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The Work of a Coder: Survey Comments

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I have been working from Home for two  years and can get more done from home than working in an office with other distractions.

With the EMR I will again be working from home very soon! : )

My work environment is great!  My employer allows me to work at home.

I work exclusively from my home office via on-line capabilities.  It is only part-time and I am paid hourly.  However, for tax purposes, I am considered a part-time employee versus a contract employee. I work for only one practice. I have worked for this practice for seven years.  I have an excellent working relationship with the physician staff, practice manager and the billing staff. This is, in great part, due to the fact that I am a certified coder and I attempt to keep current with all coding/billing guidelines. I appreciate the AAPC in its efforts to make recertifing possible by offering additional ways and means of CEUs.  Since I do bear the responsibility of paying for my annual dues and I am not reimbursed for education, it could be a financial burden.  However, because of the available credits via Self-Testing in the Cutting Edge and the EdgeBlast, this makes obtaining CEUs more affordable while at the same time giving an added incentive for reading the WHOLE issue, rather than merely skimming over it.  Thank you again and again. 

As a coder, I would prefer to work in a quiet environment where I can concentrate, especially when coding op reports.  However, I sit in a cubicle with the office printer literally 6 inches from the back of my chair.  There are three others that share this office space, all with positions that require them to be on the phone continually.  Between my co-workers and the printer, silence is a rare commoditiy.  Our billing office is also short-staffed, so I find myself doing insurance verification and demographic entry in addition to data entry of office charges, hospital charges, and the rare opportunity to do A/R follow up.  I wish my employer would realize the benefits of allowing me to work remotely from home on occasion, even 4-5 hours per week.

I am a medical coding specialist. I am self employed. I work from home most of the time. 

Work environment is fine - coders here all have their own offices - we are suppled to current coding books and software.  We have requested to be allowed to work flex-time and work from home and those requests have been denied.

I work in office approximately 2 days per week.

I code just about 95% of the time.  The only other work I do is to email key people to make sure physician orders are present or to call the occasional physician office to see why the test I'm coding was performed if the diagnosis was left off of the order.  I'm an outpatient coder for a large hospital.  I work at home.

Love working from home,  I don't see or hear from MDs so my knowledge is limited in what they know.  I also do not deal with denial unless the billing dept needs a code reviewed (very seldom).

I enjoy my job. The physicians are open to discussions about coding and ask me about coding when they have questions. I'm also very thankful that I can work from home part of the time.

I am self employed as an independent contractor.  I work from my home about 20-25 hrs a week.  I do ER chart coding only.  I am paid per chart that I do.  Being fast is important to me, because that is how I can make the most money, but accuracy is important because if I score low on audits the company randomly perfoms, they would discontinue my contract.   The best part of my job is having more time with my young children, not driving an hour (one way) to work, and going out in the bad winter weather.    The worst part of my job is, of course, trying to read the Drs' writing. The more I see the writing the easier it is to make it out through being familiar with it.  I have some charts that are dictated and that definately makes it easier, but most are by hand and scanned on top of that which makes it hard to read.

My expertise is in the field of optometry and has been for 10 years. I work in a private 1 physician office as office manager, compliance officer, and insurance manager . I also oversee the insurance section of his other practice in a neighboring town. In addition to that I also am the insurance third party administrator for 4 other optometry practices under contract with their parent company. I am fortunate that I can work my insurance accounts at the main office that I work at, however, I do find myself working at home pretty regularly also. I love my job and the opportunity and variety it gives my to work with many people throughout my day. Whether it is working up a patient for doctor to see, dispensing optical product to patients, making an appointment, going over a statement with a patient, talking to one of my offices that needs help and support or working the insurance AR and talking to the many insurance companies of the day, it makes it all worth it for the patients and the doctors. I have a rare and exciting opportunity in the field of optometry and I love it.

I am responsible for coding all surgeries.  I also code inpatient stays when needed.  I strongly want to work from home, but that is not an option here, unfortunately.  I do work from home for an outside facility, coding all it's outpatient clinics, and I love it! My work environment is uncomfortable and far away from where I live and I've tried for a year to get the OK to work from home, but this VA is adamantly against it. I am checking into other VA facilities to see if I can transfer to one that enables coders to work from home.

Due to a change of jobs over a year ago my job title is Billing/Coding Coordinator.  Prior to this I worked as a senior coding specialist and preferred the focus of that job on coding.  I currently work for an Ob/Gyn group and have a good background in that specialty plus family practice, internal medicine and pediatrics. I worked as a billing manager in the past for several years and at this point in my life prefer to be focused more on coding and chart auditing.  My dream job would be to work at home on coding and auditing but it would have to be a job with benefits.

I work at home, but had previously worked in the office for this same employer.  I find the home environment much more fitting for this type of work. There are no distractions (telephones ringing, constant disruptions) and my productivity is higher.

I love working from home. I only wish they provided paid for our CEUs.

I enjoy working from home but there are times that I work well over the 40 hour week.  There are lags in the mail and even though we are required to turn charges around in 48 hours they definately take longer to get from physician office to billing office.  I do think that we should be paid overtime in certain situations especially when we are covering for another coder.

I code anesthesia and chronic pain from home.  My employer provides info for proper anesthesia coding.  My employer provides info for proper chronic pain coding, but does not make it easily available to this home coder.

Work from home all the time

I am a contract coder. I work from home with one client and in the office with the other. 

I love working from home - it is very beneficial for the employer as well as the employee.

I only do coding from home for anesthesia group, no other clerical duties.

I work mostly from the provider's office but only because I am the Office Manager too.  I desire a position where I can do coding and billing from my home and will continue to search for a position like this until I find one.  I have been in the medical field for around 22 years and been in most all positions from front desk to management and love coding and billing over all.

I am very fortunate in that I work from home three days a week and in the office two days a week.  However, I am the ONLY certified coder for 14 full time orthopaedic surgeons and feel very overwhelmed at times.  I also help when appeals for denied claims are related to coding.

I work for a very open group of physicians...they appreciate our feedback, and welcome any suggestions we may have. I worked from home for 5 years, but have now come back into the office environment due to a promotion...great people to work for!

I guess I have the best of both worlds; I code from home for a hospital  through my employer.  Since I work on the west coast schedule, up early and done  between noon and 1 pm each day.  This allows me to teach 2 nights a week at a  technical school on the east coast and schedule appointments that do not conflict with my work times.  Once you get used to the schedule, it works great.

I am a remote coder responsible for all CEU costs. I am also responsible for purchasing all updates for coding materials. As you know, this can get very costly, but well worth the expense!

I am a contracted coder and am paid per report.  I work from home, so I make the environment the way I want.  On the downside, I'm never away from work and feel like I need to work 7 days a week.  Otherwise, I love Radiology coding and working from home!

I primarily code surgical procedures for our orthopaedic surgeons.  Only one of them submits codes to me for his procedures, which is fine.  I query the others whenever something is unclear to me.  I would love to work from home but I think it would have to be for a practice that is totally on EMR so that I have access to records I would need.

I just became credentialed as a CPC-H and work in a hospital.  I also do an equal amount of Inpatient coding so I have to be proficiency in both ICD-9 and CPT. I am employed by a hospital but work from home.  It sometimes gets confusing switching back and forth between inpatient and outpatient coding.  I think it is more effecient to work from home because you do not get unneccesary interruptions.

I am the APC Coordinator for a large hospital and just recently started working from home through remote coding.  Our facility is now paperless which affords the coder the option of working from home.  My tasks involve chart audits and compliance and correcting all the edits.    I would love to see more information on APC.  Apparently there are not that many of us performing this function and I would be interested in knowing exactly what the rest of the people involved in APC functions do.  Thanks

My doctor is under a CIA therefore does not have a choice, he has to have a Certified Coder and someone that he trusts.  Each provider marks the charge ticket and I check each encounter with the chart documentation to make sure the code is supported. I choose to pay for my own CEUs because I don't want to be obligated to anyone.  If I asked him to I am sure he would pay for my expenses.  After working for him several years and because he is over 60 miles away he has allowed me to work one day a week in the office and the rest from home.  I code everything for the data entry person to enter the charges and file the insurance. The one day a week is for any problems that I have and meetings with the doctors.

As a coder located in an outpatient hospital based facility with so much of my work coded from dictated reports I would like the opportunity to have part of my work schedule be from home.  I enjoy and understand the importance of being available for my providers and would still be present a day of two of the week but working from home would be ideal.  As a coder located in a clinic sometimes the hustle and bustle of patients and staff gets a bit distracting.  Coders do a lot of reading and researching and sometimes the noise level is a little much.  I would like to see a push to give coders more opportunity to work from home.

I love the work that I do, I work for a billing company that has many clients from all over the US, with many different specialties. I am constantly learning about different states coding laws and about the different specialties. I also get paid for all of the overtime that I need, and I work from home one day a week, my overtime is at home.   Our company follows compliance issues, I turned in a physician for coding for subsequent hospital billing before the DOS and they supported me in the issue.

i do all my coding at home on the internet so a lot of these questions i cant answere.

I love the work I do I just wish I was allowed do work form home to fill the other 20 hours I have available

I work for a government contract for military facilities and they do not go for reimbursement but do have a computer program that they use to do thier coding and I audit what they did. The guidelines are not the same as the outside and this is very confusing and I feel harmful to a coder, I am trying to get away from this type of environment and back into the real world of coding but do want to continue to work from home!

i work from home and have 4 days to complete emergency room charts, I then forward the info to a data entry clerk. The 2 emergency rooms I have are very busy and I am responsible for the coding 350 out of 365 days a year. As you can imagine, the burnout rate is high.

Work from home and travel nationally on-site. Audit pre and post bill documentation.  Provide onsite physician and staff education.  Involved with coding,  auditing and education on Interventional Radiology and Cardiology procedures.

I work as a coder for a Medicare replacement payor.  As such I get to review charts in provider offices in 4 states and see a huge variety of coding skills.  It is rewarding to be able to help providers and hopefully give their staff correct coding info to raise their reimbursement.  I like having a "territory", the tools to do my job, and the trust of my employer to get it done in my own way from my home office.  It does involve a fair amount of overnight travel, but my husband is retired and comes along whenever it will work.  I don't think I can ever go back to working in an office --- especially if it has cubes!

Contract coding eliminates all the office drama, which makes me more productive.  I enjoy working solo

Do you have a list of companies that allow you to work from home? I am interested in doing something like this in the near future. 

I work at home as an independant coding consultant.  I love the flexibility and am thrilled that there are more remote jobs available these days.  I believe that working solo has allowed me to become a better coder - gives me the freedom to research my questions while setting my own productivity.  And there are no interruptions from phones or other office activities (like gossip!).  Hopefully more employers will realize that the coding function does not need to happen on-site.

I am a member of AAPC and hold a CPC.  I do mostly billing out of my home for 4 part time Drs.  They mostly do their own coding, (E & M), but occasionally ask me to code a report for them.  I pay for all of my books, CEUs, etc.  I am a one person office.  I get paid hourly and by a collection %

We have 4 office staff in our office, so when one is out, we try to cover as a team for that person.  I am the only certified coder in the office and I also instigate contract re-negotiations, handle the details, and review the information with the dr before he signs the contract.   I hope to be working from home two days a week in the next 2 months.

I work for an insurance company full-time from my home.  My primary role it to audit provider medical records for billing accuracy and provide necessary training and/or education as necessary.

I consult from my home office for hospitals nation wide in all disciplines of coding.  I never know what type of work I will receive from day to day and have to scramble at times to learn a new area of coding that I am not at all familiar with. The good part is I am continuously learning, just at a much faster pace than preferred.

I am extremely lucky to be able to use my coding skills to work in my home.

We have an electronic medical record which enables us to code from home 3 days a week which is great!     We code everything at the VA Hospital, that includes professional fees, facility fees, E&M, surgeries, just about everything in CPT! A difficult job to learn but the coding experience you gain is quite extensive.

I feel that more companies should offer benefits, continued training and reimbursement for remote coders and also encourage remote coders for those parents who need to work from home.

I work in a Veteran's Administration Hospital, in the Patient Financial services Department.  I code for 7 hospitals and countless outpatient clinics.  Many of the questions asked here are difficult for me to answer because I'm completely separated from the clinics and physicians.  My supervisor and our 4 coding Auditors sometimes travel to the various facilities in order to share information with the providers with the hope of making everyone's job easier and more consistent.  I code everything, except inpatient, so 'expertise' is more like i'm constantly learning how to code whatever I come across: cardiac caths, EMGs, fractures, any outpatient procedure, or ER visit that doesn't result in admission.  Oh, and I would give my teeth to code from home!!  I havn't been able to convince the powers that be of the wisdom in offering that option.  I given them articles and I bring up the subject whenever I can but so far I'm getting brushed aside on that issue.  Thanks.

I feel that in my office some people are overworked.  It is very stressful.  But I am just thankful to have a job.  I would like to work from home full time.

We have 2 coders in our office.  Coding is done at home after office hours as a separate job.

I'm able to work from my home so that my hours are flexible.  I do feel that the cost of CEUs are very high and I research ways to find more affordable ways to obtain them.  More CEUs are required to stay certified as a coder than I am required for my Registered Nursing liscensure.

We are now coding from home full time which is great thus making a good feel for coding in general.

I am an independent contractor for a billing/coding company.  I trained as an employee coding er charts for about 5 months (with a 1 hr drive each way!) and have been working out of my home for about 1 month.  I really like working from home since I have small children.  It is hard being my own manager, but everything is falling into place.  Currently, I only do ER coding.  My hours average about 20 hrs a week.

Working from Home is an area we as full time employees are persuing. We do contract with workers from home.    A few CPC-As have had trouble passing the CPC exam. Passing one section one time and then not the next. Test is too stringent, once you pass an area once or twice, you should not have to test again. Stigma, stress, questions from co workers enter into the nervousness.

I work as a contracted consultant to a 38 provider (4 mid-levels, 33 MD/DO) ED group. I have remote access to the electronic medical records sysytem and can perform 95% of my job from home. Our coding and billing is performed by an out of state company and almost everything is sent electronically Hard copy of charts duplicates are sent to the company daily and kept on file for coding and refernce at their site.   My responsibilities include, oversite of the coding process and issues, monthly compliance coding audits, documentation updates and provider education, review monthly coding reports, and monitor complaince policy

I'm a salaried employed in an entirely different business. I got my CPC after taking a year long course for coding billing and transcription. I'm doing part time transcription from home in addition to my full time job. I'm looking to get into the industry but finding it extremely difficult without experience.

We are currently transitioning from paper charts to online and it is a slow process.   Pay is OK.   Benefits are not good.  Love working from home.

It's actually a very good work environment here for a coder.  Our manager encourages questions and discussion.  Additional resources are made available to us if we have a need.

I work out of my home on my own, so a lot of the employment questions were difficult to answer based on this.  I prefer to work out of my home because 1) it is a quiet environment without distractions (other personell, telephones and most of my work is done while the kids are in school), 2) it allows me the flexibility that I need as a single mom with 2 children and last I can focus strictly on coding and not having to answer questions from other people, again less distraction which in opinion as a coder is very critical.

I am a certified coder CPC-H for an ASC in another state.  I have worked from my home as an independent contractor providing strictly coding services for an ASC across the country for the past seven years.  Prior to that, I worked for an ASC in my community for 19 years as business office mgr/related duties.  Since I am an independent contractor, I pay for all books, CEUs, computer, office equipment etc.

I enoy working from home. Emergency is my speciality. The flexability is wonderful. I get paid a hourly salary for vacation and sick and holiday time and I am also paid per piece.

I am self-employed, however, I do work with a company designed for at home coders.  In the questions above, when "practice" is mentioned I am referring to my host company.

My management would like to do more software, books, etc, but the funds are being used for updating hardware and physical needs.  Working at home is in a testing phase right now.

I am very fortunate that I am able to remote from home.  In my opinion this a great thing because I am able to be more productive with fewer interuptions.

I work from home auditing and/or coding for a VA facility.

I love working from home and enjoying time with my daughter. Being a Medicare Coding Specialist and working from home is a dream come true!

I love my job and love that I work full time from home. My pay is fair, however, while my company states they pay for maintain my credential and CEUs in reality they deny every request stating that most conferences etc are not geared for workers compensation. Our coders are forced to pay out of pocket for everything, except for CPT, ICD-9 and HCPCS manuals, which are provided. We have no compliance plan and the providers are required to code but have no accountability for errors or non-compliance.

I am blessed to be able to work from home.  My husband says I work a lot more hours than when I worked at the office.  My employer knows that I will give at the very least 8 hrs work for 8 hrs pay.  It boosts my confidence to know that my employer trusts me to work from home.  My coworkers and my director converse by phone or e-mail several times a day and I go into the office for required meetings with the physicians or when we have other important meetings.  My answers above regarding our providers (the physicians that we audit for) some of them are fairly accurate and some need education which we strive to give.  Just wanted you to know that an agree answer doesn't necessarily fit all our providers.

Love working from home.  On the pay question, I am paid by the chart and not an hourly rate or salary, so I couldn't answer that question very well.

It can be very rewarding working from home at times. My environment can be lonely at times working from home. I do like the freedom I receive and the ability to care for my school-age kids when needed. The pros definitely outweigh the cons in this situation. I would like a raise that could not be afforded at this time by my employer, but working from home saving from the high gas prices and time on the road do have its advantages.

I work from home for an outside hospital part time.

More employers should have employees who work from home.

I presently work from home. All of my work is received electronically and I have no communication with the physician at all, only managers. I receive no reimbursement for coding material or for obtaining my CEUs. The company I work for only provides HCC manuals. 

Our employer is very flexible with our coders as far as hours and work schedules go.  We are allowed to work from home frequently at the end of the month.  We have a large physician group and process a large volume of chages every month.

I'm a mom of 3 and I really enjoy the flexibilty of working from home, it's a great perk.  One suggestion, I do have is regarding CEUs I think that as long as we are activily working as coders that we should not have to come up w/ 36 CEUs every 2 years,these are not cheap and are very hard to come by.

I LOVE coding and the environment I work in!  BUT I wish there were more opportunities for remote coding from home offices. Especially in Anesthesia and Pain Management practices.  This is was a selling point for me when I got into coding and have no luck in finding a job to work from home. I have 10 yrs experience and a degree but I am a single mom and really pray for an opportunity to arise soon.

love my home office/working environment.

Looking forward to opportunities to work from home with my current employer part of my work week.

I'd prefer to work from home.

I work for a Medicare Advantage plan and handle post-payment review, some claims processing and ensure fee schedule payment amounts are in line with contracts and benefits for our members. I am planning to test for my CPC-P credential this year. Although I have a fantastic job, I sometimes desire to have the option of working at home part of the week.

We (the coders) have spoken with our employer about working from home. We feel like we could be much more productive at home with fewer interruptions and no patient phone calls. Our employer does not agree. This makes us very frustrated and unhappy. 

 I am looking to become an employee working from my home. If you have any resources for me that would assist me in my new adventure, I would greatly appreciate it.  Currently, I am a CPC, and enjoy coding more than words can describe. I would make an excellent employee for any physician, organization that would hire me as a coder working from home.

I prefer to work remotely full time.

I currently work part time from home (20 hours) I am currently teaching the PMCC class to our staff so they can become certified.  Prior to that I performed chart audits.

I love working at home with the flexibility it gives me.  I am helping take care of my aging parents and would not be able to do such if I had to work in an office setting.

I work for a billing company that is strictly providing professional-side and facility-side coding to emergency room physicians.  My role is being a Coding Specialist.  I code the professional side and if I make a significant error, the EOB is presented to me with a note to correct it based on documentation. I review the chart for my error, if one was made, and resubmit based on documentation.  If nothing is able to be changed, the physician is made aware of the loss in pay, and he is then educated.  We get paid by chart if we work from home.

I have an extremely supportive boss and work for a great organization that values the work i do. I work from home 4 days a week and commute to the office one day a week. It works great.

I work from home via secure internet. I code for 10 surgeons from 4 practices. There are 3 other coders in my billing company and we have a coder/supervisor. We each have our own providers we code for but help each other out in a pinch. I love coding and always gaining new knowledge. I feel I am underpaid for the skills  and knowledge I need to keep current. I am thinking of obtaining an in-pt coding certification. My doctors are varied in their responses to "corrections" in their codes. Some really hate to be told there is an edit or services are bundled. They feel they work so hard they want to get paid for everything they did. I work hard to make sure they get every penny I can but maintain high ethics in my job.

I appreciate these surveys and really look forwarding to seeing the results - thanks!

I code from home.  I only code radiology reports. We have a quota to do each day and a accuracy audit monthly.

I am a remote coder, employed by a company based in California, for a very large teaching facility in Texas.  I code the charts, and audit any charts that providers have self-coded.

Since I am a traveling coder I get the advantage of working flex time, so I have more home time each month than the standard 5 day work week, frequent flyer miles and hotel stay reward programs, and the people.  Generally, your not in an office long enough to get mixed up in office politics, but I have learned a lot about HMO rules and how differently they operate than the "real world". The disadvantanges are: loud, noisy work area, lots of interuptions, hotel room living.

Would like to get more time at home....much more productive.  Currently only work from home one day per week and in inclement weather (if prepared for it)

I am a contractor who works from home.  I have no communication at all with the providers.  My company values my productivity as much if not more than my accuracy.  I code a high volume of cases.  I am expected to accurately code well over 300 charts a week.

I work for a payer and work from home most of the time. I purchase my own resources because I am active in my chapter and like to train others. I purchase resources that my employer would not because it does not impact our area.

I love working from home and the flexible hours. I feel I can go to my physicians with coding information and they want to do it right. They just need help with all the coding changes and someone else to follow up on all the little details.

I am a consultant that is paid both hourly as an auditor of direct physician coding and per chart as an ED coder.  I work 100% from home.

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