record model.  This project involves several privately owned practices, hospital-owned practices, an outpatient urgent care, and the hospital at the present time.  We have family practice and specialty practices that are e-prescribing to pharmacies, doing orders and results electronically with the hospital, and sharing demographic information.  We are in our second year of the project which involves building the software, training staff, and monitoring all the functions.
I am an Allied Health Instructor at a College, I teach Medical Coding and Medical Insurance
Currently, I am a claims negotiator for a large insurance company.  And, I teach Medical Reimbursement, Hospital Billing and Electronic Billing in the evenings at a local College.
I have a billing company for 25 years. We bill for 150 physicians and I do office manager for a dermatology practice too. Billing, coder --they are very important people for physician practices.
In my office we do ICD-9 coding only.
Right now we have staffing issues, so I hope to get back to doing coding as more of my focus.
My position is actually AR Manager so not only am I responsible for 100% of the coding and charge entry, denial management but also Accounts receivable, quarterly reporting, financial statements to the board, registration and even facilities from time to time.
I currently work within a Business Office setting for a very large hospital based practice. I am a level III account reimbursement specialist, with my payer specialty being Medicare and the Medicare HMO and Advantage products. I also assist other members of my Appeals Team with any coding questions expecially in the area of any type of surgery.
I bill for dozens of providers.  Some try to code with no coding knowledge.  Some have a little coding knowlege.  There are a couple that really know what they are talking about.  My time is spent reading operative reports and coding according to the documentation and appealing denials.
I am also the surgery scheduling nurse for my physicians (5)practicing OB/GYN, (2)Nurse Practioner's, (1)GYN physician.
I work for an oncology hematology practice with one fulltime physician and one part time physician (1 day a week) and a parttime CRNP (3 days a week) I mainly use ICD and HCPCS and rarely use CPT. 
I am a provider relations manager for a large PHO that has 1000+ members. I am asked almost on a daily basis to clarify coding scenerios. I also work with these members offices on claims issues with payors.
Please keep this confidential.
I am the only CPC in my practice. 
I work for a payer and do not code claims.  Most of the questions in this survey are not applicable to coders employed with payers.  My job is writing business requirements.  A knowledge of coding is important as it plays a crucial role to the coding/editing of the claims system.  By attending meetings, I hear what bothers coders and their offices and consider these complaints when reviewing/writing business rules to see what impact these will have on members and providers.
My employer is transiting into a centralized coding department for over 200 practitioners, from primary care to surgical specialties.  The specialty coders and specialty physicians are fighting the move, stating that it is essential for coder and physician to have a close working relationship.   I would like to know how this works in other large out-patient hospital settings, if it’s done at all.
I am a coding consultant, mainly in large hospitals because of my 18 years experience.  I can (but usually don't)perform outpatient duties.  I (Not all on every assignment) code IP/OP/E&M, audit, supervise, manage, teach, most aspects of health information.  Thanks
I am self-employed and code from home on a contractual basis.  One of my contracts is with a company that obtains clients and disburses them among contracted coders.  There are department leaders for each modality, and these leaders are to whom I'm referring as my manager in the above questions.
code for 7 specialities
Physicians seem to be at one end of the spectrum or the other as far as being open to documentation advice.  Some are very willing to listen and learn and others have flat out told me that they have no interest in coding.
I manage 2 CPCs who bill surgery and do backend work for both E/M and surgeries and 2 precertification employees.
If a code is not right we talk to the provider before we would ever change the code that he picked. 
I am the primary coder for a multi-doctor, multi-facility pediatric critical care and hospitalist service. This also includes some anesthesia coding for our procedural sedation services. I came into the practice with experience in multi-specialty and anesthesia coding already. I code CPTs from weekly billing sheets completed by the physician on service (not a superbill, more like fill in the blanks) and code diagnosis from the dictation done for each patient while they are in the hospital. We have no outpatient clinic, our charges are strictly for hospital services provided by physicans. The claims processing is done by an outside billing service, but they send out 1500s based on my coding. Coding is checked and edited by our finance director, so there is a check and balance system, however any compliance issues are out of my pervue. I am currently studying for the CPC examination which I hope to take in April. In this way I believe I will be able to make a more educated contribution to the coding and compliance procedures, should I be permitted to do so.
I am the coder only. I do no billing related jobs, we have billers that take care of that unless there is a rejection due to coding.
Although I am a Certified Coder, coding is not expected of my position.  I work in the billing department and offer suggestions or answer questions that staff may have regarding coding issues.  The coding is determined on-site by the physician and there is a seperate compliance department that does not include a coder.  My duties are more in the billing department than in compliance or actual coding.
We are a outpatient facility based residency clinic.  We have one coder/auditor and a biller who charge entries everything to our outside billing company.  I audit 100% of our government payers for outpatient/inpatient.
Providers write there diagnosis down, coders look them up and clarify if there is some confusion as to the diagnosis.  Any changes with CPT codes ALWAYS go to the provider before the change is made. They keep track of what they give us.
I am actually a practice development consultant and a billing/coding manager for a billing service. I perform baseline audits, educate office staff, redo office flow to make office more efficient as well as education to the physicians/clinical staff/management staff on efficient and accurate coding. I pick my employees from a sister company of ours where I train all my Coders and prep them for the CPC, CCS exam, etc...
I have moved from a clinical setting to a Risk Mangement setting...  My coding experience is not used in my current job.  However, my director/VP are encouraging me to continue maintaining my certification.
I made a move to Oregon and was hired by one manager/management team to do coding education for the providers. However, before that could come to be, the manager and management team changed and now I basically do data entry for one clinic, code by abstracting information for a 6 physician hospitalist team, and answer any questions the other billers have regarding codes, deciphering poor physician handwriting, how to code office procedures (excisions of lesions), etc. I do not feel that I am valued as a coder, like Ii was at my last job in AZ.
I am the only one that does not have the certification, all the others do.  As far as the billing they do their billings, as physician doing coding we usually query their ICD-9, E&M, and they are the ones that change them for us. Iam scheduled to take the test.  thank you
I do not code.  I work in accounts receivable processing refunds for overpayments.  This may require appeals to insurance companies due to charge corrections involving ICD-9, CPT, and/or modifiers.  I have attempted the CPC test twice, however, have not been successful in completing the test in a timely manner.
For the most part, I find that the newer, more recently educated providers, do the best work with coding their own things. They have a better grasp of coding concepts, what is allowed and what is not. The older ones are a little harder to convince, but they are slowly coming around.
I am employed in a hospital setting and do all types of patient coding
I am our offices coding trainer and auditor. Very little of my time is spent actually coding.
I code all of radiology, so I am somewhat limited to answering some of these qq. reg; e/m, etc.  My providers cirlce the CPT code and write the description of the dx, but all the dx are abstracted from the documentation.
I work in a teaching physician setting so documentation guidelines are a big part of my duties.
Your survey answer are too black & white, ie. agree/disagree.  
I work in a university setting with many departments and a lot of physicians. There is a lot of training sessions requested and provided.
My role is that of a coding resource addressing coding questions pertaining to EOBs.
A lot of our billing is done in another city.  We code here and perform data entry but the billing portion goes to the other location.
I would like to have more accessable availablity to other coders (certified)and/or resources for issues that arise that may be questionable for CPT/ICD9.
Some as these questions are difficult to answer because I manage the coding operations for over 80 providers.  Some are better coders than others and some take coding more seriously than others.
I work in a small office of 6 providers, I am the front office supervisor as well as the only coder (certified or non-certified) on staff. I also work pt accts and work with our patient's help better understand their healthcare costs associated with our office.
I work for a Health Insurance company and a lot of these questions are not pertinent.  You should add questions for coders in nonclinical setting.
The coding clerks are not expected to research guidelines, or communicate with the providers. We have a position that handles that for them. The providers are expected to give the coders a CPT for levels of service and an appropriate diagnosis, but it need not be in ICD-9 format. We have a separate team that handles AR clean up; the coders do not get involved in any of that. We also have a data entry team that handles any and all data entry. Work flow and responsibilities is dependent upon which team the clerk belongs to.
I do yearly audits for some of our providers, any new clients received a 10 chart audit for documentation accuracy, assist account reps with coding questions and concerns, take calls from providers regarding questions in coding, hold E/M education classes for our providers as well as outsiders.
I do not share in the typical coding job.  I handle more compliance related coding issues in the structure of our EMR.  I also do some consulting for our clients, but that is kept to a minimum due to time constraints with normal job related duties.
Our practice is cardio, our doctors are really easy to talk to when we have a problem with their codes, we have few denials because of the doctor, employee relationship.
In my office, coders do more than coding.  We code, input, help with follow-up, all aspects of the billing process.
The items checked above as N/A should really be called "unknown"
Questions don't pertain to us at the teaching hospital.  
My doctors do their own coding using a dictation system called Provation, which they can pick from lists of commom codes. I review each and every operative note, including nursing notes and pathology and makes any coding changes needed. The only time I contact physicians about coding issues is when clarification is needed or there is a documentation issue.
I do more than code for my practice.  I also obtain authorizations for all hospitalizations and surgical procedures.  Work enviornment is good.
I am not only the certified coder for this group, I also am responsibile for all physician credentialing.(We have 40 physicians) I feel I am an entity unto myself, I don't feel like I'm a part of the group and the only time someone looks for me is when there is trouble.  I feel a lot of my coding and compliance duties have been given over to the operations manager, even though this person is not a certified coder. I want to be more involved with the coding for this group, but physicians credentialing takes precedence, which is sad, our physicians and staff coding knowledge is so poor we are not even participating in the PQRI. Right now I'm more involved in the NPI numbers and proper links than I am in the coding, which is not why I became a certified coder.
as we are all aware of the complexities of coding, the biggest hurdle that I face right now is the "timeliness" documentation is done.  I have researched many insurance websites and cannot find any clear guidelines around this.
LOTS of appeals due to insurance inaccurately denying correctly coded claims.
Billing is always given the reward that coding set the ground work for.   Coding is the first in my company to be looked at during downsizing.
Please keep in mind that I work in the hospital setting and my answers are based accordingly.
I code for a neurosurgery practice and just started interventional radiology.  I am the only coder in the office.
Some of the questions I answered N/A were because there was not a catagory listed for my answers. Thanks
I am a very specialized coder in Anatomic Pathology
Provider fraud audits for an insurer
Since I work for a payor, my coding revolves around determining if appeal claims are payable based on the changes made by the provider, and determining if built in edits in our claims system are accurate for certain situations.
Don't really do coding as a primary.  I untilize my coding in association w/my job.  I work in Radiology as the IS person.
I am the only CPC over 14 practices. Their opinion is they don't need a CPC for data entry. 
Inpatient facility coder
I have the knowledge and know how to code and utilize it here very rarely. If you have any knowledge of physicians who need coders, it would be helpful for you to send out that information to new coders.
My work includes much more than just coding, I have other credentials to keep up and the expense is a hardship at times.  The number of CEUs expected is also a hardship... I believe keeping my knowledge current in all areas is important but sometimes getting the work done is more important than the CEUs especially these long expensive trips to conferences and conventions.  More self study on line for less $$$ would be more helpful
Multi specialty coders are not my cup of tea- one should be expert in a particular field before they can multi-specialize. Even doctors has specialty. Expectation for coders in my company is extremely high.
We have over 1,000 providers & many depts/divisions/specialties, both inpt. & outpt., and they all handle things differently
We are in need of a coding and compliance manager for the organization that I work for which employs about 200 physicians.
My administrator does all the audits. I just work in the billing office and yes, I am certified. Some of these questions are hard cause we are making changes etc. I will soon be giving and inservice for all of our staff and doctors on some of their coding issues.
Remote...clients are in California and in New York
I would like the Coders to have a better understanding of the guidelines of ICD coding and be more assertive and communicative with the providers.
I work for an HMO, performing audits of claims when coding issues are identified. 
I work on the payer side and not many of the question's had anything to do with that.
I am a coder for an intraoperative neurophysiological monitoring company.  I wish there were classes/seminars, ect related to this subject.  I will be attending a coding course for this in March by the American Society of Neurophysiological Monitoring .  This is the billing that I do for my company and would love to learn more.  My company is sending me to her class on this...but this will not go toward any of my CEUs although this is my specialty.
I am the only coder in this office, and pursued my credentials after I had been here, in my present job, for several years.  So, although my employer takes advantage of my coding knowledge and experience in handling appeals and so forth, they do not require a coder on staff.  I work for a Managed Heathcare company (PPO) that contracts with both payors and providers, so I interact with both.  We are also a MCO for workers comp and I price those bills to the state fee schedule for our comp customers.
I audit the physicians level of service; making sure they are in compliance with 1995 E/M guidelines.  I also educate physicians on E/M coding.
I work for a IPA medical group we are delegated to pay claims by the health plans.  And we are also on the other side of the coin submitting claims in behalf of our doctors.  Therefore, I update our system quarterly as new/deleted codes are received.  And I also process claims appeal, answer questions for claims examiner regarding proper billing etc.
I am and have been the only coder in my practice since the separation of duties in  1998.
This could all change when electronic medical records are finally implemented in our clinic.  The doctors are going to have to do more coding and make sure their dictation is correct.
I am in charge of coding and billing of the hospital charges for my physicians. I work with our billing service when it comes to denials. They request a review of the charges and I give them advice to rebill. 
 As a payor office,  it's not about fewer or more denials, it's about appropriate denials that can be backed in the industry.  Same with faster or slower reimbursement.    Maybe the percentage of certified professionals aren't from payor offices.  This would be a good statistic to know.      Conferences should also hit the payor side of the topics as well as surveys.     Thank you.
I code for the DoD, so we do not have reimbursement issues.  The DoD coding software needs improvement, and documentation is not ideal or easy.
Our practice has branches throughout the United States.  Coding is a mixture of manual and electronic CAC coding through CodeRyte.  While I am the only coder at my location, I have backup and resources available from all our other subsidiaries.  While my physicians may use charge sheets for some procedures they do expect 100% review and do not do ICD coding.
I work on the payer end of claims, but I am able to appreciate the complexity of coding and at times am called upon to code for third party bills from demand packets. I hope to eventually get into auditing and or billing at home.
I am a surgery coordinator, and I use coding primarily for Prior Authorization purposes. I work for a 23-year-old practice, and I am the first certified coding staff member. My employer's long-term plan is for me to eventually move into billing/claims management.
Some of these questions were difficult to answer accurately, and do not reflect the wide range of responses which would truly represent the practice. I work with multiple providers. Many are good at documenting and coding appropriately and welcome any suggestions or new information. Others do not.
We are hospital based physican group. I am also finance director and coder
I review and place all of the new, revised and deleted codes (CPT, ICD-9, HCPCS and revenue codes) in a payors computer system so claims may process.
I have asked for additional education.  waiting for reply.  I NEED ADDITIONAL ADVANCED TRAINING
Table didn't show up on my questionnaire only drop down boxes.
In my office professional coders may not review the EOBs, but I do help with the appeal letters.
I am the only coder for our group.  In addition to my Coding Specialist position I am also the front-desk Supervisor. I am responsible for all CPT coding with the exception of one doctor in the group who does his own coding. The physicians in the group do the ICD-9m coding on E&M services. They also are responsible for completing the encounter form for office visits which is scanned and then edited for accuracy by myself. The practice relies on an outside reimbursement Specialist to perform chart and coding audits.
I do the coding for 4 Trauma surgeons, and one general surgeon.  I do all the denials, correspondence, and edits.  I have to make sure that all the billing sheets are up to date.  My trauma surgeons have hospital rounds that they do also. (Which is very time consuming)
Most of the education forums (like the Coding Edge magazine or even this survey) seem to be directed mainly at physician practices.   Please bear in mind that certified coders also work for many of the payors in the field.
I am a consultant and the majority of my work is done performing baseline audits for practices as part of a compliance plan and performing expert rebuttal reports for practices defending themselves against post payment reviews and audits. Typically I am retained by an attorney to perform these services.
I work for 13 orthepedic surgeons that take call in the ED at the local hospital next door, they are all very good coders and we educate them every six months on areas to improve.  We have two certified coders, myself and my boss.
Currently there are 3 CPCs in this particular office.  2 batch/code M.D. invoices & perform data entry of these invoices.  One CPC researches/resolves coding edits & coding/documentation denials.  This is a multi-speciality practice & entails a broad scope of coding expertise & constant learning. We handle a high volume of work for the # of FTEs.    It would help if the AAPC offered more area seminars during the calendar year at a more reasonable fee....the fees have gone up over the last year but the majority of us are still trying to manage on the same wages while everything around us goes up.  - The "Test Yourself" exam is of help but the synopsis of articles has been reduced & that's another hard-ship for some of us.  I think there needs to be a more "creative" approach for the CEU situation.
Since I am not coding, but rather auditing coders, many of these questions do not apply. I tried to answer some of them that I felt could be applied in my situation.
I  would like to see more free coding CEUs through businesses like the pharmacy technicians get free through drug companies. 
My work is specialized in pathology. The pathologists provide us with CPT codes and our staff handles the ICD-9 coding based on the pathologists findings.
1.  I wish to see more claims from start to finish, from encounter documentation to coding to billing to reimbursement.  2.  I wish to see dx & cpt & modifier codes truly describing the encounter get paid instead of using codes simply to encourage payment.   3.  When a claim gets denied, it should return to the coder to see why it was denied.    4.  I wish to see more emphasis on consistent e&m coding from all entities, ie more Marshfield clinic-type tools.   5.  I wish more training on the risk of complications and/or morbidity and mortality.
The answers depend on which dept, which physician, whether there is an assigned coder. All depts are different as far as coding.  We are audited frequently and share the results with the auditor, coder, physician.
As a coder, my job is easier than a coder from a provider office.  It is not my responsibility to necessarily determine the correct code, however, it is my responsibility to determine that the appropriate documentation supports the code billed.
I code for a 3 physican office, with a large off site billing department.
I strictly do post-payment audits and coach doctors on documentation compliance.  The newer (recently graduated) doctors are quick to accept any change, but the more established doctors fight the change.  It is a work in progress. We have 67 doctors in our specialty practice.
Because this is a multiple physician office, your questions were difficult to answer because some of the docs are good coders and some are terrible.  They all are willing to get better, though, so that is a good thing.
I cannot answer all questions as I am a coding review nurse for a large payor.  Questions starting with "Physicians in my practice...." do not apply to me.
Our clinical coders are NOT credentialed. And that makes my job all the more important, I am a coding coordinator and edit all of the claims that hit an edit in our system. I help all of the 500+ physician's staff code anything they are unable to and help them correct what ever is necessary. Most "new hires" for coding have no experience at all.
I am not given the opportunity to do as many internal audits as necessary.  Non-Compliance is a major concern for me. We are working towards it though.  Freeing up more of my time to do more audits.
I am an RN so I have patient care responsibilities.  My primary reason for being a CPC is to coordinate the compliance program.  I do not get involved with billing issues.
Training Specialist @ a medical insurance office.
We are on an  EMR system and the coding choices picked by our drs have gone down in accuracy since we went live on  EMR
Working on the payer side, my  main duty is to review coding related appeals.  I also do testing with upgrades, upgrading our coding software yearly and am currenlty working with our providers on ways they can improve their coding to get their claims paid appropriately the first time.
We do not change our providers coding until we have spoke with them and they have reviewed to make sure that it is correct and follows what their documentation was in the patient record. My employer reimburses for most of my CEUs, I have purchased coding resources, and training manuals in the past.
My company has an allotment for continuing education.  We review a precentage of billing before it goes out to the payer.
The doctors are well knowledgeable and are great to work for.
I work for a primary care physician group consisting of 50 physicians at the moment.  This position I am in was only created in May of 2007 and so our physician education really only began in June of 2007.  We have a long way to go as many of the physician were in private practice and did not have to comply with a formal corporate compliance program as we now have.  It has been very challenging and I am the only coder at the moment.  Our billing manager is the only other certified coder.  We hope to expand in the next few months and hire at least one more coder to help with the education and auditing of the physicians.
I get all of the coding resources that are essential, ICD-9, CPT, HCPCS and a couple of reference books but we could use a few more that I thing are essential such as the CPT Assistant.
I am a nurse-auditor...an RN/CPC who works for a payer and audits questionable billing patterns of professional providers.  
I have the unique pleasure working for an IPA as the manager of coding and compliance.  Emphasis is put on trying to get it right from the moment the appointment is made.  The management is very in tune with how coding affects the entire process.
I work in a multi-specialty teaching physician environment and it is very complex.  Most physicians do code their own E&Ms and other clinic procedures.  Inpatient visits and surgical services are abstracted from the medical record or other documentation.  Some MDs value the coders and others do not.
I am the clinical editor and set up the system in regards to claim processing with correct coding.  I review all questions regarding coding.  We have 11 CPC in our office and I work for a payer.  thanks
I am the only coder for our practice of one vascular and five cardiovascular   surgeons.  I have an excellent knowledge of transcription having done  that for 15+ years.  I have done coding for five years having learned   the basics from a previous office manager and then adding to my knowledge  from various classes, books, etc.  I am thinking of studying for my coding  certification although I have found that CPCs in our corporate and compliance  department often cannot help with speciality coding.  They have a very good overall knowledge but I wonder how this would help me in a speciality office.
I coded only E/M
The medical is unique, in that we have a good compliance department that helps with everything.  We have a university wide audit and an internal audit annually for each physician.
i work in a rehab agency for physical, occupational and speech therapists.  We have several locations that I do all the posting of charges and follow up on the claims with the payors.  the coporate office post the checks in the system but i work the denials and appeals.  I am the only certified coder and have been working in office settings for over 20 years. It is hard to get them to understand outpatient billing and all the demands by the insurance carriers and fee schedules. They are used to working in SNF which are consolidated billing. they expect me to do a projected revenue each month and I am expected collect that projected revenue each month. They do not understand that everything is based on eligiblity and benefits at the time services are rendered by the patients and patient and insurance companies never pay the amount you project. There are many factors involved (deductibles, co-pays, co-insurance, max benefits, medical necessity.  I told them in a perfect world we would collect 100% but in the insurance world.
I work the CCI edits, appealing the denials, and working on better ways to educate the physicians in the specialty areas on the do's and don'ts of the pathology/laboratory guide lines. We are a huge organization, and there are numerous test done at our facility daily. We even receive outside lab to be diagnosed. This is why more information and education on the pathology/lab end is so important. Also with related workshops available, this will justify to upper management the importance of having credentialed employees, and pay to keep their credentials current.
I do the billing for 2 doctors, 2 ambulance services and do coding for an ASC all from home then I work at the ASC 2 days a week. None of the doctors do any ICD-9 coding they just write the diag and I do the coding. As far as the OV charges they go off the charge sheet that has been given to them.
My practice involves ICD-9 coding and selecting the appropriate code based on the assessment of the patient and the physician treatment plan. It requires the skills of a nurse along with the CPC certification to do it correctly. The reimbursement is tied to the diagnosis code so it is imperative that agencies use certified coders to obtain appropriate Medicare reimbursement.
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At the billing company I work for, I am not allowed to code any longer. We use an outside coding company. It is my understanding that a coder who works for a billing company is in a position of "conflict of interest." Meaning that, as a coder, I could be accused of upcoding in order to increase reimbursement for the physician so that it would ultimately also increse the amount of reimbursement my billing company makes off those claims. I am not sure I completely understand that position/perspective. I really miss coding and I am currently looking for a position in a physician's office. I would like to once again have the experience of working closely with a physician on compliance and coding issues.
My hospital is all for education and encourage us to attend sessions and listen to audioconferences.
Meed more available classes for providers to attend to get them more familiar with coding/compliance/documentation rules.
Working with the military, the outside reimbursement isn't as important as capturing correct "manhours" from correct coding.  Instead of "money", they get "manhours".  I strictly audit three very large clinics for over 40 providers and many corpsman.
I do the coding and billing for the hospitalists. There are 11 of them at 3 different hospitals. I code the ICD-9 DX and the CPT code they pick for visit. I have to research the CPT code, often changing it from an OBS to In-PT. The DX codes are billed as written on the rounding sheet, only 4 DX per bill. I am learning a lot about the insurance side and if the codes are wrong, I find out when the claims have been denied. It's been interesting and frustrating at the same time, as am not sure what role I'm really taking.
We do not have a coder in this office. The providers do all their own coding. I act as a coding resource and my main function is compliance auditing.
I work (QCing)encounters for a couple of large practices and a couple of smaller ones. We do not have enough coding analysts to do all what is expected by our employers. From QCing the coding of encounters, to working the edits, to working with dept. liaisons, and to writing appeal letters for several physician groups is a lot to ask for one person.
I think with the large number of physicians and services performed in our practice, that we have a great working relationship between physician, coders and billers. Our office employers 2 certified coders and serveral billers which all work together to bill and code accurately and efficiently. Each person performing the tasks they are best trained and suited to do to complement the workings of our practice.
The flexibility I am given in work hours is very important to me.
I would like to see CEUs available for Hospice coding.
I'm the only coder, certified or non-certified!
As a consultant for a CPA firm whose medical practice clients began asking for help with compliance about 7 yrs ago, I am in the somewhat unique position to have physicians ask me what I think about their documentation practices from a compliance perspective - which many in-office coders do not enjoy.  Evenwhen they ask, physicians don't always want to hear that they need to change - they want to hear that what they are doing is fine and dandy.  I think it's important that coders try to keep in mind the changes the medical profession has faced due to various legislations in the the last 10 years or so, and not take resistance or even some resentment too personally.  Our MDs need us and we should try to not get frustrated when their MDs balk at making more changes, and try to make transitions as easy as possible for them. The most important  thing is making sure they know they need us so they will provide the resources and continuing ed. we need to do a good job for them.  Make sure they get good value for their money.
Coding audits are a small percentage of our consulting services, therefore many of the details you are seeking I am not able to give feedback.
I also participate in payer contract negotiations.  Physicians code E&M only, and coders code surgeries and quiery physicians when there is an issue or question.
I just started with my present company but would like to see more flex time and work from home. I'd like to see my supervisor become more knowledgable about coding. She pushs for things to get done but she doesn't realize the time it takes to lookup iICD-9 codes to make sure that claim is coded correctly. I think if she understood coding she would be less likely to hound the coders. And I'd like to see us less pressured about break times. If 2 minutes late from break, she is on your back. I think we should get 15 minute breaks instead of 10. Once again a manager of coders should have knowledge of our background. It would be nice if she took a coding class or two.
I am a senior medical coder at a general acute care hospital. I code inpatient charts, day surgery charts, Inpt Rehab charts,referred outpatient coding list, hospital physician office coding list, recurring outpt coding list, and occasionally SNF charts, BSU, detox, and alcohol/drug rehab charts. We also sign out and file our own charts to the incomplete room, search for unbilled charts that have slipped through, do physician reviews monthly, and quarterly coding reviews. I also take care of the trauma registry and congenital malformations registry. There is a lot of work for not nearly enough pay, but I love my job. We have a very understanding boss who lets us play the radio and talk among ourselves as long as the work gets done. She is also lenient about changing our work schedule as needed.
I am an auditor and educator with over 14 practices and I am the only certified coder. The president and practice manager feels anyone can enter charges and that no revenue is being lost. The doctors are filling out encounter sheets. 
Coding is a very nice field. I like it very much. 
Unfortunately my employer does not realize or understand the importance of correct coding in relation to compliance.  They do not wish to venture or offer any more than neccessary for continuing education nor is it understood by my employer the constant changes and updates that are beneficial and required for any practice.  It would be wonderful if my employer would listen more carefully to what is being said and the importance in regards to coding.
I code for numerous Emmergency Rooms across the country.  As I do not work for a practice/Physician it was difficult to answer this survey.
I would like to spend more to be able to attend at least one conference per year. I miss the discussions from all coding backgrounds at the national meetings. I have only been able to attend one local workshop over the last 4 years do to cost and my lack of extra funds. I am really glad to see the reduced cost and more local workshops that mean less travel expenses which will give me and I know more members a changes to network.
2 dr / 1 LPN / 1 PA / 3 staff / 1 Mgr   Urology  Mrg is the only coder, uncertified, i think  I'm one of the 3 staff, not really coding yet, but anticipating full-time coding by August 2008   I am a BS, BA, CPC-A
inpt day surg, outpt and ER hospital coding so the majority of this survey did not apply to my work situation
I work in an environment where I am the only certified coder. I am the Asst Practice Administrator by title. My day consists of various duties that require the knowledge and ethics of a certified coder.
I don't feel that anyone really cares if I am certified or not.
I would like to see more Orthopaedic topics in continuing education seminars, locally.
I also work as an independent consultant. My payer employer is responsible for all education related to the payer business. I am responsible for all additional education that would not benefit my payer employer. This works well and I am able to obtain a wide array of education in various topics.
I love coding and the challenges it continually brings.  I worked/work very hard for my certification. On a different note, I have recently discovered that there are companies that are outsourcing coding to other countries, in turn taking away American jobs.  Even more disappointing is that the AAPC is supporting this.  VERY DISSAPOINTING!!!!  This is something I think future coders here in this country should be aware of.
This survey is specific to physician office practice, not for coders employed by a payer.
There is only one coder in the practice for 2 physicians. They are vascular/thoracic surgeons. They use an encounter form to circle the type of office visit which is confirmed with the dictation. Coding is not performed until the dictation returns to the office from the transcriptionist. The coder also handles accounts receivables.
Although you indicated Payer as an option at the beginning of the form - none of the questions were payer oriented - so I ended up clicking NA on most or skipping the question altogether.  Maybe you need a separate form for payers.
I am a manager of 26 Certified coders who bill for 25 fee-for-service groups in the ER.
Work environment is located in the Medical Records Dept within close proximity of patient registration and front lobby, very noisy and distracting.  All coding, data entry and auditing is done by coders and all billing is done by Business office.
I work for a home care agency and we use the PPS.  We only work with ICD-9 codes.  Their are no doctors working for us.  We go to people home and the nurses will code with the help of myself.  I'm the only coder here due to were a small agency.
I am a billing manager for an internal medicine practice with 2 physicians and 3 nurse practitioners.  I am the only certified coder and biller in the office and that is only because I asked to become certified and he was willing.  Certification was not a preferrance but it has increased reimbursement.  If I ever left this position, I am not positive he would look for certification to be a prerequisite.
I've worked here going on 4 years and I have gained an enormous amount of knowledge about coding in all areas which has allowed me to advance from being non-certified to being certified. Moving onto being a Senior Coder and now I am a Supervisor of Coding.  The possibilities are here if your willing to work and achieve, I am always learning on a daily basis.
I am the office manager and oversee the coding and billing staff
It would have reflected better for me to have answered with sometimes as an option to select for your colums.
I do hospital based physician fee coding- surgeries,b deliveries, consults  admits, er visits, f/u hospital visits, discharges, newborn admits, f/u visits  and d/c's.  etc.  I do this for a variety of specialties including: ob/gyn  general surgery, urology,ent,pediatrics.  Some otpt surgeries including the above and ortho and pain management and dental for the physician side
I audit and review pre and post charges for correct coding and documentation. Answer coding questions and review some denials.
I provide contract work and get reimbursed by op-note monthly.
AS a coding Manager, I supervisor 10 coders as well as educating Providers and   Residents. I also do some of the coding for several of our multi specialities.  I meet with new Providers to asses their level of coding knowledge and educate them on the requirements of our practice. I also audit the coders and provide onsite education to help them improve their skills. I attend Provider staff meetings to educate them on changes as well as issues that the coders find when coding the encounters.
I am a working Business Office Manager who has been in the coding field since 1981.  I had great mMentors and I train my non-certified staff office to be very detailed oriented individuals.  We work our EOB denials upon entry of payments that way nothing gets layed aside to hopefully do later.  We review all charges and diagnosis on a report prior to electronic billing.  We are also an electronic record practice and that has been the greatest improvement productivity wise to allow more time to do coding reviews.  Every physicians office should certify at least one coder.  Without a coding expert- who does not know it all but has the mind-set to know where to go-is vitally important to the practice.
The work I do allows me to do coding, however I would like to focus more on specialty coding for specific practices.
We have one Physician & one PA. We use a superbill, but I sometimes have to pull the chart to get a dx that would classify the CPT per CCI edit. I also on occasion audit the E/M coded by both.
Our physicians code, but the certified coder make sure no bundling and if they have this is reported to them.  Also all information on changes with the CCI are brought to their attention
I am the only certified coder (billing staff of three) for two clinics. 1 physician (medical director), 2 physician assistants. Soon to add another physician and nurse practitioner. I work four days a week, 10-11 hours each day.
there are 3 CPCs in my office that handle verifying insurance & contacting pts prior to their surgery, coding and billing insurances and posting insurance and pt pmts.  plus any followup or appeals.  With so much information changing daily in the coding/insurance world we are overwhelmed trying to keep a hold on it.
I am required to keep an account and record the number of the patients admitted on a daily basis to the department and also if the patients were referred to the department or transferred from a speciality service. At the end of the month I must report how many deliveries were performed for each provider to the department administrator so the providers can receive a $100 bonus for their deliveries. I must also send the department chair a copy of the census for the month with the total amount of patients admitted and also assigned to what team, ie. 10 patients admitted to yellow team for the day. On occasions have had to verify a physicians cridentials.
I am a Physician Liaison/Coder, part of a outpatient coding department of 20 certified coders in a Clinic & Hospital setting.
I am currently working for a non-profit clinic. I work with encounter forms which the most used codes printed on the form. So, my coding it's very limited. So, most of my work it's reviewing and data entry.
I am the only certified coder in our practice. There are 2 physicians who mark their own codes however, it is my duty to check them for accuracy.
I have only been with my current employer for 1 1/2 years.  I am still trying to implement changes from knowledge and policies that I brought with me from my previous employer of 23 years.  I have found that just because someone is a CPC does not mean they have a understanding of coding and definately not how it translates into optimal and timely reimbursement.  The department is divided up into three teams - coding and charge posting, payment posting, and insurance follow-up and collections. Unfortunately, neither team willing shares issues and/or information with the other teams making it difficult to for everyone to see the circle come to full closure.
I am employed by a multi specialty practice with over 20 physicians. Most do not code their own work.
Outside resources are very important.  Meetings with other LTC facilities and RRHIMA members help with support questions.
I do radiology coding for a multi-provider office.I also do Workers Compensation coding + billing for E/M inital visits and follow ups as well as Physical Therapy at our occupational health clinic
My profession right now is practice management. I help physician with start up practices.
I work at a durable medical equipment company as the medicare billing coordinator.  Most of my time I am working on billing issues.  Often there are coding errors from the information we get from the doctor's offices.  I am the only CPC in the office. I correct these issues and code when the orders come without the dx codes written on them.
Many coders do not work in clinical practice settings. It may have helped the survey if this instrument were designed either for all settings or asked if the person works in a clinical setting and if not, were told to skip to #8.
Strictly coding all day. Work for government so we have additional VA directives for coding some of our cases in addition to all other guidelines. We have no charge master so we code everything (labs, radiology, drugs, PTSD clinics, etc)
The doctors do pick their codes but they are reviewed by the coders. The codes are picked so surgery authorization can be done prior to surgery. Codes are accurate about 85% of the time.
While some of our providers are very good coders, others are not.  We audit all consultations and level 4 & 5 visits and do the majority of the surgical coding according to the documentation provided in the OP note.  The majority of our providers are receptive to our comments and suggestions and do their best to adhere to coding guidance.
100% audit with start of EMR. RN office manager more concerned with clinical staff then coding/billing.
Our office has only one coder, which is me I always review the physician's coding for accuracy and should I feel a code is inaccurate, I go to the physician for his review and he is the one to make changes.
I work in an environment that is departmentalized. I only diagnosis code. We have surgical coders, surgical pricers and a Data entry dept. And as a coder we do none of the patient/billing. That is also a seperate dept. I telecommute and enjoy every minute of it. I get a lot more done and my hours our from 6:00 am to 2:30 pm. We have monthly meetings and the team work is excellent. All of our work is electronic and efficient and up to date with any current changes in ICD-9, CPT, HCPCS, DRG etc.. We have a team called enterprise coders, if we have questions about what we are coding, that they can assist us.I am very pleased with my job and we are always educated and trained on new information in the medical coding field.
Do you have an position open for hire?
I really wish the providers had more knowledge of the ICD-9 and CPT codes. I think it would help them dictate more accurately in terms of what choices are available to us when we are coding.
Tiis survey was somewhat difficult. I use my coding when I program benefits.
I work as the office manager for a clinic of one two providers, one physician and one NP.  We recently were purchased by a local hospital, so we are a provider based RHC.  I also am a CPC so my work functions also include coding, billing, collections, ect.  I also input data into the health dept system for the tracking of immunizations.
I have a great work environment-of course there are ways we could improve, but overall I think we do a great job.  Our doctors and very concerned that we report what we do and report it correctly.  This is taken seriously.
I am credentialed but coding is not my primary duty; I am a patient accounting manager and have been for 25 years. I happen to prefer the medical records side of things and pursued coding on my own.
I review the daily claims and clean them up and submit them to the clearing house.  I check all the reports from the clearing house.  When the checkout staff has problems with ICD-9 codes they come to me and I use my current books to give them the code to the highest degree of specificity. The doctors (2 internists and 1 cardiologist) use non-specific codes most the time.  I also post the lab, CT/CTA, pacer checks and hospital charges.  My daily duties are also doing the daily close-out and getting the daily deposits ready, as well as addressing patients' billing questions, insurance questions, making appointments, getting authorizations, posting ins and patient payments.  I also answer the phone when the calls are not picked up by the appropriate department and send messages or help the patient directly.  My work environment is high stress.
I do all coding of claims, data entry, appeals, and education to physicians and staff.  Post all payments from eob's.  Review contracts, ins newsletters and manuals and update staff and physician's re: changes etc.  Send statements , collections, and phone calls re accounts.
Rate of pay:  $13.75 per hour
Work w/ payor, so many questions not applicable to my situation.  I review documentation of medical records in providers' offices.  Sometimes documentation is very good and coded (correctly) sometimes hand-writing is terrible, documentation brief w/ no conclusions.  By-in-large, documentation is good.
I would like to see more Home Health Care Resources available through the AAPC.  Often times in HHA Coding there are scarce resources.
The providers I work for use a fee ticket which does have CPT/ICD codes available to them but they do expect us to evaluate them for accuracy based on their dictation that is why my answers are such for the provider section. I do believe it does help me because it can at least tell me what he think he did so I don't miss anything.
When others do the coding and create claims and when claims get rejected I'm the one responsible to follow up, and is frustrating because they don't pay attention on what they do since they don't have to worry about correcting or geting rejections.
Academic practice with 200+ providers in a multi-specialty environment.
I am a team leader in our billing department and we also have another CPC who does auditing.  We have electronic medical records and our system codes the providers' visits.  Our biggest problem is the provider's documentation and the fact that the provider can overide the systems' coding of procedures.
I am the only coder/biller in an oral surgery practice consisting of 6 oral surgeons.  Prior to me, the position has never been held by a certified coder.  Our doctors are resistant to change and are only now beginning to be more open to changing the way they document, etc. (I have been working on this for 5 years.)
I have been coding and I need to get certified.  Any study guides out there?
Because I am self-employed most of the questions did not apply.
I work for an insurance company as a Health Care Fraud investigator.  
Full time Healthcare Auditor
It was hard to answer some of the questions because I am the only coder in the office. I work for a Hospice and HomeCare agency and I do basically only ICD-9 coding. I have found that there aren't that many coders in home health care. Most the coding is done by RNs that dn't have coding experience. I have been able to help educate them on proper coding.
We are a multi speciality group.  Some providers can pick the E/M correctly while other are not accurate.  They write down the diagnosis but do not pick any codes.  Hospitalist and specialist can pick the correct level of services for their inpt but do not pick the ICD-9
I believe coders should stand alone in a practice and have direct contact and rapport with the physicians. Administrators do not need to cushion or try to be the middle person between the coders and the physicians. It can only cause communication misunderstandings. Administrators who think they are coders just because they have been in the business of managing a practice need to step aside and let coders do their job. It all falls back to the coders in the end if the revenue falls. But let the revenue increase and it seems the administrator wants to be "coder".
There are two of us that manage the 24 providers in 12 different offices and it is a huge task as we are off site, across the street.  We work for a corporation and it is extremely difficult to make sure everyone is doing what they are supposed to be doing with regards to coding.  We do have a billing company but the charge input is left to the front office personnel which are not trained with CPT and ICD-9 coding.  There are a few employees who are trained and these few people are available to help.  The billing company does monitor the charge entry every day with closing reports.  The structure of the corporation does not include a coder in each office.  This is very frustrating to those of us who are managing and trying to keep up with all the errors that are made.  Any suggestions would be greatly appreciated.
I would like to have more classes on billing for commercial payers. 
My experience, working in rural Pennsylvania, is that there is both a shortage of qualified, experienced coders and that providers and facilities do not wish to adequately staff the coding departments due to budget constraints.  As we are not viewed as generating revenue (I disagree with that view), our coding department is extremely short-staffed.  We have 2 certified coders for approximately 60 physicians, approximately half of them being surgical practices.  I and the one other certified coder do all of the surgical coding, including an ortho practice with 5 surgeeons and a cardiovascular surgical practice (CABGs, AAA repairs, etc) with 2 surgeons.  She and I are also responsible for educating physicians and compliance issues.  Our coding duties are in addition to our supervising individual practices, which includes personnel issues, patient and clinical issues and JCAHO/Dept of Health compliance.
I am an instructor and it is very difficult to attend the audio conferences as the classrooms do not have a phone capabilities.  I am off on Fridays and the conferences are never offered during that day of the week.  I would love to attend more CEU conferences and/or audio. It would be great if there were computer type seminars to earn CEU. In my position it is very difficult to take time off to attend anything out of town.    My students look to me for answers and knowledge and there are times that I do not have the answers and my resources are limited during class time. I do have internet access and phones which are located outside the class room and therefore any questions asked may take a few days to get proper answers to.  I have over 10 years experience and much to share but each year that I am out of touch with medical offices I miss some of the changes that they experience.  Any materials that would help me in my field of work would be greatly appriciated.
There needs to be a specialty certification for Ophthalmology.  At one time one existed and I achieved that goal and would like to have another.  PLEASE try to make the achievable.  Thank you
My only comment as being a coder in the state of Maine I find that there is a lack of specialized coding lectures or workshops. In order to go to a workshop that applied to sugical coding I had to drive 7 hours away.
I also copy all outgoing medical records/audit lab and path monthly bills and am in charge of our off-site strorage of charts.
I am a billing manager with an old medical software program so knowledge is key!
I'm in Provider Outreach and Education for a Part A Medicare Intermediary.
I have worked in Orthopeadics for over 8 years.  I was a nurse for 3 years and then moved over to the business side to learn billing.  I moved to Columbus about 2 years and was hired by my current practice.  I have been given great opportunities that included obtaining my CPC, a year later my CPC-ORTHO and my resources are unlimited.  I think that the advantage I have is that I work for a smaller 4 physician practice and am the only coder/billing specialist in the practice.
Our small family practice (4 providers) is extremely supportive of the work I do. My knowledge base comes from years of correcting denied claims and dealing with insurance companies. I finally convinced our practice manager that coding clean claims "up front" made much more sense than correcting denied claims "back end." For the past six years I have been the only coder but I have recently begun training an apprentice so I can take a guilt-free vacation! I love my job and actually read coding books for fun!
We are a large orthopedic group.  All front-end coding and charge entry is performed by the certified coders on site at each location.  Denials and EOB work is handled at our Central Billing Office where there are 2 certified coders on staff.
Even though I have my CPC I actually work more with appeals and reviews. My background was claim processing for 20 years.
I am employed in a teaching facility for medical students.  Therefore, I am engaged in coding for SEVERAL different specialties.
I work for a large coding/billing dept which is responsible for overseeing the coding of over 200 providers.  We see all levels of accuracy from our providers.  Also, some use cheat sheets, others don't; some had formal education, others didn't; etc, etc. Their accurracy, expectations, etc are all over the map.
Sometimes, the hat I wear is that of a date entry person....I post clinic fee ticket charges and payments made by patients.  I complete the bank deposit ticket for the weekly deposit.  One of the surgeons here and one of the pain management physicians here are 95% acurate on their procedure coding, and I fine tune as needed with more specific diagnosis codes, modifiers, adding or dropping CPT codes, etc.  The other surgeon is 65% accurate with coding procedures, but the fine tuning includes finding the date the procedure was done, the diagnosis code, and verifying the CPT codes turned in, or actually coding from scratch.  I keep up with the scheduled ov appointments and procedures; if I do not receive fee tickets or codes, it reconcilliation time.
Were I live the doctor's offices are only interested in billers and not in coders, if you don't have any billing experience you have a very hard time finding a job. I was lucky in the since that my doctor was willing to work with me on the billing experience since he know that having a certified coder is a added bonus and that he will get paid faster and correctly since his claims will go out correct to begin with.
I must convert a .pdf op report to a Word file and also must do data entry of demographics (10 fields) for each patient's record in our in-house software application, before I ever get to code an op report.  Coders are expected to code at least 40 op reports per day.  If we average 50 op reports or more per day with a 95% accuracy rate, we qualify for "incentive" pay.  It's not uncommon to put in a 12-14 hour workday to achieve "incentive" pay.
I feel that the management does not value the credentialed coder  they don't place ads in that manner and don't try to push employees to obtain  CPC after hiring. (Some places require after two years of employment) They due  purchase current coding books, but not willing to send to specialty seminars.  They do not understand that each specialty is unique, each ins carrier has  different manner of coding for the same thing.  Manner just wants claims moved  out the door.
We have many clinics in our system some are speciality clinics. Some providers do well in coding with surgery others do not bother. Educating providers is hard because there is never enough time when seeing patients. Our company is aware of the benefits of having certified coders.  There never seems to be enough time to catch but but we hang in there.
University Teaching Physician - Surgery Specialty Coder
We dont have a lot of support in our clinics for coders.  We are given numerous responsibilities above and beyond coding and our pay does not support our duties.  It is always a struggle to keep up with coding, and do it accurately and have enough time to research a problem.
clinics are great, system is bulky
Some specialties have designated coders who code prospectively with no physician involvement in code selection.  The physicians paid up front to have these coders in place.  For some other specialties the physicians code but the coder reviews retrospectively due to identified compliance issues with certain physicians.  Unfortunately, the billing company has had to take on this additional expense.  I think some of our physicians have an expectation that every service they code will be reviewed by a coder before being billed, yet the physicians do not want to pay for this additional expense.
There are 11 physicians in my office and i am the only coder, there is little time to do any audits, there needs to be at least two so that an audit can be done to insure the accuracy of coding. The pay is not what a certified coder should make but what someone with no experience makes.  I can't make them understand that and this is why coders look for different jobs in hospitals rather than offices because of the pay.
I do strictly entering charges for all physicians and pa's--I do some pre-certification.
I am the office manager and the certified coder for the office. I code all of the operative reports for the physicians. I also perform monthly random audits of the physicians office charges. I enjoy what I do!
This job is coding for E&M and Surgery. Audit all charges, code surgeries    and data entry.Pre-cert all surgery and answer billing questions for pt and financial counsel. Review email from our Business service center on denials.  Review reports for payments and to check that all charges are in the billing  system.
In a small office all personel assist with compliance & coding documentation. The more information shared with the doctor on documentation & ICD-9 coding ehlps assure we are able to support the services charged. The information I receive at seminars is shared with the doctor.
I wish I did more coding, but unfortuately at this time I don't.  I have applied for different positions in the organization.
The company I work for has multiple hospitals and physician practices. I work in the Coding and Compliance department in two of the out lying practices. I am the person the Physicians come to with questions about insurance and Medicare. I code the encounter forms and link the dx codes with the correct procedure codes for charge entry. I work the denials for both practices and education the physicians on any changes in Medicare guidelines as will as researching any issues or questions about individual insurance policies. Training on correct documentation and what needs to be improved is given to each physician.
I work with 6 surgeons and part of them do their own coding and part depend on me to assist them with the coding (CPT and ICD-9-CM).  I check all coding with the documentation to see if they agree.  I key all the charges for their inpatient and outpatient surgeries as well as E/M hospital charges.
The VA is an educational facility.  I work with Quality Management regarding  Resident Supervision and compliance via chart auditing and daily interactions  with all medical disciplines within our hospitals and clinics here in my  healthcare system.
Front to back end medical billing for an ASC, including charge entry, electronic and hardcopy billing to insurance companies, follow-up on unpaid claims, patient statements, customer service calls, setting up payment plans, collections, refunds.  Also review coding and billing error for primary care physicians.
I manage eight billers, one clerk and two coders. Only one coder is CPC certified. I taught the other one to code and she is currently working on becoming certified. I spend a fair amount of time on a regular basis teaching the basics of coding to the billing personnel.
I have worked as a coder for 12 years in a variety of physician offices.  I have had my CPC for about 4 years now.  Recently, I have met two people with AHIMA coding certifications.  One of them is currently studying for her exam through AHIMA.  Their study and knowledge of the human body and it's processes is much more rigorous than what I learned through AAPC PMCC instructor led training.  I think that the AAPC should create a program or even another certification, that is related just to anatomy and disease processes.  I feel that this area would be a major benefit to a coder in any specialty.  Thank you.  
I am the owner of a billing company and I employ 3 full time billers 2 are CPCs including myself. Our clients select their own CPT codes and provide either the ICD codes or a written discription which we then code. I encourage "clean claims" meaning we take the time to review the codes before submission for accurate coding and also reimbursement rules such as bundling. I encourage education and try to provide my staff all opportunities including manuals, software and seminars. We pride ourselves in taking advantage of all technology available from payers and our billing software; this has made us much more efficient and able to provide excellent service to our clients.
Working in a billing service I have multiple practices assigned to me. I have one practice that the office and physician are "spot on." Codes, documention etc are correct. They expect me to review and check their work. Other accounts use the check lists. I have other accounts that send all of the documentation and am expected to code from their documentation> (they make no attempt to assign codes). Some physicians are open to discussion on coding issues. Some listen to me with no reaction and then others dread any discussions.
I enjoy being self employed as a consultant, however, benefits and steady work is an advantage in being employed by others.
Our organization is new to provider-based billing so have run into many issues.  We have a good overall staff and professionals to "go to" for coding questions.  I personally have 25+ years of coding but find there is always something new coming along, whether "good or bad".
Coding is spreading into other areas outside the hospitals and practices.  It is important for coders to understand that their credentials and experience will be of great benefit to payers and auditing companies.  Good coding ethics are highly valued.
In the hospital there are only 3 CPCs. All coding is done by Medical Records, which is where the other two CPCs are located. the other coder's in M.R. are not certified but do an ok job, as always there are corrections that are done but overall they do a pretty good job. I work in the pt accting dept & handle all coding errors & help the billing/Follow-up depts w/all coding issues for all area's & specialities.  I hold the position of compliance analyst. 
My providers use a system called AHLTA this well code for them, however unless the provider knows how to change the codes it well code wrong.  So it's almost like coding from the being for the coders.  But it is a great help with education with the providers on coding.
Generally speaking coders are set up for success and there are plenty of resources available and coding educators to rely on.  Salaries are kept at fair market value for the area.
Our large multi-specialty organization is in the process of implementing an Electronic Medical Record (TouchWorks) and my job is training the providers and staff how to use it.  There are a lot of helpful coding areas in the application and it has really increased the accuracy level of documentation for patient visits.
Surgical, academic practice.  Coders code procedures, physicians code EM.
My work environment is not a typical setting.  I code for a teleradiology group.
We have several coders in our practice yet they have to code at least 5 charts within a year plus work their regular job which is receptionist staff to managers.I would like to know if a practice benefits more from having a coding Team who has the main job of just coding or like we do our coding. CPC class is offered when you pass the test then you are to pick 5 doctors who you would like to audit within the year. You look at their schedule make arrangements with that Health Center and go out and audit when the provider is seeing the patients then at the end of the day go over the audit with that provider.Some providers like this and others do not.
I am a coding review nurse for a large third party payor.  It is difficult for me to answer most of the questions on this survey because they seem to pertain to physician practices.
I am a traveling consultant working at different locations for a special project at different facilities.  I am abstracting for the clinics to go live for a paperless office.
When I was first hired where I work I did audits of the physicians coding especially E/M.  We have different administration and they do not want me to audit at this time.  They initially, with the administration change, had somebody doing coding responsibilities that was not certified.  The person has since obtained her CPC.  It is for this reason that I pay for my dues and CEUs and keep them current.  There is currently a hiring freeze due to the state's financial situation but I am hopefully to be able to use my coding knowledge at some point in time before I retire.
I supervise 16 coders who do roughly 75% coding audits prior to claim drop. Primarily, we provide coding support for Family Practice, Internal Medicine, General Surgery, Pulmonary Medicine, Infectious Diseases, Oncology, Urology and Wound Care, coding E&M visits and procedures.    We have four external audits performed annually.  Our ICD-9 coding is at the 98% accuracy range, and the E&M/Procedure coding is at the 80% range, which we strive to improve.  Several practices have recently implemented the EMR, which has affected the way in which the data is documented, but of course, the coding rules have not changed.  This has presented some challenges, but we are continually working to ensure our EMR documentation will stand up to an audit.
My orthopaedic practice closed 12/06 and am now working for an IPA working appeals and claims problems for provider members. My coding experience has helped a great deal with this new position.  Am learning a lot outside of orthopaedics.
I am the supervisor of coding and billing and the only CPC in general pediatrics. My other 2 coders are encouraged to complete a comprehensive class and encouraged to take the CPC exam. Both do qualify to take the exam for cpc-a
Physicians are not credentialed as a CPC, CCS or any variation thereof.  I am worried we are not compliant.  I often perform higher level coding to satisfy departmental needs.
Very nice work enviroment unless you have to deal with disgruntled or frustrated providers.
I am in Warren County PA and coding is a very difficult sell, but I am working on implementations.
I would like to see a discussion regarding the knowledge and decision making capabilities (by law) that a CPC and other creditialed coders possess.  I would like clarification how a CPC education and capabilities align with the Department of Labor/Federal Register description of exempt and nonexempt from overtime.  There are clear guidelines in the Federal Register.  The question is; Can and Do coders make coding decisions that impact the institution that they work for?  Do we coders perform a higher level of decision making?  Do coders simply educated themselves on the industry standards and apply them to the medical cases that they are presented with?  If I were to say that my auditing a chart, I am making discretionary decisions, or am I using the knowledge of the industry standards?  Aren't all discretionary decisions made by the medical professionals and we change thier words into neumeric codes for the insurance company to understand?  As a coder you feel prestige with your position, however are we not really "clerical in nature"?  This would be a great topic to address in the Coding Edge.  In my last two positions as a CPC, I have witnessed that the established coders "have been doing this for years and we are getting paid"  I fresh set of eyes, will pick up on "coding habits" that do not align with current-fresh and optimistic views for change.   I would like for Institutions such as hospitals to recognize CPCs as they would a RHIT.  In this setting we perform the same duties, however the benefits and wages are clearly non compatible.  My current employer has a list of "hard to fill" positions.  If your refer a new employee there is a $500 bonus, if the employee is still employeed after a period of time, the employee receives a bonus as well.  The position is titled "Certified Medical Record Coder", however when someone tries to claim the bonus, the denial of the bonus is "RHIT only"  An article for Coding Edge that address the differences/simularities between the two designations would be beneficial to someone that is gain recognition for the CPC.      Thank you for hearing my concerns.
We're a teaching institution and are usually short-staffed when it comes to coders.  It can be very hard to balance productivity with accuracy.  We don't have a good internal process for questions.  We have lots of knowledge here, but no group to send questions to, only one individual.  The wait time for an answer can be very long.
There needs to be more checking of accuracy for coding and auditing. We havent implemented that yet.
Last year I had to spend all out of pocket, this year there is a new system to assist with CEUs. There are 6 coders to over 100 billers a few of the billers, have done some coding and a few are certified. All coders have to be certified. I think our salary is very poor for the work we do and the level of accuracy that we provide.
My position and department are not "heads down" coders.  We are the revenue cycle department for a hospital network and handle the CDM and assure all necessary tools are in place for capturing coding/charging as accurately as possible.
We do mostly audit and some billable. We code charts for the Navy.
I just started with this Hospital Based Rural Health Clinic and am trying to implement and change a lot of the billing and coding process within the clinic.  I answered all the above questions as to what I see was happening in the clinic before I came here.
To be hired as a coder, experience is a must at the company I work for, otherwise they will not consider you for a coder position.
I spend a lot of time looking at charts because the provider forgets to put   ICD-9 code and CPT codes on encounter forms.
You asked the environment I worked in...which is payer but then the questions really were not interested in or geared towards coders that work anywhere BUT a practice environment, that's too bad you are not interested in us, the coders that work at the payer level.
I work  in Ob-Gyn and have a hard time keeping up with the charges for 18   Ob-gyn Physicians. As well as coding,we have to enter the charges also.  This is what is time consuming when someone uncertified could do so I could spend more of my time coding.
I provide education to 3 departments that I code the procedures from on how to enter the charges to capture our correct money and stay compliant.  I have had seminars in these departments and anserwed Tech questions on what to charge.  I have also had a hand in the helping to develop the charge tickets that are turned into the department for billing.
I work for a large health insurer . I also teach medical coding to adult learners. I believe a survey should include questions not related to a physician practice. I am responsible for professional provider reimbursement for all of WV and contiguous counties
I feel that Managers of coders should be certified in all aspects of coding.  o  They are not helpful if the coder has to train the manager or has no one to bounce issues or questions off of.    My boss is not a certified coder. He has a RHIA something like that
I work in a small business office with two other certified coders and a certified supervisor.  Our workload is heavy at times however my time is split between coding for reimbursement and auditing E&M visits.
I am employed by a HMO. I assist our claims department with coding issues, implement fee schedules, keep abreast of regulatory changes, ensure that new CPT, HCPCS, modifiers and ICD-9-CM codes are entered into the system and term the deleted codes each year. Assist our external provider representatives with coding issues and assist with provider education, assist the Medical Director with coding issues. Assist with creating and updating our Medical Payment Policies. Involved in a Claims Coding Workgroup that meets regularly with local hosipitals and payers to identify and find resolutions to billing and payment issues.
We have 200 plus MDs. They are all different.
I am the only coder for 4 doctors,they do some of their own coding but I always go over it to check that it is correct.
I work in Clinical Editing Disputes.  I review retrospective denials per provider office written request along with medical records.  I only review our coding software's (ClaimCheck by McKesson) denials.  I review all different specialties and when I am unsure if I should uphold a denial or to allow it separately, I ask one of my Medical Directors/contractor MDs.
Extremely important to outpatient billing and hospital based clinic billing.
I work for an orthopedic practice where the physicians do all the coding.  I have one physician who will bring me his surgery charges to code.  Most of our physicians have been in practice for over 10 years and since they continually do the same procedures, they are pretty accurate on their coding.  The E/M coding for our practice varies by physician.  We have a compliance manager but she and our billing dept do not work together.  I really have no idea what she does.  Over all I think we code to a 85 - 90% accurate rate.
I work for a billing company of over 100 physicians.  They have a billing sheet with the most common codes and the PCP offices have a list of their most common used ICD-9 codes.  We as coders, review these sheets each year and update them with any new codes or corrections.  Our hospital based physicians do their own coding but some of them don't get billing to the 4th or 5th digit, then the coders are expected to correct these.  We also keep our physicians updated on any changes or documentation requirements needed from them.
I believe my job/role in my career is an important one.   Although I do not feel I am treated as though my role is as important as it really is I still strive to be as accuarate and productive as possible.
We are very micro-managed in my office, and unfortunately my manager is not certified in coding, nor does she know anything about CPT at all. It is assumed by management that the physicians should automatically know their CPT coding, therefore we as coders are heard last, not first, much of the time, even though we correct much of the physician coding. I would like to have a more positive influential role in coding in my office; however no one wants to "give up the reins", therefore coding tends to be a stagnant field in my office. Outside educational opportunities are all but banned; definitely not encouraged.
We don't get much appreciation for our work, and the demands to code more charts faster are discouraging when we're doing the best we can
I do not think I use my knowledge of coding as much as I could. I would love a job that I could do that at. Our physicians are pretty well informed when it comes to coding and that makes my job a lot easier. But their surgeries are what I watch mostly.
I am a billing department manager.  I can appreciate a certified coder because I am one, but what I look for in an employee is someone who understands the entire revenue cycle.  When hiring, an experience biller is important, one being certified is an added plus or perhaps one that is considering certification because surgical coding would be another task that they could perform once they show that they understand the process of coding from an operative note.  If one is willing to learn coding on the job then obtaining their certification would be an asset.  I do not approve of becoming a certified coder to learn to code.  I think certification should verify what you already do is being done correctly, but that opinion comes from being in this business for many years and working my up from an insurance clerk to a coder, a process started due to the natural progression of coding being required for insurance pre-authorizations.  That's how I began to learn coding.  As as aside, the Project Xtern program is great, and when I re-sign up for that program  my plan is to have who ever I acquire start working with denied claims, working the EOBs; understanding coding goes a long way with that task.
Some providers easier to work with and accept direction better than others. Our newest physician's friends told him how lucky he is to go to a practice where coders select all inpt and op coding all doctors pick is E/M CPT code levels for office services. Coders do the rest. More problems with software lately, since NPI changes. Hope that is better soon. 
My job is to educate students in the rules, regulations, and coding policies. I encourage each student to explore the changes in our industry to keep current.  I also work with externship placement and doctor's offices. There is opportunity available here to help educate the physician in policy changes and regulation requirements. Most offices are encouraged by the level of understanding the students have and I have heard the students sharing their knowlege with their extern sites.
We wish we could have many clients for Coding.
The billing company I work for has a large variety of specialties and facilities.  We are expected to know it all.  It can be very frustrating and stressful.
I have worked as instructor- the university had tried without success to have formal training for the residency program (incorporated) while I was there the physician's did do some rotations with me and attended seminars I had presented - SAD the buisness end  was seperate from the university - They seperated the coders from the physcians that was after I had left.     I now work as an auditor - HCC Risk Management - I was really surprised to see how much I did not know about Mmedicare compliance rules regarding some of the documentation requirements.  Physicians are always eager to improve - but at the same time are scared of any type of audit.
We are an extremely large physician practice based out of a large hospital and many external offices.  We do the coding for the outpatient and inpatient services that are provided as well as the billing for the facility services.
We have just opened and I have not yet started doing any coding and have not yet worked with any of the physicians.
I have realized that the definition for coder, coding, biller and billing are interpreted very differently.  Duties can vary from extracting codes, to data entry of charges or payments.
I code all emergency room records and outpatient charts. In addition I am the Medicare compliance coder, obtaining  ABNs when necessary.
I work for a large billing entity responsible for 90% of the hospital based teaching hospital physicians who the physicians are in short forced to use. The billing entity's goal seems to have changed from practice management/physician billing support to revenue cycle services only: to automate coding such that the coding burdon is on the physian with a % of QA performed to increase productivity profit margin/reduce the coding workforce/cost - but the physicians are not directly aware of the change in the level of service, responsibility and liability.
I recently moved to a smaller hospital environment where I am responsible for more of the financial aspects of further education.  However, there are other benefits and more freedoms.  I can learn whatever I wish to learn in any area I'm interested in.  This is much more important to me.
Having 28 total clinicians and an audit program that requires baseline and biannual audits, along with credentialing with the payors presents challenges of managing time and resourses.  Finding time for continuing education, not to mention the financial burden of such when working for an hourly wage for a community health clinic is also a great concern.
I work for a hospital that has purchased numerous local practices. The Physician Services Coders are housed together in an area where each coder has a cubicle. While the cubicles could be a little larger, the environment is bright and airy. Noise is sometimes a problem but rarely causes an intrusion or distraction. Temperature is fairly well controlled. Depending on practice size and average patient load, coders have from 2 to 3 practices each (upwards of 8 to 10 providers).  Dx codes are assigned by the coders based on the dictation. Each coder has access to computer-based CPT, ICD-9 data (some prefer to use books), and the transcribed notes of a visit. EMR is being introduced. Coders must visit each of their assigned practices 2-4 times per year. More often if needed or if the providers request a visit. After each outside independent audit, the practice's assigned coder must visit the practice to debrief the providers on the results of the audit (2 per year). The work schedule is somewhat flexible - as long as you do your 40 hours, you can come and go as you see fit. 
I am the only coder in my office. I code claims, review charts, enter charges, bill insurance, post payments, collect money from patients and insurance companies, appeal all denied charges when applicable, and also do a lot of W/C approvals for specialists and referrals.  And if I have time then I get to try to earn CEUs and review coding changes. 
My job is to make sure that everything that is billed to the insurance company is documented,correct coding,I do the billing , dowload reports from the clearing house to make sure all claims went through, i work with denials,which few of them are coding errors, most of the time these are billing errors( incorrect ID numbers, policy terminated). I send medical records when requested. We have self pay patients,therefore I do the adjustments for any discount given by the doctor.I send statements to the patients. I deal with credentialing and sometimes I help with the front desk.
Proper coding is the key to compliance and with compliance you will see higher reimbursement and fewer denials. Extensive knowlege of correct coding in my practice helps me correct any coding problems and help my physicians achieve their goals.
I work closely with the doctors.  I'm in charge of creating spreadhsheets and tracking E/M codes used by providers to insure accuracy.
This is my first year to be a CPC...  Our office expects the billing department to correct all billing mistakes, from coding to the improper loading of ins, we do often need to look up progess notes for missing ICD-9 and CPT codes and provide on the minute coding changes and correct coding advise,  Some of our providers only want to treat patients and leaving the billing to someone else.  We have direct interaction with all employees from front checkin and checkout staff, to MA and nurse regarding loading ins, coding services correctly, frequency, provider specific scheduling (non-physician providers, and compliance of contracts and care given to our pt's.  Even though we work with an encounter form with frequent ICD-9 and CPT codes performed and treated in our office 15-20% are incomplete or total left empty daily.  Billing and coding positions should not be filled in any practice with some just wanting to earn a paycheck as this position requires ongoing training and education that requires motivation, dedication and above all else accuracy.
I am the billing manager for the practice.  We have an electronic medical record system that is linked to the practice management system.  The doctors have worked very hard towards there goal of being able to code there own charges and improve the quality of the documentation.  My job is to audit there work while creating the claims and monitor the accounts receivable and follow with claim rejects.  I also keep up to date with the payors update and changes as well as maintaining an ongoing fee schedule for each payor.  I have to say that my recent experience of changing from paper charts to electronic charts has been a demanding one.  Depending on the system that is being used, it can be very easy for the doctors and/or nurses to enter incorrect information and it not be detected.  It is very important to also audit this as well as the coding accuracy.
I am a Manager of Health Information Management for a Home Health Agency.  I have two coders under me, and about to hire another one.
I am the only coder in a group practice which has never had a coder before.  I get some push back from some of the physicians because they do not see the need for an on staff professional coder.
Our office is a multi-physician clinic with lab/radiology/nuclear med/ultrasound/IV therapy. We are two coders who process everything doing minimal 50 thousand a day! we have constant interaction from the patients because we collect money also! we use to make all follow-up appts and had review help for billing claims from our supervisor. Who doesnt see guidelines the same way we do. we have made the office more money because of our knowledge and how to effectively bill. we are beginning to treated like we really know what we are doing. We have worked here eight years coding! Our doctor's listen to us it is management that seems to not comprehend at times.
I work for a large Cardiology group, 17 doctors.  I'm the only CPC coder for both hospital and office charges. We have a girl in billing that has some knowledge of coding, but most of the coding is left to me.  I'm salaried and for 45 - 50 hours a week.
My position is administrative; I also have accounting duties; I no longer supervising our coding department, but I maintain my credentials because I assist with insurance appeals and assist the coding department when needed.  I also serve as a mentor to our new coding supervisor.  Our current administrator is extremely supportive of our coders and has helped foster a sense of trust between them and our physicians.  I feel that administrative support is essential to successful physician relations.   Our practice is multi-specialty; our coders review encounter forms before billing is done, with the exception of 3 specialty offices.
I work for a Navy Medical Center so insurance filing and EOBs are treated   differently than in civilian practices.  Also, the software the practice uses   generally applies the E&M codes.
I also do the surgical pre-authorizations for Blue Cross and Blue Shield
The coding work is from a clinical laboratory perspective. We perform many internal billing, compliance coding audits within our organization. I am interested in every aspect of coding although I do not have an direct opportunity to utilize these skills.
I am unable to fully accomplish correctly every week the amount of work that is necessary for this job. I am in charge of coding, billing, etc etc for four doctors and have staff that is not trained, except by me when I am privy to the problem.  Doctor is unwilling to hire trained personnel, as he does not feel that that is necessary if one or two of us can train the rest.  It would be wonderful if every employee had to be trained to a certain level in coding and billing requirements before they can be employed in a a medical practice by law. Until then, the physicians income will be suffering in the long run, and by then it will be too late.
My work relationships are a bit different from the norm, because I am a health care fraud investigator, therefore most of these questions did not really apply.
I am a new certified coder  in the central business office and I review other coder's work to determine correctness on accounts that are hitting billing edits or denials.  I am often asked to code interventional radiology procedures and cardiac catheterization procedures but my employer does not want to pay for education to train me in these areas.
With the decrease in reimbursement & the increase in patient load, our budget does not enable us to have enough staff to cover PTO time. Therefore, many are multi-taskers and must leave their tasks to pile up in order to cover another position as staff is needed. This makes working in the medical industry increasingly more difficult, burdensome and tiring. Thus, I feel that valued employees reach burn out much sooner & therefore create additional staffing needs regularly. The insurance CO's and government need to quit making add'l work in this industry as eventually, there will not be the great health care we take for granted now.  Leave medical up to medical professionals & get political government hinderances out of the way as well as non educated insurance Co. employees who govern our patient care. What is this world coming to?  Put the patient's best interest back into the forefront of medical treatment!
I currently do coding and data entry. We have only three clinics completely on eletronic health records, staff and providers look to me for solutions with electronic health records since our CAC left for antoher job people are constatnly needing my help. We currently are working without current CPT, ICD-9 or HCPCS books and rely on 3M coding system for our codes. We have no time to attend any trainings that offer CEUs or, if allowed to go, can only go to events that are free. We are lacking people in our office, we are currently six weeks behind in entering.  
Managers keeps the staff updated on coding changes and updates within our regional billing office on a regular basis also with testing and discussions.
Since I work for an independent coding company we only have a retired physician on our staff so there really is not a relationship such as an medical office staff
I have the responsibility for multiple surgical specialities and don't find experienced coders able to meet expectations.  Most coders that are certified can't apply what they have learned.  I have a hard time retaining coders, they are in such demand. My employer is supportive and supplies resouces, I just don't find people that have strong work ethics, they want to work from home without demonstrating the ability to understand complex cases or how to research them.
I am fortunate to own my own consulting company that offers education to small physician practices.  I visit many offices and do all my administrative work from my home.  It is a fulfilling position and the fact that I am certified earns me a great deal of respect.
I work in a specialty practice.  Our doctors will either send a code up on our encounter forms or write the diagnosis for us to code.  We do not code from their patient notes.
I work for a group of pathologists, one of the physicians is trained in CPT-4 coding and reviews the other providers use of CPT codes.  I mainly do the ICD-9 coding.
We have purchased the Intelicode software for auditing, and are currently training physicians to better understand the CPT documentation guidelines.  The "cheat sheets" used by our Emergency Department physicians is updated regularly with many options available, not just the ones they use most often.
We work with an electronic healthcare record so the providers are required to initially code the encounters.  However, we also have CCE Coding Compliance Editor and our coders and myself(auditor) then review and make any necessary changes to the codes and send a report back to the providers notifying them of changes along with training and education notes.  I audit all third party claims prior to submission and we experienced a 165% increase in reimbursement following the first year of implementation of this new process.
I code radiology and am not quite sure what the physician coders tasks are.
I am a Fraud & Abuse analyst for a fiscal agent.  I conduct retrospective reviews for cost containment or identify potential fraud cases with recovery potential. I meet with the state OIG/PI department on a weekly basis and work closely with the attorney general's office on active fraud cases (that I have identified).
I have been very fortunate to have the support of a Manager who believes that certified coders are essential to the Revenue Cycle Management operations of the University.  Unfortunately that is not the attitude across the board.
We have a five day bill drop, so 3 coders are always under pressure to get 120 patients a day coded for the facility; while we make sure the MD's documentation is complete, so the chart can be coded.  If they are not complete then we will code them when they are.
We do a lot of work that really has nothing to do with coding, we enter recalls, scan consents and insurance cards, obtain referring physician info to include NPIs, UPINs etc, register patients that have had offsite testing, precertifications for testing.  This leaves us little time to keep up on the latest rules and regulations that effect our speciality of cardiology.
I manage a group of 4 hospital coders and 5 physician coders all of whom are either cpc,ccs or rhit. with the assistance of the 2 compliance coordinators we provide reviews and education for all providers on EM and DRG coding. Physicians are responsible and expected to understand EM leveling and mark their service records appropriately. The coders review their documentation, EM codes and assign the diagnosis code (we took the ICD9 codes off the charge ticket) or they select from a pick list when ordering their tests online. Some physicians are good at it, some don't like to be told and some appreciate greatly :) some of the questions I found hard to apply just a an agree or disagree so that's why I added some further explanation
My office does not stress the importance of being certified in order to perform my duties. I also do medical records duties such as filing, requesting medical records and making patient charts.   I would prefer to do more coding.
Some "agree" checked boxes would be better reflected in a "somewhat agree" check box.
I am the office manager, and coder of a family practice.  We have one doctor and over 6,000 patients.  Not only is reimbursement important but a lot of solo practices have to have there money in a timely manner.  I have to handle all insurance claims, coding of all encounters, collection accounts, plus all the billing.  That doesn't even begin to include office manager duties.
Since I code for multiple ASCs from Op notes in my job, answers to these questions are quite difficult. We don't have actual communication with the physician's whose op notes we code.
In my line of work we have to understand all areas of coding and not just focus on one specialty...we configure and map software for our company, so that when a provider sends claim in the system will know how to process the claims.
We are a hospital based physician network and the hardest thing to educate is consultations.  Our specialists think that all patient encounters are consults and we have a real struggle in convincing them otherwise.  We use the criteria provided by Medicare but to no avail.  I think more information on how to convince doctors that not all visits are consults would be very beneficial.
It has been a wonderful experience to be a coder in the facility where I am employed.  There is a lot of support for education and a full library to get information on coding issues, also have 2 educators in our area.  It has also been challenging in many ways.
I am the manager of a data quality department in an organization that has just rolled out the electronic health record. Physicians code their encounters, and our staff audits their work. We regularly meet with physicians regarding their documentation. We also train physicians individually and in groups.
I'm like a coder on loan to a hospital-based OB Clinic.  I help the HIM dept at times assigning outpatient ancillary ICD9 codes.  Otherwise, I'm more of a data entry person.  Although, I am responsible to update the charge tickets & chargemaster for the clinic.
The office has one physician and one NPP.  One manager/coder
we are multispecialty w/ 9 certified coders to assist and educate coding for 180+ physicians and extenders. We assures coding compliane through concurrent audits of documentation and coding work files - which the workfiles compile to our dept from different departments - reimbursement/patient accts/insurance/and credit dept. with questions they may have.  We work with administration and QA as needed. We have several coding resourses available to us.  Coding is built-in as part of the orientation for new employees. We create flow sheets to assist physicians and staff members. - These are a few things we do. We are salaried employees and appreciate the fact that our clinic recognizes the importance correct coding coding department. We are not front end coders. We educate the Drs. and nursing staff on correct coding.
Working for a payor,  but we must be more rounded and informed than the average coder, because we audit all physician specialties.
Providers do not always listen to what we find out at seminars and through our continuing education. They want everything in writing and will not go with us to these seminars to find out the pros and cons for coding. So we are changing codes because of their not knowing what can or canot be done. 
Coding for 7 different specialties sometimes makes me feel like Jack of all trades Master of none.  Its difficult and stressful some days, especailly around the 15th and last day of the month.
Question 2 did not allow the answers for each question, hence the last 2 were the only ones that stayed answered.
Our doctors and PAs select the E/M levels and the CPT codes.  There are 3 coders and we are all certified.  However, 2 of us, myself included, are not allowed to apply E/Ms in case a doctor forgot to mark it nor can we make any changes. Only the senior coder can do that.  We have yet to finish formal training on the E/Ms. I do not have any direct contact with the doctors. The irony of it all, is that while the doctors apply the E/Ms and I am not allowed to I have been told that in the end any coding done (accuracy etc.) lies on the shoulders of the coder!  This really puts me in a bind.  Who knows how many charges have gone out the door without the right E/M levels?  We spend our time reviewing the charts, checking to see if the procedure code is correct and changing the procedure codes if they are incorrect.  Then we transfer that information onto another paper.  The documentation at times is poor to begin with.  It's almost like doing double the work all the way around.  Also, the medical director has made decisions that I'm not comfortable with as far as coding goes but our operations director says we have to follow them.  
One cannot answer the questions 2 & 6 as only one check is allowed in each column byt the question/answer screen, if i put a check in the same column when answering a diferent section of the respective question the screen removes my check from the previous part of the question, it NEEDS correcting!!!!
I truly feel blessed to be in the office environment that I am in. I have support for learning everything I can about coding/compliance issues. My providers are truly happy that someone is looking out for their best interests.
I could not complete the survey , when I mark the boxes the upper marks get deleted
100% of my job is payment reimbursement.
I was not able to answer all the questions. I checked an answer and the system erased it when I went on to the next question. Very informative survey.
 Are you asking when it is done by the surgeon/physician or when it is done by the coding staff?
WOULD LOVE TO SHARE ANY ADDITONAL FEEDBACK KCOLLINS@ACTIONMAS.COM
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Many of the N/A answers above were answered as such because the answer is "I do not know."
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Second time I have been asked to complete within 2 weeks.
have lots of problem with the audio conf (lisa France)
I am the Business Manager for the practice.  Our front desk enters office visits. I code all surgery.  In your percentage of work, you have left out the accounting, bill paying, taxes etc. other services performed by a small practice Business Manager
I enjoy working in the health care field especially coding and I love the environment that I work in and hope that I am doing this for many years to come
My work environment is fantastic. Everyone works together and is open to questions and suggestions.  Wonderful caring environment.  I love my job.
Currently, I work as a Medical Record Analyst, and job security is rather shaky at the moment.  Many of those above statements, do not apply.  We're currently between managers and in our current department does not code, except what is written in our protocols.  Projects change at a moments notice, since grant money may be shorten or cut off.
I work with Resident and our program feels very strongly that each doctor upon graduation will know how to use CPT/ICD9 and HCPCS books and available information to correctly code their visit to the correct level for valid/compliant reimbursement.
I work in Oncology Facility that has a total of 6 Oncologist and 6 Radiologist. I only do the coding of professional and chemo services peformed by the Oncologist. One of my oncologist is a Gyn/Onc and is on the Coding Committe of the ACOG and when it comes to coding his surgeries usually he is right on but there are things that occasionally he tries to include that are bundled, and i will have to remind him. My Hematologist/Oncologist knows his ICD fairly well but I feel that he always overcodes his OV's and when I have discussed this with him states he feels that the reason for the visit automatically throws into a higher level. I have never been able to convince him otherwise.
I have worked in the billing office here for eight years, taking the exam for certified professional coder two years ago. It took a while for the medical director to come around and see errors in the way he coded, but after the initial quarterly exam, I guess seeing the same problems again and again, he finally came around. Sometimes it takes persistance working with providers. They aren't perfect, but make sure you have documentation to prove everything you tell them. If you say they are undercoding, be able to show them why and how from which chart, date of service, down to the specific detail, if possible.
I am also the surgical coordinator and more than half of my time is spent on the surgical aspect of the job.
I act as office manager, coder and biller for small one man practice.
I work with several different specialties in a very large medical group and "most" of my providers welcome the input and trust the judgement of their Coders/Reviewers but there are a few that disagree and can make it rough.
My job title in this office is Billing Manager/Office Manager.  We have a one doctor, busy OBGYN/Urology office and Surgical Center.  We bill HCFA 1500, as well as UB92 claims for the surgical center.  I am solely responsible for insurance billing, EOB posting, collections, statements and guarantor payments.  I am in charge of Operative Reports, Pathology reports as well as office and surgical CPT coding, ICD-9 coding and HCPCS.  The doctor does help by checking a super bill list of E/M, CPT and ICD-9 codes but does not accurately choose codes.  He believes that he can choose codes to "rule out" instead of billing symptoms.  My responsibilities also include daily, monthly and yearly reports, lab audits, appeals and continuous monitoring of outstanding insurance claims and medical record correspondences.    It is very rare that I can tell the doctor that he is wrong about something.  He thinks he knows everything!  He will argue over every detail so I just do what I need to do to make sure everything is coded correctly and he doesn't really check up on me.  I am the only coder in his office and I am the only certified professional in his office.  He has one Medical assistant but no RN.     I pay for 50% of my insurance.  I can not add my husband or family to my policy, no 401K, no dental and I have to work with his wife and him both giving contradicting orders.   I need a new job!!!
I work in a small facility. I work as the transcriptionist, coder and part-time pharmacy technician. It is a lot of work and I am often behind because I have too many responsibilties.
I am a CPC, Office Manager, the only person who posts payments and file insurance. I also answer phones for appts., refills, questions for our doctor and N.P. and for billing questions.  We are a small office.
I work in a small office that is contracted with CMS to investigate fraud issues related to hospitals and physicians.