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Extreme Scenarios

  1. #1
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    Woodland Hills (Los Angeles), California
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    Cool Extreme Scenarios
    Medical Coding Books
    When you first started working as a beginner coder, did you have extreme scenarios to code? How did you do it? Did someone train you?

    I have coding books with rationales that I review several times a week, and the cases are so extreme that I don’t come near to coding them correctly. They exceed the ones we learned in school. We learned coding for the foundation of every specialty. They are so advanced. This coding business is infinite! I thought taking a year of coding alone was enough. All I can say is: "Welcome to the real world."

    I appreciate your input.
    Last edited by Sonjagirl; 09-21-2008 at 12:22 AM.

  2. #2
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    Wink
    More comments are welcome . . .
    Last edited by Sonjagirl; 09-24-2008 at 09:27 PM.

  3. #3
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    North Carolina
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    Default
    When I began Neurosurgery, one of my first cases was a gun shot wound victim. She received a GSW to the head. Parts of the skull were removed and subcutaneous pockets were created in her abdomen. The skull fragments were placed in her abdomen. I had to code the skull procedure as well as the abdomen procedure....talk about stressful!

  4. Default
    I never had to code extreme scenarios except for in some pre-employment tests. I opted to stay in the auditing of medical claims. It was what I new and enjoyed.
    Kelly Long CPC, CFE
    Manager Audit and Compliance

  5. #5
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    Sonjagirl I can only tell you again "welcome to the real world".

    I have been mentoring someone (for the past two years) that went to school for coding. We hired her when she was an intern from college. She just took the CPC exam to lose the dreadful "A" and successfully passed

    I can also tell you that I have been coding for close to 20 years now and every week I come across something that presents me with a challenge. I code for multispecialities which is great because I also learn something new every day (well almost everyday). But thats what I enjoy the most..the challenge and learning

    Good Luck in the coding world.

  6. #6
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    Woodland Hills (Los Angeles), California
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    Red face
    Quote Originally Posted by rebeccawoodward View Post
    When I began Neurosurgery, one of my first cases was a gun shot wound victim. She received a GSW to the head. Parts of the skull were removed and subcutaneous pockets were created in her abdomen. The skull fragments were placed in her abdomen. I had to code the skull procedure as well as the abdomen procedure....talk about stressful!
    Did you get the scenario coded correctly?

    I guess I shouldn’t get overly concerned. The extreme scenarios in The Extra Step book just made me think, and I’m not even certified yet. I have a positive attitude, though. Thanks for your response.
    Last edited by Sonjagirl; 10-01-2008 at 12:29 AM.

  7. #7
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    Quote Originally Posted by mbort View Post
    Sonjagirl I can only tell you again "welcome to the real world".

    I have been mentoring someone (for the past two years) that went to school for coding. We hired her when she was an intern from college. She just took the CPC exam to lose the dreadful "A" and successfully passed

    I can also tell you that I have been coding for close to 20 years now and every week I come across something that presents me with a challenge. I code for multispecialities which is great because I also learn something new every day (well almost everyday). But thats what I enjoy the most..the challenge and learning

    Good Luck in the coding world.
    Coding for many specialties seems really interesting. I feel that's what we did in school. I eventually want to get into inpatient coding. I heard these coders code for many specialties, too.

    I wish I had of gotten into this field almost 20 years ago, but I was working a lot of overtime and couldn't go to school.

    Thanks for your response.

  8. #8
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    Quote Originally Posted by Sonjagirl View Post
    Did you get the scenario coded correctly?

    I guess I shouldn't get overly concerned. The extreme scenarios in The Extra Step book just made me think, and I'm not even certified yet. I have a positive attitude, though. Thanks for your response.
    I did...however, I did seek the help from other neurosurgery coders as a "double check". The final "thumbs up" came from the actual surgeon. It is essential that you keep the lines of communication open with your physicians.

  9. #9
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    Woodland Hills (Los Angeles), California
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    Smile
    Rebeccawoodward:

    Yes, communication is definitely a key.
    Last edited by Sonjagirl; 10-04-2008 at 12:51 AM.

  10. #10
    Location
    Woodland Hills (Los Angeles), California
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    Quote Originally Posted by KellyCPC/CFE View Post
    I never had to code extreme scenarios except for in some pre-employment tests. I opted to stay in the auditing of medical claims. It was what I new and enjoyed.
    That's good. So where did you take your auditing classes? I think AAPC may have some leads.

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