Too, we must recognize that "schools" are not wholly responsible for the impression students are given. While I've heard radio ads that tell folks, "you can become a medical coder in as little as 9 months," our students are cautioned that is not always the case. We recognize that continued education and experience are required in order to become masters of our profession.
Employability is available to those who are flexible and adaptive in their job searches. Recruiters and advisors at schools might indicate to students that gaining a job in the field is easier than is realistic. However, instructors, professors and preceptors should clarify. I do not know how many do, but can attest that not only do I explain to my students how to realistically approach the job search, I also demonstrate this to them. We pull up local job search engines and review the jobs available which align to their skill sets, without a job title of "coder" or "biller". Usually they are amazed that so many jobs are available to them on an entry level.
Schools have an obligation to educate, according to the chosen field of study. They, too, have an obligation to support success in students. However, students must research their field and strive to understand the nuances and qualifications for that field. Listening to others without researching is short-sighted.
When I decided to pursue coding as a profession, every effort was made to gain information from sources like AAPC and professionals already in the field. Without it, I'd have unintentionally limited myself by not fully understanding this field. Critical conversations are necessary with our new members, with apprentice and novice coders, as well as students.
Lastly, to those struggling to obtain employment, be ready and willing to accept entry level positions that support your career goal. In a capitolistic society, employment is not an entitlement. Responsibility for gaining employment lands with the applicant, not the school that educated a student, not with the professional associations and not with an employer.
Best of luck to all.
Kevin B. Shields, RHIT, CPCO, CCS, CPC, COC, CCS-P, CPC-P, CPC-I