If I understand your post correctly you are applying for a job coding for hospitalists (or some physician who has a lot of patient in hospital).
There really is no difference except the E&M codes you'll use.
Study the E&M section of CPT for Hospital Admission; Hospital Observation; Discharge Management; Inpatient Consultation; Emergency Room; and Critical Care (including Pediatric & NICU if you'll be involved in that).
There may be some procedures you don't usually see in an office - intubation, chest tubes, arterial or central lines. If you run into these, don't forget your -25 modifier on the E/M service.
Also, remember that for Xrays and such you'll be coding ONLY the professional compnent (the hospital will code the technical component).
Take a deep breath. You have experience. You have the CPC. You'll do fine.
F Tessa Bartels, CPC, CEMC
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