My question that I ask you is "What do you want to do". Where does your passion lie... do you want to be a biller/chart analyst or an auditor. It all depends on you weather or not what would be a "good next step".
What is your goal? We all have differant paths we want to follow and how we choose to get there.
For me personally I started as a business office clerk, then went to billing DME then went to collections then to biller, I decided after about 5 years of billing that I wanted to be a certified coder to see what doors that opened up for me. I continued to work for an Internal Med practice 3 in the capacity of a biller which was ok, then I thought I want to "be a coder" when I say that it is that I had the "mentality" that a coder was a "production coder" coding from op notes and after applying for every "production coder" position and not getting those jobs I sat back and reflected that I don't need to be a "production coder" coding from op notes to be classified as a coder.
I finally left my IM practice and went to a Family Practice/Peds office being a billing manager and I am quite happy with my choice, I do coding of small procedures they do in the office mostly the 10000 series of codes and I am happy with that.
So I guess my answer to your question is still "Where does your passion lie".
Hopefully you will figure it out and it will come to you eventually. It took me almost 4 years to realize where I wanted to be and I am happy with my decision.
Best of luck to you.
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