The Work of a Coder: Survey Comments

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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 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.

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