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The Work of a Coder: Survey Comments

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I am the only coder in my 3 physician office. E/M coding is of highest importance and I spend the most of my time reviewing documentation and making sure the physicians meet the requirements for the level of service they choose for each patient. Coordination of chemotherapy codes and diagnosis codes is also critical. There is a lot of pressure to work quickly and I am generally 12 hours behind the doctors. Since no one else is trained to do this work, finding time off is really difficult. However, I am reimbursed for the amt of time I spend, receive my health insurance, uniform allowance, and am given the dignity and respect of an important member of the health care team.

In our practice the coders are expected to do much more than code. We answer billing calls, send statements, send claims, post medicare payments, educate employees. It is sometimes difficult to find time to read the newsletters and keep ourselves educated on the updates. Those are the things we end up taking home with us to get accomplished.

I work for a Level I trauma center. My department is made up of 13 surgical coders who work with over 14 different specialties and over 100 surgeons. We are all CPC certified and abstract all surgical operative reports and compare with CPT codes submitted by the surgeon to verify appropriate documentation. We even find coding opportunities which lead to additional revenue. I love my job.

Once I complete the CPC program and become certified I will be the first certified coder this office has had to my knowledge. There is not a strong emphasis on coding in this office at this time. I feel the position I have taken on is a work in progress and one that I hope to develop into that of being able to audit charts and work closer with the physicians regarding coding issues.

I'm often asked questions from co-workers regarding coding, and it makes me feel good that the respect my certification.

The physician marks the charge sheet, the coder verifies all procedures are documented and checks for bundling issues. We change, add or delete codes as necessary. Our physicians cover the trauma unit and we have a lot of "multiple injury" claims. We have several resources, newsletters, Code Correct, etc for reference but there is not a lot of support for seminars, audio conferences, etc. So much importance is placed on quantity that I work a lot off the clock because I will not sacrifice quality in the process.

I love what I do as a coder. I do wish I had "all knowledge" needed for my job. I know that will never happen though. I paid to get credentialed and will not let it lapse no matter what my job pays for.

I am in charge of managing all the accounts receivables and reimbursements. I work for a large anesthesia practices. . The importance of being a CPC comes into play when I review the claims and just by looking at it, I will know why the claim got denied, like if CPT/ASA/DX are not related or the diagnosis does not support medical necessity or even the payment is incorrect because correct modifier is missing. Of course, I recode based on the documentation and I always tell my boss that I will appeal if "I have a leg to stand on". My boss understands that if is not documented it is not appealable. I used to work for a large specialty group practice and due to long commute, I resigned. The company offered me a part time job to work from home with the same hourly pay. I code office visits, surgery, procedures, and hospital visits. Some days are stressful but since coding and reimbursement is what I love doing, it is never boring. It's a very challenging and rewarding job, everyday is a learning process. Whenever I see a claim got paid after a long and hard battle with the payor, it gives me the greatest motivation and a sense of accomplishment.

My position is unique in that I am the sole coding professional in our two-physician practice, and I also log in hours doing front desk work, and occasionally as a medical assistant to the providers when extra personnel are needed. Sometimes I am the person who makes the patient's appointment, signs them in, takes their vitals, assists with their procedure, sends out their billing to insurance, posts the payment from insurance, and sends them their statements. That's a birds-eye view of the process from start to finish, and I find that experience to be very helpful in understanding what happens behind the closed door and how to code it properly. I feel that I am a valuable asset in the provider/patient relationship as well because of the connection from front to back in the office and can often intervene on either's behalf if there is a breakdown in communication or delivery of care. I also feel very fortunate that I work with a great group of co-workers and providers, and have many patients who consider visiting our office to be a highlight of their day!

Love to code. Love the puzzle of an op report. Love that I'm credentialed. Love the fact that AAPC is with me. Encourage "newbies" to get educated and credentialed.

The amount of knowledge required to be an outstanding coder is phenomenal, and keeping up with the continual changes is demanding.

Now that I am certified and how hard I worked to get certified and keep current on coding I understand that coders in a billing dept should be required to be certified.

Our doctors use EMR, adding their own CPT and ICD-9 codes in most cases. My job is to check their coding for accuracy and enter the charges. I also do the payment entry from EOBs and follow-up with patients and insurance companies.

I work for a large surgery practice. My employer allowed our office to start the local chapter and allowed us to use some resources within the office to send out flyers. Our surgeons spoke at some of our meeting for free. We have been allowed to purchase a Encoder Pro along with current CPT and ICD-9 books yearly. They pay for our dues and CEUs. We are using more on line rescoures, Edgeblast and teleconferences now that they are available. Our employer has allowed the two coding supervisors to attend National conferences every year for the past 10 years. We have we have 9 certified coders on staff one of which is a CPC-A. We will have our first Extern starting the first of February. We feel it is very important to help a new coder learn how to code so she can get a job in his or her field.

There is direction, guidance and encouragement where I work. We work as a team and support each other. We all have a common goal and strive for it. We enjoy coming to work.

I enjoy what I do as a newly credentialed coder, and I look forward to learning more and becoming more experienced.

My personal mission is to "code with care". Always learn from others and read, read, read !!!!

Love the work I do as a CPC. Word to the wise: It is better to have your coders away from the noise of the front. Less disruptions = less mistakes.

From a payer perspective, historically, coding in the provider's office was not always consistent with the coding guidelines of AMA and CMS, prior to the increase of coding certification opportunities. There is a noticeable improvement in overall coding accuracy and consistency with the utilization of more Certified Coders. I am expecting the trend to rapidly move toward requiring all coders to be formally trained and certified.

I work for a payer. I work as a professional provider relations representative and have been dealing with coding issues for 20 years. Earning my certification in September has added validity to my knowledge in the eyes of the providers I service. It has give me a better understanding of how to educate offices and interpret coding guidelines.

We are a small practice with one doctor and EMR. When I started here there were no coding books in the office. The coding information was only available in the EMR and it is only as accurate as the information that is inputted by someone in our practice or by the software manager. As the office manager I brought the understanding of the importance of accurate coding and the ramifications to the practice. Currently, I am taking a course to review for the certification test so that I can be more of an "expert" in this field.

My title is HIT-Physician Liaison, I do a variety of duties from coding to credentialing physicians. I also do monthly reporting and quarterly reporting to the State. I am responsible for record completetion, so I have daily contact with all of our physicians. I truly believe that if I wasn't certified as a CPC, I would not have gotten the position I currently hold. I really enjoy what I am doing and I have a great Director who constantly promotes further education.

The relationship between coders and physicians/providers is collaborative and communication is essential to compliance and reimbursement. Our coders provide updates and ongoing education on coding/billing to providers, check coding on billing, perform audits and work accounts including rejections, appeals & denials. We are the "business side" to the medical office and we are valued as "equal partners" in the success of our practice. My employer generously provides resources and training (including conferences) for the coders in equal measure to other members of the practice(medical staff & providers).

I am the only CPC in our office. I enjoy the work I do and looked forward for several years to taking the CPC examination. It has been a great experience becoming certified! The physicians I work for were extremely pleased with my wanting to be a CPC; and are happy that I have reached that goal. The office manager here; however, is unfortunately not as receptive to the idea of my being a CPC. I think this is due to an insecurity issue on her part. Being a CPC has enabled me to follow up more closely on claim and review them for proper coding and make the necessary coding corrections which in turn as resulted in increased revenue for this office. We are located in a rural areas of southcentral Virginia. I am one of only 3 certified coders that I am aware of in the Martinsville/Henry County area. I think this is a disadvantage because the physicians may not understand the importance of having a CPC on staff and the value of this type of employee. I am happy to be a CPC and a member of the AAPC. Thank you!

I LOVE what I do at my job. It is stress free and I have flexible hours to work around my life. My pay isn't too shabby either!

I feel much more confident about my work since obtaining my certification. I am proud to be a member of the AAPC and appreciate the resouces provided to me by the AAPC.

I find that physicians feel better about coders once they have hired them in their practice. The physicians realize that the coders have an ethicical obligation to do the right thing when it comes to coding/compliance. Over the 3 years I have worked in a large multi-specialty practice I have seen a complete turn around in their attitude about documentation and coding. It is absolutley wonderful to see their interest.

As I see more coding jobs being outsourced, my concern for my job security is increased. I am more of an auditor than a coder; correcting mistakes from the outsourced coding. I feel that in the long run it costs more to have outsourced work because my employer has to pay two people to complete the job that I once did on my own.

My employer is willing to have coders do an internship where they do hands-on work that is closely reviewed by certified coders. In addition, space is provided away from the noise and confusion of the front desk, allowing us to concentrate on our work and to make confidential phone calls as needed. The accountant says our team is the most efficient he has ever seen, and our A/R is the lowest. Our employers appreciate that and reward us with continuing education, and all costs associated with maintaining our certification. We have 4 full time providers (2 MD's) and manage the A/R Coding department with only 1.25 FTE's!

Since attaining my coding certification, I have noticed a positive interaction with my supervisor - more confidence in my coding skills.

I am primarily an anesthesia coder. I enjoy my work and it is fulfilling. Most often our docs listen to our suggestions and are open to asking questions. The office allows for coding to be conducted in house or out, which I very much appreciate.

I've been involved in coding for 12 years and have noticed the changes for the better in regards to coding. I now have more interest than ever from our providers and have gained a higher standing in their eyes. I also make a higher salary than I had ever thought I would in this area.

While my doctors understand coding, their education may be outdated, due to code changes, procedural changes, etc.. I try to always review what was coded in order to ensure compliance and accuracy. The clinical staff most times codes for the clinical services, while my doctors and I code for the surgeries. Of course, any changes I suggest are approved by the doctors before being billed out. I have mixed feelings regarding my work environment. I function not only as a coder, but also work collections and have been reassigned clerical duties as needed. I sit with the doctors near their offices in order to be able to help out with the clerical duties. This can be frustrating if the phones are ringing off the wall; however, it has helped me out tremendously as I can hear my doctor dictate his surgeries, office visits, etc, and will catch some things before they are billed out incorrectly.

In my company all coders are salaried, but rarely is anyone at 40 hours. Most do over, some do well over and there is no overtime. When one is off, we have to cover for each other, it gets very stressful. We all do way more than code, we have denials to research, much reading of publications etc and more...all of which is supposed to be "worked into" our day. yet, we all end up working extra to get the coding piece done and on to data entry. Very frustrating.

I am the only certified coder in a large 30+ clinicians hospital based family practice residency program. We see on average 200 pts per day. I have 2 non-certified helpers, who leave their questions for me. The electronic medical record has helped with seeing the documentation quickly, but often steers clinicians to the wrong ICD-9 code as well as procedure code. E/Ms are, for the most part on track. Although I frequently utilize our corporate compliance office, I am overwhelmed with the practices expectations of me. They have assigned me to many committees to make sure we "are doing everything right." Not enough time to educate as much as I need to do. I work OT all the time and am exhausted. I love what I do, there is simply not enough time to do what i need to do.

I am glad that I have a blended day, I don't think I could just sit and code charts all day long, I get the best of both worlds, I believe that billing and coding go hand in hand, there are some coders out there who disagree.

I code for ER physicians, our office trains Dr.s on a regular basis. Love my job!!

I have a wonderful work enviroment. I have done some schooling and would like to get certified.....

I have a very good relationship with my business manager, he has confidence in my abilities, and trusts my judgments in my coding decisions. I also help with payroll calculations, and keep track of sick/vacation hours of our group. I work on reviewing claims and auditing for problems as they are brought to my attention when we have problems.

I am AR Rep we do it all.

I am the only coder in a stand-alone family practice of three doctors and 3 PA-C. The advantages of being the only coder are that there is a lot of communication and support among the providers and myself. I am comfortable confronting them about documentation, accuracy, and other matters that they constantly "get in trouble" with me about. They send me coding information thatthey have read in one of their journals. We have a give-and-take environment.

Our physicians use an electronic E&M coding system to help them with their coding of E&M fees. This has really cut down on the errors in choosing the wrong CPT code.

We are a very large (750 providers plus) multi specialty practice and most MDs code clinic services. Inpatient & E/M services are abstracted from documentation by coders. 95% of surgical, neuro-interventional, GI & extensive heart procedures are coded from notes. The role coders play is key in submitting clean claims. We also use Ingenix TES/Claims Manager system.

I work in an inpatient hospital for the Compliance and Audit Team. As an RN, I was required to obtain my CPC-H within 18 months of employment. It has been extremely important in the day-to-day projects of my position.

I am an ED Urgent care coder - my training experience with my employer has been very good. The AAPC local chapter meetings are very knowledgeable. I've chosen a good career wtih a great learning curve.

Unfortunatly quantity vs quality can exist from much preasure to get to a ever increasing goal and ever increasing number of providers with too few employees.

I am very fortunate to have total support by the providers and my nurse manager, and they come to me frequently for advise/education.

Working with an FQHC opposed to a private practice has been very challenging. It is a fairly new organization in that the clinics that have been obtained by the FQHC organization have never been focused on proper billing or compliance, although FQHC work differently than a private practice from a billing aspect. Billing was being done by an outsource billing company and has never been done in-house, so there is another obstacle as the billing manager -- cleanup.

i am the only coder in our office. Our billing is outsourced. I post all of the charges for surgeries and our offices.

I am a Registered Nurse and I find having my CPC as well is a great advantage to my career. The medical knowledge I have enhances the coding issues especially with the CPT & ICD codes changing annually.

We never change providers codes without discussing with provider. I love coding.

The Administration and Providers in my office are extremely supportive of continuing education and are very receptive to feedback.

I have recently been certified and work for an ENT specialist. It is very hard to find coding courses that have ENT information! Anyway, I enjoy what I do very much and the doctor I work for is very helpful when I have questions regarding coding surgeries.

I love my job and the company that I work for !!

I "audit" nearly all of the charts that come through my billing office for charge accuracy and matching diagnoses. In this time of reduced reimbursements, I think it is important to capture as close to 100% of the charges as possible. Proper ICD-9s to match the services provided are also very important, in my opinion.

I code for a surgery practice. I do all the coding for the hospital E&M and procedures. My doctors pick the levels from the encounter form for the office visits, and also the DX codes. We do nothing else but E&M in the office. No procedures.

I have enjoyed my employment here. I could not ask for a finer place to have found to begin my career at. I look forward to being employed here for a very long time.

Our role is to provide coding consulting to the physicians and staff, and work toward correct coding and compliance. We are a resource rather than a front end coding department.

I work for a practice that believes that the more education that we receive the better coders we will become and the less denials we will receive.

I enjoy the work I do. I find it very interesting. I like learning new things, which with coding you are always learning. Since I am always learning, my job doesn't get boring. The place I work in is a lot of fun. Everyone is nice and willing to help you whenever you need help.

I have been in this position for approx. 3 years and have had a lot of support from doctors and staff, and also cooperation in correcting their mistakes. I have a pretty good work environment, and have had an opportunity to grow and learn all at the same time.

This office is a great place to work. The physicians are very approachable and will assist me whenever possible. They do all the CPT coding while I do the ICD-9 coding which is very important to me since I'm still an apprentice plus this is my first coding position. The practice manager and billing manager are great to work with. I have every tool possible plus they pay for all expenses for coding classes and membership.

I'm an internal coder for a practice of 10+ physicians. I audit to make sure the physicians are billing at their correct level of visit.

These questions are answered with the understanding that we contact the physicians whenever there is questions regarding the coding. We provide in service education on a limited basis, meeting with the clients routinely and pointing out any concerns.

I am blessed to be with this company.

I work for a non-profit auditing Workers' Comp claims: UB-04, CMS 1500, Dental, Pharmacy. Knowledge of coding has been extremely beneficial.

We are fortunate to have enough coders to provide pre-billing audits for almost all of our physicians with plans to add the rest of the docs in the near future.

Working in a large hospital is the best thing that happen to my career. Almost all of the information you need is already in the chart. Medical records has been analyze before it arrive to coders desk/cart. Transcriptionist takes care of wrong documentation, what the coders do is just code the account and drop it. The biller will take of it the next day.

It has been quite the challenge educating my employers and owners of the large radiology practice the importance of submitting proper diagnoses for services provided. In the past, they were content in coding everything as pain and only providing 1 dx per claim. I have proven that by being creative and using specific dxs and different dxs for different tests, reimbursement for these services have increased with fewer appeals necessary. And by correctly applying appropriate modifiers to many procedures, payments have been issued when in the past none were received. Yes, I have made a difference in their practice.

This is my first year of coding having just graduated in May and passing my CPC exam in July. So far my experience has been generally positive. I am finding doctors aren't thrilled with the extra processing for bills or the lower prices each year for services rendered. Coding properly has helped the physicans in my office which they do appreciate, making them more willing to listen when changes occur. Now if I could get them to help financially keep up my skills that would be great. One step at a time.

My Employer is very fair and caring. They pay for the corporate membership along with a CEU package for all of the coders. I work at the best place ever. All of the employees and management are all very nice and truely care about you. Our owner refers to us as one big family. Thank you.

I am a medical biller I currently have two client cases that I handle -- nephrology and internal medicine. In your next issue could you please have some detailed information about internal medicine and nephrology, such as most common codes used and other codes that are mostly associated with these two specialities. Is there any way that I can receive certification on these specialities?

I work in a small third-party payer company. The owner is very receptive to paying for all my CEUs and to remaining compliant. I have not seen this in larger companies.

My employer understands & appreciates the value I bring to the company. I also have taken on an unofficial role as an educator and compliance officer to inform our company about coding changes and compliance issues. I am very fortunate to be working for a company like this one.

Love doing this type of work. Wish we were more appreciated for what we do.

I love my job as coder it is interesting and I am learning every day something new. LABCORP is my work place at Billing Dept. I am happy working there because I can practice every day coding and they gave us a security work place.

Radiology coding is varied, intersting, and gives the opportunity to learn more and more.

I am very happy with my work and my work environment. I work in an office where the office manager believes in running a tight ship & listens to what is going on in the office.

I enjoy all areas of coding. I am fortunate to have physicians who are well educated in coding and who are willing to help when I have a question or a concern in regards to coding.

I am most pleased when I am able to work for a company who values my credentials and is willing to support the cost of continuing education.

Our Drs. are very open to suggestions for changing their incorrect coding and have an open door policy which I believe is very important. Most answer quickly most of the time but a few are slow to respond but they do respond.

I am the office manager, coder, appeals. This is a lot of workload for one person but I only work for 1 speciality physician.

I am the only CPC for a 4 doctor soon to be 5 and 2 mid-level providers.....I key all tickets and post all insurance checks..I fight all denials and do pre and post audits once ever quarter and work the Insurance A/R once every quarter..I answer all billing calls and handle all coomplaints..Our current patient load is app. 10,000+...We are extremely busy practice.

I enjoy coding and look forward to any changes to my field in the future.

I work for a pathology group and we work close together when coding.

I am encouraged to continually learn and be kept up to date on the latest coding issues. My 20+ years in health care has given me the stongest foundation for a successful career and the opportunities that being a member of the AAPC can offer are limitless. I consider my best asset to be the dediicated and highly knowledgable team members that I work with on an every day basis. It is this reason and the excitement of meeting new people at the physician offices where we conduct chart reviews of our Medicare population, that make me very proud to be obtaining my CPC.

I love what i do!

I have worked in this industry for twenty-five years and have finally reached that point in my career where I know that my expertise is appreciated. What a wonderful feeling to know that providers realize what an asset certified coders are to the health of the revenue cycle of their business.

I am very lucky. I work for a physician that understands coding and the importance of proper coding and compliance. He helps me keep informed on changes and also helps me with my education and CEUs.

I do office charge entry, check-in and check out twice a week of a satalite office (mornings only) which I enjoy because it breaks up the day, and I get to put faces to the charts I am coding. I love meeting the patients, talking to them, and I also get to catch charges the doctor missed, like when a patient walks out and says "that shot sure did hurt" and the doctor didn't mark an injection, those are charges that might have been missed. I am working on all our doctors about getting better about marking charges, because not everyone in our office doing charges reads dictation to see what was done, if pt got supply or injection. That is a lot of money that walks out the door.

The services we code are predominantly E&M with the occasional procedure. I actually have recently created and put into action our NP coding audit along with the policy and procedure. Although I'm not yet certified, I plan to be in the next few months. Our practice has evolved of that of a payer into a provider of service for a specific demographic which makes it very intersting.

This is a teaching facility so, pleanty of teaching is given all day every day

There are two professional coders per 8 doctors--4 of the doctors code their surgeries only off "cheat sheets" and the other 4 don't code anything at all. The CPCs do 80% of all the coding in the office. All E&M coding is done by CPCs. This is a specialty surgery clinic so there is a lot of repetition in the coding and not much "out of the speciality" coding.

I love my coding job, but it does get frustrating trying to improve the coding dept when we meet with resistance from upper management (not providers). I work at a government medical center, so everything we try to do has to go thru upper management for approval. This rarely happens, so I feel like we are "stuck" in the 20th century regarding advancements in coding.

We have a very pleasant working enviorment but we have a very heavy workload.

I work in a small office at the present time and I am the only certified coder. My office manager has had experience in coding but I now recognize her errors and it is hard for me to convince her to change her ways. This on many occasions causes me to have to appeal quite a few claims. My doctors are aware and hopefully we can rectify these errors. I do truly love my job and the entire staff I work with, which is making it hard to move in other directions at this time.

I am the Practice Administrator, and a CPC, but we also employ an additional full time CPC to do our daily coding.

I am new to this and just completed my first month as the official CPC here in my office. thanks!

My work environment is extremely noisy and distracting. I must often wear headsets to concentrate on my work. Other than that, I love my job!

I am the only coder. Our office staff codes the office visits - I do everything else... I am certified.. I code all day.. but I also supervise the front, help back up pt flow.- phone etc. .. troubleshoot, back up administrator along with several other duties.. My phsicians are somewhat knowledgeable.. I do work with them closely if I have a ? about coding.. they do not know modifiers well... We have 5 physicians and a NP now - this time last year, we had 8 physicians... thanks.

Our Lunch-n-Learns are the most beneficial to my growth as a coder and helps to increase my "networking" with other coders.

I am a certified coder but my job mostly entails auditing the physicians documentation and serving as a resource to the coders in my clinics for education and answers to coding questions that they are unable to find.

Work environment is very positive. But my doctors do expect me to look over and correct any of there errors. They do not have a problem with this arrangement at all.

I work for the State Medical Society and my answers are based on my experience with the physician members that have utilized my services. I have trained many of their employees to become certified coders and also how to bill appropriately making them to be more compliant. I would also like to note that I do not teach my coders to change the physician's codes but to point out to the physicians where the documentation justifies in the coding arena. The physician then changes the code with his/her initials and date.

We are what I believe is a unique environment; our coders work in strictly a coding capacity. The providers do choose levels of service for office visits. All other codes are chosen by the coder based on documentation. The coder essentially "audits" the E/M level of service chosen. As coders we code for all office services including ancillary and all professional services for our physicians done at the hospital. We are multi-specialty and a provider based RHC. Specialties include: FP, Internal Med, General surgery, OB, Neuro, ENT, Psych, Podiatry, Ophthalmology, and Orthopedics.

I am one of only 2 certified coders for our entire network. I am the "coding manager". We currently have EHR for most of our practices. I am mainly auditing and trying to educate our providers. I do all the coding for our Cardio-Thoracic surgeons and currently one OB practice. I have also helped the general surgery and Urology office catch up on their coding. I am trying to convince this organization how important it is to hire certified coders especially for surgical practices!

We have a great group of doctors and coders who work together to comply with regulations. Our physicians are always open to comments as are we.

I have a great work environment. My dept always provides the top resource materials needed for me to do very accurate and timely work duties. I appreciate all my Dept manager does for us. Very helpful. Always has an open door policy for issues that may arise and always gets back to us in a very timely manner with important information needed.

I have a pleasant working environment, I have most easy and understanding providers which makes everyone job a lot simplier.

As a CPC coding for three health sites, I find it quite challenging and find that our providers are learning the importance of required documentation. All are very cooperative in this area. The work environment can be stressful at times but I do not allow that to influence my coding.

Our group presently has few certified coders/charge entry staff therefore our billing department spends too much time on denials, corrected claims and appeals. We know the importance of correct coding/charge entry before the claim goes out and our billing team is currently working on educating the providers to let them know correct coding and charge entry results in faster payment and less audits. We need their support so that the office managers and charge entry staff are on the same page. We've had a learning curve and now the stress in on to hire certified coders and experienced staff.

Our reimbursement and the doctor's understanding of the billing guidelines has greatly improved with the knowledge I have learned since earning my certification. The doctors have grown accustomed to questioning billing practices and we have quarterly meetings to upadate any changes and to remind the physicians in our practice what they need to watch for. They are much more accurate in documentation.

I love what I do as a certified coder. Its a challenge every day. Its important to the 2 physicians that I work with to code properly and they will do whatever they can to help make my job easier. They take time out for any help or questions I need. My specialty is E & M.

I entered my work area as a receptionist with coding qualifications and later got promoted into part-time billing/part-time receptionist. Now I till perform those job duties but have also have been asked to do credentialling for the providers and all the follow-up required for proper claims reimbursement. I never knew that my coding qualifications (even though I am not certified) would open so many doors for me at my current practice.

I enjoy coding and documentation.

You have to be able to multi tasking. Coding is really fun and compliance just add that level of advancement

Managed very professionally. 112 Docs. Our 20 coders are in the same building as insurance billers, so good communication lines.Our manager keeps us very informed on updates and encourages our participation in AAPC and local chapter.We also have opportunities once we are certified to attend seminars and workshops at our Emplyers expense. They also pay our full tuition and test expenses for any and all certifications.

My situation is ideal for me at this time with children still in school. I am allowed to flex my part-time schedule to meet the needs of my family. Currently, I my work setting is with a picture window looking out on a city street. There are birds, grass, and trees outside the window. I'm very content.

I am the billing mManager in a specialty practice for 24 years and I love it very much. It is a joy to code, bill, and then see the reimbursements coming in. It is a challenge to protest denied claims, and to see the denials(which are far and few) reversed and paid after working on them with the expertise and knowledge of so many years of experience. My doctors are happy and that is the bottom line. I love bBilling and coding.

Wonderful work that is highly valued. I am enjoying my profession.

Coding is very interesting and every encounter is like a new challenge... All coders in our company has a very strong bonding and we enjoy every minute of our time together....

I'm lucky. My physician is extremely appreciative of what I do and is very willing to listen to suggestions and make changes in forms and documentation to facilitate best documentation practices! From discussions with other professionals, I value this environment!!!

I love the work that I do and the environment that I work in.

I am very happy with the job I have been able to obtain because of my certification and the possibilities it has opened up for future employment if necessary.

I enjoy working for my providers very much. We appreciate and respect one another And we work and communicate well together to make sure all coding is accurate and done in a timely fashion. I couldn't imagine working for a better group of doctors.

I love coding. I find it interesting. I love solving patient's problems and getting reimbursed. I love to put out clean claims.

In my job I review billings from providers to determine accurate reimbursement and use my clincial expertise as a RN to validate that the medical record supports the billing. This process identifies frequent billing errors. I also perform data analysis to identify trending for possible abuse and fraudulent activity. So my job does not fit the usual coder type job. I also work with our Medical Director to create policies on reimbursement to ensure consistency in the review process. One suggestion I have is to have an article in the Cutting Edge to address how a payor can appropriately communicate to the provider that the bill has errors. Should it be rebilled? Obviously we can not change the coding on the bill, but how to best address this issue? Thanks for all your efforts in making this organization a strong one!!

There are always educational needs at the practice. It's quite difficult to keep up with the changes going on all the time now, both for physicians and coders. Just look at the length of the Provider Bulletins from Medicare and many other ins. companies. Sometimes 100 pages or more, delivered monthly!!

Took a coding class to help me in my precertification job as an RN. I pre-cert for 20 physicians inpt and outpt. I really like coding and I enjoy my chapter. They do a great job on the CME programs.

I have a very pleasant atmosphere with great support from my peers.

I love the practice I am in. The doctors are all very accepting of constructive criticism and often check with the coding staff regarding correct coding for referrals and authorizations. Very busy work environment, which is fun and challenging.

I get very challenging cases. I am learning a lot.

We have started going entirely paperless within our medical group. It has been a process that will take awhile for the physicians to feel comfortable. They have a good outlook just need more training. They are a good group of professionals.

I am a certified coder (CPC-H, CPC). I was an inpatient coder and also an outpatient coder, recently I have been moved to Utilization Review Case Management due to my coding knowledge and rapport with the physicians. I make rounds daily with these physicians on the inpatients and monitor their orders and documentation. We are working on getting concurrent coding in place for me to do while charts are open on the chart and daily code and when patient is discharged chart will be ready for billing after a review by me for correct DRG assigment. I have been employed here for 15 yrs and we recently closed both small hospitals in our hospital district and built a new facility in between the two small rural towns. We have had some big adjustments. I hope that I am making a difference in reimbursement and physician education and stressing the need for better documentation due to the change of severity based DRGS.

I really enjoy my work experience here, especially handling Otorhinolaryngology and Orthopedic Surgical Coding.

I am a DRG validation analyst. My postition is to review information received as a third party payor to validate that the correct diagnosis and procedure codes are being billed. If a case looks questionable, we travel to the hospital to review the medical record to verify if the appropriate DRG is billed. I work in a unit of 7 coders and we capture almost 2 million dollars per year from medical records/claims that are incorrectly coded. Our manager runs a very professional group and we are given much internal support to keep our knowledge base up to speed in disease processes as well as in coding. It is a very rewarding environment.

I work for the Managed Care department of the Hospital and use my coding background mainly to help pull utilization reports for oupatient services. I maintain my CPC certification and really find the monthly Cutting Edge magazine helpful to keep me apprised of new changes and upcoming events.

Having attained a CPC does contribute to my value as a team member and also enhances my credibility when dealing with providers (from a payer's perspective).

Learning coding and then gaining certification has helped me professionally. My specialty (Radiology) has their own certification and in the past the radiology industry has not been receptive to the CPC coders in the radiology field, however, I do see that changing now that the Radiology Business Managers has recognized the AAPC and I am now able to get full CEUs for classes taken in my specialty.

At this time we are not required to have certified coders. I personally will be happy when this becomes a requirement as the people we hire will be certified and more reliable and accountable for their work.

I am the only coder in my office, and I have the support of all 8 of my physicians when it comes to education and they are all very receptive of my questions and suggestions on ways to improve on billing issues, etc. They value my opnion and encourage me to be the best everyday. They are also very respectful of me and view me on as a professional coworker not a subordinate.

One problem I have with all the institutions I've worked for is the attitude that only experienced and credentialed coders count. i was extremely lucky to have been offered a job by my first manager when I completed my coding certificate course in 1989. Snce then, hiring has become so cut-throat. I think it's a shame that people who spend the better part of a full year or more in college aren't being given chances anymore for the sake of numbers that have to be put out. And managers and supervisors who love to sing the mantra about "a credential says the coder is the best in experience--blah blah blah" are in my opinion---ignorant. I've seen coders come through my current and former jobs with no credentials and years and years of experience and 98% accuracy rates. a coder of that caliber obviously doesn't need a credential, and it's unfair for them to be told it's mandatory. Credentials should be gotten the way mine was--voluntarily--my choice, not my employer's demand.

I'm contract a worker. I like my job. The environment is very nice well equipped of the supplies and equipment I need to do my work. People are very professional to work with. I learned a lot on the in house training/seminars and video conferences that the offer. I'm looking forward to finding a permanent position in my work.

Teach PMCC, code for several practices and perform remote audits.

I am doing my internship for my CPC-A. I am responsible for coding, and entering the ICD-9 and CPT codes for 11 hospitalists at 3 different hospitals. When the information is entered into the system, it is E-billed to the insurance companies. I only find out about a mistake when the claim is denied. I don't know if I am learning more about the coding or the insurance part.

I have been an Office Manager/Biller for 20 years. Last year I decided to become a Certified Coder and was successful. I feel very good about myself and I read and study much more. I love the Cutting Edge and EdgeBlast, so much good info. We are very fortunate to have another CPC in our office who teaching classes for coders to become certified and does our compliance, and any thing else needed to be done. She does a great job. I love the medical field, that is all I have ever known. We have a wonderful staff and caring doctors. We hope to make our community a better place in which to live with good medical care. We have two medical doctors and six rotating specialist that practice at our clinic so we are very busy. Our doctors are easy to talk to about coding changes and that makes it easier to do our job.

our docs code their own procedures/E/M visits and then every medical record is audited by a coder. The docs are accurate most all of the time, however, they are human and sometimes things get overlooked. It is up to the coder to catch the mistakes and make sure that they are corrected before the medical record is locked and the bills are submitted.

I am a coding analyst. I have a great deal of respect for this nonprofit organization. My position did not exist a year and a half ago but was created as a means of providing ongoing coder education. Since they are a teaching facility we must ensure that are coder are familiar with GME guidelines and must adhere to strict guidelines as prescribed by federal payors. My duties are to provide education to providers and coders alike. I perform work product reviews of our coders and identify areas of improvement. We provide monthly classes on ICD-9 coding guidelines, E/M leveling, as well as specialty coding. All new hires are assigned to an analyst for the first 90 days and undergoe one on one sessions where the work product is reviewed and discussed with the coder. The coders are very greatful for the opportunity to have someone work with them personally and for "new coders" the experience is invaluable. As with any position challenges are presented but I take them in stride because I feel appreciated by our coding staff!

My work environment is fast paced, it requires good knowledge of DRG assignments, case mix index, GLOS and 5/6 GLOS. Referrals are made to our facility daily, and it is important to know estimate DRG and reimbursement LOS to help manage patient care and LOS. Also requires careful audit for MCC/CC: that directly impact DRG assignment upon and after admission. Our physcians could use more education on documentation. I have to make a lot queries.

My job is not only coding... You have to know so much more than coding when working in the medical field. Coding has now become so much more than it once was. You have to understand the entire "life" of a charge from the time a patient comes in to the office till the claim is paid. The most challenging part of my job is getting the physicians to understand and change the way they do things. Education for the doctors would be the most challenging thing that I face on a daily basis.

With a 30 physician practice I have a mixture of compliant and non compliant physicians. it makes each day a challenge and each step forward even that more meaningful. I appreciate your web site. I know I can always find correct information. In this day and age with the multitude of web sites and periodicals you can read, it is a blessing to have a safe haven to go to. Keep up the good work and thank you.

Our facility is willing to train coders, with expectation that they will become credentials. We have frequent outside audits, as well as internal audits to improve and/or maintain accuracy. We do concurrent reviews of our IPs and query and educate our physicians in the process. Our director and supervisor are credentialed.

I work for a hospital-owned physician's practice. We coders work as a team with our doctors. It is a great work environment

It's not a 40 hour a week job. More like 60.

I enjoy my position as CPC. However, the daily mundane charge slip posting is just that, mundane. I love the challenge of deciphering the physicians handwriting and finding the appropriate code and the auditing of charts

I really enjoy the work that I do. I find that it challenges my mind and allows me to expand my knowlegde of the healthcare industry.

Coding requirments are changing all the time in the oncology field, doctors can't keep up with that information and all the clinical changes, too. They depend on CPCs for infusion and drug coding.

I like my working enviornment.

Interesting work and great environment in an academic health care setting.

I have the best of working environments.

I enjoy coding, it is a challenge for me. I would test for a specialty but there is no demand for that in the community where I live. Would prefer to spend more time coding but I have other obligations in my job description.

My office is the best! There is one other employee who codes and we both love it. (Our manager/compliance officer also has a certification.) We code for the physicians. The providers are very receptive and eager to understand documentation requirements and to see how they could improve. The goal of our office is to file accurate claims in a timely fashion and to have accurate information to do so. They understand that continuing education and seminars, etc. are very important for coders and for proper coding and reimbursement and pay for me. They're really generous with benefits too!

Love it!

I work for a very good and appreciative group of doctors and managers.

We are a specialty practice and having a certified coder is very beneficial. She works with the doctors on documentation requirements, works with the Central Billing Office regarding denials, and she researches and does our appeals. Many times even if the coding is correct, the insurance company will deny the claim. She researches the denial and provides the appropriate data to show that the charges were billed correctly.

I work in a hospital setting and do outpatient coding as well as learning inpatient coding. I have found that it is very important to have a somewhat quiet environment in order to focus on my coding. I do like the idea of being able to code both outpatient and inpatient accounts.

The employers in my practice code from encounter forms, but 75% of the charts are reviewed by me prior to it going out to the payor. There are errors, but they are evaluated before processing. On the issue of phyciain education- in the practice I work in the physician want the billers to clean it up. I feel that if the physcians learned more about coding they would better understand what we go through when the documentation is lacking and with that said it would help prevent errors and we could obtain quicker reimbursement.

I manage a clinic with 7 providers including family practice, urgent care and occupational medicine. We have 2 certified coders reviewing all encounters for coding compliance. My front office lead is a CPC-A and I'm a CPC. Every year our employer pays on a rotating basis for one coder to attend the coding conference. We believe in keeping everyone in the loop.

I am the only CPC in a skilled nursing facility and only code ICD-9's

I love what I do!

I work for a billing and management company. We have many client practices across most of the specialties. Most of the coders have good working relationships with the doctors or knowledgeable staff members. Reviewing EOBs and handling denials and appeals is done by separate departments in our companies but the coders often offer them further coding knowledge and documents to get their work accomplished.

I highly recommend the field of coding. We need more young people. Great job with nice people but not for an extrovert! the support from the local chapters makes the difference.

I am both Practice Manager and Certified Coder for our practice

My job is a little different than most coders. I am also the compliance officer and have a lot of duties not associated with coding (this is why my percentage of time does not equal 100%). My work environment is pretty good. I work for the organization that employs physicians, so that makes us co-workers, not boss and employee. I think that changes the equation somewhat and makes for a better relationship.

I am vry fortunate to have a wonderful work environment where I am respected and where I can continuosuly strive to reach my goals. I have a very supposrtive physician/surgeon that I work for and I enjoy my job.

A comment in regard to the physicians coding; it's always done w/ the understanding that it will be confirmed by the Coder. The Coder and physicians work together. Although the physicians do use a "superbill" when choosing E&M levels and icd-9 codes, they also use the CPT and ICD-9 books. Our superbill also has an area to write in diagnosis, procedures or notes.

I work in a very supportive environment. They require coding compliance.

I am the Academic Director of a Billing and Coding Education Department. I am responsible for writing and updating billing and coding curriculum for my department and other related colleges across the country. I manage a staff of 11 Instructors and we currently have 186 students enrolled.

The physicians do use superbills so they have input into the dx codes and CPT codes that are used. However, I review all reports and let them know if there are discrepancies and why. They are open to learning and understanding the coding guidelines and appreciate my efforts.

My employer is MORE than helpful/generous with regards to CEUs &/or workshops etc to better the company & patient care.

I believe that we have a unique work environment where the doctors are very pro-active in doing things the correct way and supporting the employees to do the best job they are able to do.

I have a great work environment with a supportive office manager and doctor. But I am the one that wanted to be a registered medical coder and now I am working on becoming a CPC with the AAPC. While I think this is a plus for our practice, it really is a personal goal of mine. I think that coding is very important to any practice and I am not sure why a lot of employers do not realize the impact that is has on a practice. It does come down to the bottom line of revenue.

My work environment is great! There are 3 coders in our office, and we bounce ideas off of one another throughout the day. We work great with the account reps and have a very friendly repoire with them.

I love my work, I am a collection supervisor; certification is not required for Supervisor, but I did it to enhance my knowledge and to guide my collectors in their appeals. I will recommend to any individual that deal with collection process to go for their CPC, it helped me tremendously. I feel very confident to tell my collector how to do in their appeals.

Where I work, most of the coders/billers have a good relationship with approximately half of the providers. The rest have an attitude that we are trying to take their money away when we try to explain their documentation shortcomings. For this reason, we don't have a good relationship with the providers that don't understand what we are trying to accomplish.

I'm the only coder for my group, among my other managerial duties. I realize how important, no matter how busy I am, that correct coding is so important in a practice. If I get stuck, I take the time to research so that they can receive maximum reimbursement.

All surgical coders and anyone who abstracts a service must be a certified coder, per our Compliance Dept.

I am an auditor and love what I do. I work with many different physicians and groups. My accounts vary and I audit outpatient/inpatient, Family Practice to Infectious Disease at the hospitals.

I am in a unique situation. I have been a coder since 2002 and have spent the entire time in the OB/GYN field. I went from a 6 doctor practice in 2005 to a 2 doctor practice when the larger practice was sold and helped them set the practice up from the ground floor. I also continue coding from home for one of the other physicians in the larger practice. After working with the 2 doctor practice for 3 years I was offered a position with an EMR company that focuses on OB/GYN. My position with them is well varied. I provide training and documentation service regarding their software to physicians offices and I offer a unique perspective to the company for ideas on how to improve their software. I also help them stay on top of code changes. I hope to soon become certified in OB/GYN specialty and complete the PMCC course to become an instructor. The CPC certification has opened many doors for me in the last 6 years and I could not have been as successful as I am if it were not for the resources the AAPC offers and/or the confidence the CPC after my name gives employers. Thank you!

I am the only one in my office that is credentialed I keep up with CEUs and always read everything that I get.

My work environment is the best they are very supportive and wonderful to work with.

I feel that becoming certified has increased my knowledge and I am able to prevent errors and increase reimbursements

At this position, I only code. I don't have anything to do with billing. Our hospital doctors code their own E&M levels.

I am the Practice Administrator and the majority of my job is handling everything but coding. I do coding of E & M services and some projects. The billing supervisor and her co-coder are both CPCs and the part time coder is planning to take the test. She did take a preliminary course. THe physicians are very supportive and do appreciate the knowledge behind the billing.

I love my work, I'm very dedicated and do my work to the best of my ability. I am interested in what the salary of Certified Professional Coders in the Caribbean region should be like?

I work for an ambulance billing service. We have 7 CPCs in this one office. We would like to see more seminars/workshops supported by AAPC which are cost appropriate for our type of billing. Most seninars center on physician and hospital billing and coding.

Since I run a billing service, some of these questions did not actually fit what we do for our clients. I do find myself doing a lot of training of physicians on coding and compliance issue. If I may give a suggestion, don't limit your surveys to the practice environment, there are a lot of coders out there that either work for billing services or run their own billing companies that can probably give you quite a bit of information, but most of these surveys do not apply to billing services.

I am very blessed to have a job that I love doing it. I love the research and the process it takes to understand both the payer and the physician side of coding.

Our medical practice prefers to employ certified coders. CEUS and continuing education are very important and are well supported. Providers do attend ACOG, use EncoderPro, and submit their own CPT codes; it's in their employment contracts. We are responsible for checking those, supplying ICD-9 codes, and any communication regarding discrepancies, policies, modifiers, documentation, etc as part of the physician's education. We do assist with denials and appeals as needed.

I really like what I do. I like when I get a claim paid after I have had to appeal it, and the feeling that I get when I put the claims in and get them paid on the first time.

Have worked at the same organization for 31 yrs and now work mainly with compliance. My employer recognizes the value of our coders and the importance of educating everyone about compliance.

I love coding!

We are in need of a coding policy that is simple and direct. The coders in my department will be writing our own policy to be incorporated into the compliance manual. This will streamline the transition of coders from other departments. We are allowed an hour per week of paid time to gather and discuss what needs to be implemented and the support by management of this process is marginal but we coders know that our management is actually thrilled that we are doing it and that even though they are responsible to have it done and they will get all of the credit we coders will greatly benefit from it. This should only take a total of 3 hours from start to implementation, well worth the time.

Both the owner of my practice and the other physicians are very supportive of me and my endeavors. I have two goals this year and #1 is to become cerfified as a CMM and as well a CPC as well as various others.

I am the coder and director of the practice. I support my billing staff to educate themselves and be the best they can--positive attitude mades a difference in the health and attitude of the office

I have just started this job and they are happy that I am a certified coder and are very willing to listen to any comments I have.

This office supplies coding books and pays for CEU and renewals and for one conference. I code as I enter charges. I go through four compliance audits a year. We have a very strict compliance team

The Account Executive position I hold is very rewarding; I actually have the opportuinty to apply all that I learn in coding and share with other office so that it makes a real differeence in the back end work.

I'm blessed to have an employer that knows the value of a certified coder. They are willing to pay for services and encourage me to get other credentials.

I code/audit/educate physicians for a large hospitalist practice. It is one of the largest in the nation - when you consider that it is not a Fellowship/Residency program. There are 35 +/- physicians and 3 mid-level providers. They submit the level of charge for their E&M documentation and I audit - educate - submit the charge through 3M. I also enter the data of my findings constantly using that information to educate them as well. My manager is a strong supporter of continuous education and management of CEUs. This is a great practice and I am proud of what I do and my interaction with this great group of physicians. Thank you.

It's all about accuracy and honesty.

I do all the CPT coding in my office for 5 physicians. I educate all the medical assistants in diagnostic coding. I feel it is the most important part of the job to be educated on how to code. That is where the reimbursement is made.

I love coding, & I love the AAPC. I love learning, & change & feel like a contributor to our physicians' success. I love my employers because they are open to change & progress also. We are encouraged to advise them however & whenever necessary towards compliant reimbursement & accuracy. My employers pay for many CEUs, & offer to pay our membership. They also purchase our office coding resources. I prefer to pay for my own membership, because I feel it's appropriate, & I purchase many books & seminars on my own to prove my active participation & initiative. I work with caring, loving & intelligent people, & I am grateful that I discovered coding & the AAPC....sincerely very grateful. Thank you all.

Excellent work environment, pay and benefits. Among first to obtain and use new technology and processes. Internal peer review of clinical and documentation practices is not a priority - affecting change is a slow, tedious process.

The fact of having a certification lends credibility to my findings during an audit. It also cuts down on the arguing.

Our providers mark their E&M level of office visit & we check documentation for medical necessity. They write the diagnosis on the fee ticket & we have to look up the code and link it to visit, xrays, etc. They constantly error in marking the fee ticket, when in global, when fracture care, etc. We are SUPER detectives and boast a high % of clean claims. Every ticket goes through the coding dept before posting! LONG LIVE THE CODERS!

I enjoy the coding profession

It's unfortunate that many health plans pit the patient against the physician's office when the patient calls the insurance company to resolve a benefit issue. The insurance company would rather shirk their responsibilities to the patient and place the blame on the physician's coding than to be proactive and explain to the patient the limitations of their benefit plan. The insurance company does not want to be the "bad guy". It's very rare for insurance companies to have people who understand coding, much less someone Certified. I commend the AAPC for offering a special credential for coders who work with the health plans. I hope the health plans value this person's knowledge and use it for the benefit of their member, our patient.

I do enjoy my work, coding for 6 different specialties gives me a wide variety of experience and learning opportunities. I have a wonderful work environment with a very understanding manager and do have a good rapport with my doctors.

I am the Billing Manager and certified coder. We hired a full-time certified coder because our practice was somewhat non-compliant with coding levels, documentation in charts, and simple things like signatures. Our coder turned our coding practices around and we attained a 95% in coding compliance, the top of all of University departments! We are very proud of our coder. She has been an invaluable asset to our practice. With her help, I have been able to make wide sweeping changes in the way we do things and increased our reimbursement to a considerable degree while providing complian charts and accurate patient medical chart documentation. Our practice is growing and we may soon hire another professional coder. We rule!

I work for a sole practitioner; plastic and reconstructive surgery. I have learned coding by trial and error on the job. I heard about certification from a friend and decided it would be great for me, as my boss will be retiring in about 2 years and I have noticed that insurance companies, expecially Medicare, have become stricter with their correct usage of codes, especially modifiers.

I love my job and the people in my office try hard to keep up on new coding information. It makes all of us strive to be better. Our manager supports us and tries her best to make sure we have what we need to code effectively. There are other managers within the company that are not so good to work for or with and I feel fortunate to have the boss and the group we do.

I work from 0730 till 1630, coding DOD records with DOD rules and regulations. Work environment is great we all work to accomplish the mission. which is to accurately code all encounter.

I like that in my job I have other responsibilities. I feel that if all I did all day was coding and billing that I would get burned out.

The providers in our practice are very supportive of the coding staff and are always willing to help with coding issues and are more than willing to do what it takes to be efficient in both E/M and surgical coding.

The past two years I have spent working in a Compliance Department with the Privacy and Compliance Officiers. Many of the questions above, I answered based on previous experience as a Coding Specialist for Allergy, General Surgery and Urology Departments. I do feel that more emphasis needs to be placed on the importance of the seven elements of a compliance program. Heightened awareness in the importance of communication from a certified coder to a compliance program needs to be fostered. Coders can provide insight to an organization with regards to the previous governmental audits and the upcoming RACs and MIPs. Coders need to fully understand the importance of the work they are doing and the impact of their results. The AAPC can help to foster this communication as the outcomes can be based on a coder's perspective. This year I have chosen to attend the HCCA Conference to enhance my knowledge of the auditing and compliance sectors for a broader prospective on the industry and to add value to my employer's commitment to our customers. Another area of importance is the confidentiality and ethics of the work this profession involves. There is more to understanding coding!!!!!

I work in the Medical Center in Texas and our managers and supervisors have made sure that our work environment is as relaxed and unstressful as it possibly can be so that we can work as efficiently as possible. We still have deadlines that we need to meet, but we have made any goals that have been put before us because we work as a team. Both managers and supervisors use different ideas to keep moral high when we get to the end of the month. I love it.

My physicians and I are very open with each other and they welcome any information I bring to them. They also in turn relate to me any information they may have. I not only code for family practice but a nursing homes and our relationship is very approachable to one another.

My physicians understand the importance of coding and the education we teach them. There is team effort in the environment I work in. We all work together as a team.

I love the coding work that I do and enjoy learning all that I can in the seminars and monthly chapter meetings. I am lucky that my doctor codes a lot of his own charges and is very knowledgeable in what he does. I find coding to be very challenging and rewarding.

I enjoy my job very much. I am the only employee of the practice so a lot of the questions do not apply.

I think working one on one with the providers brings a clearer understanding for them on what my job as a CPC is. I am seeing an improvment in their attitudes with their coding fee tickets correctly. I work with a great staff.

I find that the more education I obtain and move up in the industry, the better my work envorinment (office space) becomes. I have a stong belief that if employers educated themselves on creating comfortable and functional office space for billers and coders they would have happier long term employees. In my area many people are taking the time to get a good education in billing and coding, then find that employers still want to pay near minimum wage.

I love the career I have as a certified coder. I appreciate the trust my employers have in my ability to do the best job I can for them.

As a consultant,and CMBRS,and training to be certified as CPC in 4/08. I feel that coders & billers must show the Drs/etc just what is being lost each month and year. Its extremely important to work out the problems, and make corrections to codes, etc, and cheat sheets in order to help others keep up with the changes. As each problem arises, it must be resolved, and communication is the key. If more Drs/etc realized just how important a great biller or coder is to the practice, I feel they gain more credit and respect. You can bill & code a thousand claims, but how many get paid within 45 days or come back as a clean claim. You must know,understand, and apply your knowledge in order to make a difference. I love billing & coding, I love seeing the money come in, and the rejections resolved. It can be done, I've done it many times, and brought companies completely out of the red. I hope some day, that it is law for billers & coders to be certified, and give them the chance to make a difference in this awful insurance system we have in the USA. There are a lot of people who want to make a difference, but some how they need to unite and become one. I'm thankful for the AAPC, AHIMA, AMA, and others that have helped me along the way. God Bless you all. Thanks!

We have over 300 providers (physicians, NP & PA) multi speciality. It is extremely difficult to properly review and education. At this time there are only 3 3/4 employees in our QA department, one just employed and the other less that 2 yrs. Me and the other "old timer" have worked in this area for over 25 years. Training of new QA staff and education of providers takes a lot of time. We have found it extremely difficult to find experienced codes and/or CPCs. Having coders at the sites and in the central billing office makes discussion/education easier. Wish we had many more!!!

I mainly do appeals and win most of them as I supply the proper information when doing the appeals

Always learning new things every day. Sharing knowledge to improve efficiency.

I have been working a my new job for 2 months. My titile is Accounting Supervisor. As of right now I do not do the coding for our Home Health care patients, but I am becoming more involved. I have a close relationship with our nurses. They never had the opportunity to work with a CPC. They are very happy to have me on board and together we are learning the advantages of working together. HH coding and billing is a completely new field for me. I am learning everything from scratch, there is soooo much to learn. I am working unpaid claims that were not paid due to the wrong DX code or CPT code. My new position is very challenging, but I am so glad to be given the opportunity to show what a difference schooling and certification make. I have been certified for 3 years. My wages have grown $6 per hour since becoming certified.

I do contract work for area physicians. I currently have 2 clients. One is a CPC with EMR software. She actually does the initial CPT/ICD-9 coding. I review the claims when I pull them over to the billing software. I always consult with her before I make any changes other than needed modifiers or injection administration codes. We work very well together. We listen to each other's coding decision. She uses the EMR "pick list" instead of the actual book to code. It is usually decided the book better describes the procedure/dx in question and corrections are made accordingly prior to claim submission. My other client leaves all coding to me. He does not have EMR, he does keep office notes in his computer using Microsoft Word and puts a copy in the chart as well as on the back of the encounter form. He is available to answer any questions I may have regarding procedures/dx. When he has marked the encounter form, it is usually severly undercoded based on his medical documentation. Alot of these questions do not apply to me since I am not an employee. My clients are very satisfied with my work and are not interested in hiring any employees for billing. They have been severely "burnt" by past employees that stated they were qualified but could not handle the job. I have been coding since 1997 and began my service in October 2006. It has been the best career change I have ever made. I handle full claims management including all aspects of insurance coding/billing and patient statements and questions and payment posting. I do not handle medical records unless it is related to processing a particular claim. Thanks

My work environment is a good one. I am the only certified coder on staff. I also handle posting pmts from carriers, send request for CMS dialysis determinations and often challenge the non-certified personnel on compliant billing. Billing is the biggest part of my job duties. I am fortunate in that we are doing most of the billing electronic, so the medical terminology that I took with my coding and billing class has certainly benefited my knowlege of the job.

I enjoy how there is always more to learn. And one coding scenario is never the same as the other.

I work for two seperate Drs. I am the coders, biller, collections, complaince and assistant. I have my hands in everything as such. The doctors and I work closer so there are less errors and more timely reimbursement.

I enjoy what I do and get along with the people around me. If I need help with something, it is provided.

I am currently employedas a compliance auditor. As such, I verify physician documentation is matching the codes submitted. I am available to answer any coding questions as I currently have experience in over 20 different clinic specialties.

I enjoy the work that I perform and am extremly happy with my employer. I look forward to a long career with them.

I love my work as a certified coder. I have worked long and hard to get here and appreciate the advantage of having providers that support my work and look to me to share my knowledge and "expertise" with other staff members. My practice manager in particular is very supportive and makes sure that I have all the resources that I need to get the job done.

Great work environment with physician support.

I have a wonderful work enviroment

I thoroughly enjoy the teaching end of coding. I've also worked for 10 years doing nurse review audits in the insurance industry, which I also enjoyed.

I have been in coding and billing for over 14 years. I love my work. It is very challenging. I love going to conferences and getting my CEUs. I feel like I am always accomplishing something.

I provide medical coding for DOD, which is very different, that the physicians apply codes and now I am in the role of an auditor more than coder. However I have round table with physicians on documentation and rules. Go over new codes that can affect change forever trying to have them understand E&M, consults vs. referral which is a big issue in DOD, is applying medication time for IVP and infusion confusion for chemo drugs.

In our institution it is a requirement for a coder or reimbursement specialist to have the CPC or CCS-P; We believe the quality of the individual is shown through these credentials.


I love my work; Physician is ethical in all respects, accessible, well trained in coding, and appreciates new information, and education.

Physicians are eager to learn more about coding, and very open to education and auditing.

Interesting, challenging, provacative, rewarding.

I answered these based on my current employer which is not working for physicians, but rather in educating physicians, nurses and coding and billing specialist in order to become certified. I do have some physicians in my classes and those I see wanting to do the right thing and understand it. Now, if I were to answer the same questions based on where I used to work- I would say that the physicians coding is not always accurate based on coding guidelines, however, they do not necessarily want us to change their coding. It often tied my hands because they want it done right, but don't want changes made without them okaying the changes. This is a very non-productive method and in a way insulting because they should be able to trust their coders to do the right thing. I agree that coders and physicians (as well as other clinical staff) should have monthly meetings to discuss issues with documentation and coding to improve the compliance and reimbursement of their practice.

I am a coding auditor and provide audits to my physicians yearly. Education and resources are brought to the physician one-on-one. It is a great way to promote correct coding initiatives and quality documentation.

I am the Supervisor of Contract Administration. I review all managed care agreements for operational compliance by our over 1300 UTSW providers. I, too, am responsible for reimbursement compliance to those managed care agreements. Audit, is my middle name. Having my CPC has given me respect from my peers within my office, and greatly assisted me in my reimbursement audits.

I am the Director of a HIM dept. which employes 4 certified coders plus myself. I don't feel coders get the recognition for the expertise and knowledge they provide in their job duties and the positive impact it makes on reimbursement.

The company I work for is fantastic. The physicians give us a lot of information or the knowledge to find what we need.

love it

The Medical Director, Associate Medical Director and Finance Director place high regard on compliance and accurate coding.

I love my job as a certified coder for a surgical practice and gives me great satisfaction.

Often the coders are the "Catch-all" employees to whom physicians go when they don't have an answer to reimbursement questions, RVU's, documentation, reports etc. We are expected to know a little about everything.

I really enjoy working in the coding field. I look forward to being certified.

Working as the billing supervisor in a 8 physician 2 aprn cardiology practice where we perform echos, stress tests, holter monitors, pacer/icd clinic, inr clinic, a newly added vasc lab in addition to the OVs I am responsible for proper coding, updating the superbill with annual changes of ICD-9 & CPT and keeping up-to-date with insurance carrier changes in policies and fee schedules, also responsible for credentialling and supervise 3 non-certified billers who take care of the deposit and daily payment posting and entering office charges, I still handle the hospital coding as this is not canned as the office visits are with a superbill the physician completes. month end/year end financial report as well as physician productivity reports. Coding may not be the thing that I do most often but it is essential and considered a very important part of my work and I am relied upon for my expertise and when the physicians question me they have confidence in my ability to provide accurate information.

Day to day differs. I'm in a practice that supports me in my coding.

I love the coding!

I work with 3 orthopaedic surgeons & it's a very busy but pleasant workplace. The physicians are all very helpful in reviewing & correcting their codes. And the staff are very good with coding updates.

I am the only certified coder in our insurance department. I code for two surgeons (one is a general surgeon and the other is vascular). We bill for three family practice clinics and two surgery clinics. I am the only one that keys charges or codes in the surgery clinics. I assist other billers with coding procedures in the family practice clinics and the providers mark their levels for office visits. Coding is a rewarding career and I love the challenge of coding interventional radiology and vascular claims.

I love my work and work enviroment. My physicians are always open to suggestions.

I am the only CPC in the office and we have five doctors. I enter all the surgery charges and enjoy that the most of all my responsibilities.

My employer recognizes the value of certified coders (both inpatient and outpatient) and supports coding.

My employer is very supportive.

I work in a large surgical group where we work toward less denials on claims and accurate coding as well as education for the coders. Our CEUs are very important to us and we try to set up meetings here in our office as we can to focus on getting CEUs. We are very busy and code many cases a day for our large surgical group

I have decided, without my providers support, to become knowledgable and certified. I hope to take the CPC exam in May, (vacation time not approved yet) and hopefully, it will be the first certification of many . I am amazed at how little coding knowledge is expected, taught, and encouraged in my job description, yet so much depends on my coding ability and accuracy. I have learned how little I know and how much I need to learn. thanks.

My work environment is very nice. The group of doctors that I work for are very nice, professional and open to advice/suggestions. They support my education and are flexible for the most part with my schedule as long as I get the work done.

I work as an auditor for an insurance carrier in the claims department. The certification is highly regarded, employees are encouraged to pursue it, but it is not required. Having my certification has been very beneficial.

I work for a large billing office and I was hired for Data Entry April 2007. I had hoped that after I got here that I would be able to get certified and become a coder. Both things have happened. The only down side is that I am the first so-called "Trainee" that they have had in the coding department. Unfortunately, I was here for almost six months before anyone started really showing me more of the coding side. My manager now shows me the process of coding, but not the actual applications of things. I wish this company had more of a training department like hospitals do. We code orthopedics and it has been very hard with just the basics for me. However, I am the only one that does Data Entry in my department for the coders. Most of my time is dedicated to entering and figuring Anes, OR and Reov. times from surgery cases. I really like the company and hope that I can learn enough to stay here. Thanks for the survey. Maybe other coders are going through the same thing.

The director of our practice is very supportive. The partners, who are doctors, are very tough and of course everything they do is at least 99214 and of course it is correctly documented. Very tough to teach an old dog new tricks!

I am a newly certified CPC, however, I have over 10 years of coding experience and over 15 years front office experience. Our office has a very close relationship with our providers. They listen to our advice on coding issues and we are always willing to listen to them give a talk regarding how a procedure is done or any clinical information that would help us in the coding/billing office. It goes both ways.

In the radiology coding world a lot of insurance companies are requiring pre-certification. Which requires the ordering doctors office to call and submitted medical records to determine medical necessity. I find it easier for a professional coder to get these authorization simply because we are more knowledge about the test and the coding policies associated with the test. Non-certified workers have a hard time due to lack of knowledge

During regular working hours my full-time job as a coding consultant is great. But I also code for a smaller family practice clinic at home which keeps my skills in all areas sharp. My day job is in a specialty area, cardiovascular, so working the family practice coding in the evening makes sure I stay up on all facets of the coding world.

Getting my credentials has been the best career decision I have made. I have the opportunity to set my own hours and work at my own pace.

As a coder in a ob-gyn office I also help at times with pre-certing surgeries and payment arrangements for ob and surgery patients. I enjoy what I do and my place of employment. I have a good working relationship with the providers that I code for.

Love it!

I supervise collection and billing staff for 4 practices of differnet specialties. Part of my job description is to be knowledgable in the coding rules and regulations for each practice. I am responsible for updating my staff and the front desk staff of each practice.

I have worked here for 18 years and became certified in 2000. I am the only certified coder in this 9 provider group. I code the surgeries and all hospital charges. I'm also the assistant manager. The doctors have given me a lot of respect and encouragement. They have very little coding experience and mostly code the office based E&M with an encounter form and a formatted medical chart notes. The doctors do not understand the bundling of charges and feel they are not being reimbursed enough for the amount of work they are doing.

I work in a teaching physician institution so I feel that our physicians are receptive to training with regard to coding. When I worked in other practices this was not the case.

I extremely enjoy my work environment.

I thoroughly enjoy my work and environment. All medical offices should require certified professional coders. It is a career not just a job.

I do the billing and coding but if I have a question about the surgery, I can go to my doctor anytime for help and we get the correct code to bill. I always read the operative report and get my coding before I ask her to help me to make sure I picked the correct code. I do enjoy my job and I have been working for hte same docotr for 20 years which I started out billing so it was easier for me to become a certified coder since I was familiar with the codes and modifiers.

I teach at Virginia College, and I am thoroughly rewarded in my job as an instructor because, I am able to pass along my experience as a coder to my students. I am especially proud when they are able to get a job as a coder or biller, many before they even graduate. I am able to stay up to date on the billing/coding issues as I am lecturing. I am also currently in the process of getting a game published by Thompson/Delmar that I came up with for coding purposes. I have had much success with the game in my classroom, as my students tell me they learn so much easier when they can have fun with it.

I could not be more happy in my position, well, unless a couple providers would be more open minded to my coming to see them. On the whole, I have a fantastic place to work and wonderful providers and staff to work with. Having my CPC enables me to have this position.

I am in a different situation than most coders - I work for my husband's practice, which includes 6 physicians. Because they see that I am on top of all the insurance bulletins, they don't argue too much when I show them where they have erred, and how they can improve their coding. Each physician is expected to put their own coding on the superbill, but anything suspicious (and anything for Medicare PQRI) goes to me for final decision. We are on electronic records, and that does help them see their decision making, and the entire ICD-9 is included in the software.

My physician and I have a wonderful working relationship, he is an excellant teacher and he is always open to my questions regarding documentation or surgical procedures.

My physician is extremely diligent about coding compliance and demands the same from the staff. I am currently searching for a coding class geared toward providers.

My coding training and credentials are very important in my work to identify and document health care fraud and abuse.

I work in a pool position doing ICD-9 audits in MD offices for an insurance company. I am independent, pick up projects at the office and do them on my own schedule within the time frame given. I just received my CPC credential and am very excited about opportunities in the field.

I work for a very large payer. They actively pursue certified coders and regularly place them in positions that allow them to use their coding expertise to better handle provider appeals, clinical edits in the system, etc.

I enjoy being a coder. I preform many different jobs in the office that I work for, like: check-in, check-out, answer phones, handle billing questions, send appeals, deal with insurance denials, and research anything needed for my practice to be able to get reimbersed in a timely fashion. I also code office charges and hospital/anesthesia charges. Sometimes I do not know how I keep up with all that I do but if I did not like knowledge or my job, I am not sure what I would do.

I code for a multi practice. I have my problem children as they are referred to, and then there are those physicians that want to help and try their best to code their fee tickets the best they can. I am currently looking for dictating classes for a few of our physicians to attend.

I work for a single physician who does not welcome my pointing out inaccuracies, whoever, she does appreciate the conscientious effort I put forth to do my job efficiently. It balances out in the end.

I work as an Assistant Administrator supervising a staff of 50 employees. Besides myself, we have three certified coders working for us in various job descriptions. The physicians are very supportive of our continuing education as well as theirs.

I could not complete most of your survey questions as I travel my state as a provider training manager for a payer, presenting workshops on a multitude of topics related to physician office staff and their dealings with patients covered by our various health insurance products. My previous professional career was as a CMA for ER, FP, and multi-surgery disciplines. That experience included coding and my present position involves talking about coding as it relates to our medical policy/coverage guidelines, claims, etc. Additionally, I am often invited to speak to audiences as a representative from my company. My credentials continue to be important to me personally, and have enhanced my credibility within the provider community in which I have high visibility.

I love my work, and the hospital I work at is wonderful. I have a very good relationship with the Dr.s in my area. The department reimburses for any CEUs and other coding related programs that are offered. I am glad that I chose being a coder as my career.

In our practice, CPT and ICD-9 coding is joint effort and discussions, including selection and compliance, are frequent. This is essential to the accuracy of coding in all areas.

Hours are great. Work environment is good.

I code all levels of radiology at present. These providers do not code any of their reports. Other providers code for the services they have performed. I will be learning Cardiology coding and Abstract coding next. I enjoy where I work and the people I work with. It is a laid back atmosphere.

Indian health facilities are operated differently than the private sector. We have a contracted physician once a week. Work load is relatively low and we have ample time to review and research any problem that arises. I have direct access to physician when he is here to address questions or problems in our facility. Our patients receive great care and spend an ample amount of time with the physician.

I am so lucky. My docs pay for my CEUs. I can talk with them about anything. If i find something wrong, they listen to me and try to do better from then on. I audit, post payments, do appeals, send out statments, post charges. I now have 6 providers, one of whom I do all the coding for. I have one Dr. who does his own coding. He is darn near perfect. I have one coworker, she is not certified. Been with the guys for 23 years. Great to work for.

I am fortunate to be working in an environment that is favorable to accuracy rather than collections. These physicians attend coding update classes yearly for their specialty and we review the information together.

I am a CPC and also the Clinic Manager. Unfortunately I do not get to code as much as I would like to because my duties as a Manager take up most of my time. I do have a CPC that codes the 5 providers clinic charges. I code the providers hospital H&Ps and hospital visits. In July of this year we are adding a General Surgeon and 2 more Internal Medicine providers and at least 2 Family Practice providers. We have just purchased Practice Partners software thru McKesson which we will be implymenting in July. We hope to have the EMR in place by Sept. which will code from the provider's notes. We will have the CPC then audit the codes that the software assigns. Personally I feel having 13 providers is way to much for 1 certified coder. I personally will not be able to help much at all with coding. What do you think as far as the number of CPCs we should have? I would really be interested in your thoughts about software coding the visits and how many coders we should have. Thank You P.S. You shouldn't have asked!!!!

I have been coding in physician's offices for over 25 years. I am taking the CPC exam this March. I am the Practice Administrator of this practice and do not expect to always be the primary coder, however, I do feel it is important to have the certification in order to keep the office running efficiently and to be a resource to the other coders.

This is a very small practice. I wear many hats: office manager, coding/billing person, office administrator, jack-of-all-trades. My docs are VERY good about making sure I get the CEUs I need and allowing me the time I feel is necessary for education to maintain my knowledge and credentials. They believe that investing in my education and the education of the rest of the staff is essential to the practice. In that respect they are exemplary and I know how lucky I am to work here.

I have been in this position for 6 months and find the environment in this job comfortable and the organization very supportive of the coding/documentation compliance issues

I enjoy what I do, and am always busy keeping up with insurance/Medicare rules and updates.

I love my job, the flexibility with hours, and the good rapport I have with my doctors and others in my office.

I enjoy it very much and all co-workers and providers are very helpful.

My work environment is awesome. I manage the clinic staff, medical records, transcription, billing, compliance & coding and precert staff and the dept supports and provides the tools for everyone to succeed and provides additional training to expand.

My employer is great. We are continually looking at new ways to do our jobs more efficiently and effectively. Most of our doctors are wonderful and understand our value to them.

I'm a senior coder/keyer for a billing service; we review all chargesheets for accuracy/need for modifiers and link charges to diagnoses; for surgeries we compare the physician-coded surgery chargesheets with the op reports to be sure nothing was missed (chondroplasty in separate compartment at the same time of arthroscopy, fluoroscopy, etc.) The Physicians do the coding, we just double-check and recommend better codes if needed. I post charges from home 3 days a week and match bills, send faxes, answer questions for newer staff members/help billers with their appeals on the other two days. I'm this close >|< to pursuing a consulting or training position. I've been doing this for 17 years with emphasis on Orthopaedics, Critical Care, and OB/GYN. My daughter will be going to school next year; time for a change and a challenge. GO AAPC - you're on the ball!

My work environment is quit complex. I love what I do, but it is the people I work with.

Not all of my physicians code, but we discuss codes & reach a concensus

The company I work for is wonderful and supportive.

I absolutely love my place of employment. I have a great manager and support from my physicians means so much!!

The state of Arizona is very motivated to have certified coders to audit providers and provide them with ways to improve their coding.

I am the CEO. I am a certified coder and biller. I hire CPCs often. They do not always do billing but they always work with codes. I find this invaluable to my company.

Our manager is an experienced certified coder who hires apprentice coders to give them a start. They save money and we get experience. We need to see more of this in our association.

Obtaining and maintaining the CPC credential is extremely important to the daily function of a provider oriented environment and day to day operations in my field. Continuing education is also important and it aids in promoting from within which saves our companies resources.

I work for family practice, pediatrics, urgent care, and occ med doctors. For the most part they code from the CPT codes on the charge sheets but ask us for help for ones not on the sheet. Most of our docs do write out the diagnosis but aren't always as specific as they need to be. They are open to our "fixing" the code for them. Most of my time is spent coding, data entry, researching charts, auditing and making sure all office, hospital, and nursing home charges are turned in and billed to insurance. We do not have a "coding manager" but work under the clinic manager. All coders are credentialed in my clinic, one being an apprentice. Our Central Billing Office deals with the EOBs and payors but we work closely with them to try to make sure the claims are all clean before billed and we make any corrections that need to be done for reimbursement. I like my job!

I work as a compliance auditor. My company is very much into compliance so our providers are trained in coding their encounters in every specialty. We check and audit their work and give support when they have coding and documentation questions/issues.We also do concurrent audits of other projects given to us by our region. I have a very good relationship with my coworkers as well as with our department manager.I am happy to be a part of a well organized department and a wholesome environment.

I have very good support from my doctors and office manager. I enjoy coming to work and totally enjoy my job.

I do coding & auditing in the military enviroment and love it.

Very nice work environment. Management is very helpful with all aspects of my job.

i do only ancilliary coding here at the hospital and my work enviroment is very good

Coding has an impact on all aspects of the billing office. Having a well educated coder is an investment to proper billing and reimbursement as well as keeping an office compliant.

We meet twice a week with the providers to dicuss changes that may be needed. Coders cannot change selections without providers prior authorization. Medicare is a large precentage of our group and the coder are invaluable in deciphering what Medicare wants in order to get payment.

I am an educator and director of a coding program at a career college. I am working with my staff to improve the coding curriculum and knowledge of my team. My goal is to get my entire staff certified.

My providers are given a charge sheet of procedures that are tied to the correct CPT code for the services rendered. E/M visits are listed as initial and follow-up, with the various levels listed. The provider completes his or her charges, and the coder (me) verifies that they have chosen the correct level based on services documented. I do all the ICD-9 coding, the providers just write in their diagnoses. I am lucky in that my supervisor and my providers are confident in my abilites and trust my advice.

Love my work, the department I'm in, and the people I work with.

One of the questions states hourly pay. We get paid by the number of charts that we code not by the hour. I enjoy my work tremendously.

I have a great deal of varitiy to my job and love it. I am considered a valued employee with good compensation and bonues. The physicians are open to my suggestions and value my opinion.

I currently work in the Pathology and Lab department with over 700 people just in our department alone. We all work together, the pathologists are wonderfull and always questioning what is happening and why. I am not a direct coder, but the coders do meet with the head pathologist of the different areas on a regular basis and discuss what ever questions the coders or pathologist have. We do not have the E & M coding issues.

I am a Compliance Auditor for a large health system. I audit outpatient charts to be ensure documentation matches charges, and billing, and review reimbursement. I do not actually code charts, but use my coding credentials to ensure accurate coding of outpatient services. Much of the coding on our outpatient bills comes from the chargemaster, rather than a person actually coding the services, so I also ensure charge descriptions match the chargemaster which should match documentation. I love my job!

I work for a consulting firm and offer my expertise as support. All our clients do their own coding. We do some internal audits, but most clients are not accepting recommendations and educational helps

Our physicians are currently using a new EMR system which helps them better understand the coding compliance as it helps calculate their E/M codes. They have undergone training for this and will be taking additional classes to better understand/confirm their understanding of how the E/M coding works. This has been very helpful for the coders in the office as we do educate the physicians to the best of our ability but this reinforces our encouragements.

I love my job! Working at the medical school provides me with a multitude of learning opportunities.

My physician respects my knowledge and is always open for suggestions.

I am the administrator of the practice and my physicians encourage and support professional coding activities and credential upkeep. They strive to be compliant and do the right thing. There are so many pressures on them from all sides and they expect me and my coding staff to assist/guide them to stay out of harm's way and I believe they have come to appreciate it rather than fight it.

I have always worked for physicians in their offices. I am now working for a small billing company doing coding for 2 doctors. I am not certified by stay current by going to courses and reading, using good coding references, etc.

I work for vascular and general surgeons, over the years I have maximized their reimbursement from insurance carriers, and thus promoted to office manager. My physicians are too well aware, that their reimbursement lies in the coding so they do try and ask questions about how to maximize reimbursement, and try to code to their best ability, but the bottom line falls on my shoulders alone.

I work in the Provider Review Unit of the Program Integrity Division. Being a CPC has enabled me to easily and quickly review the claims histories of recipients to identify aberrant billing patterns. I then select those recipients for review and request medical records from the provider. I feel confident when I establish my overpayments, because I am familiar with the coding guidelines and I can easily substantiate my findings during a hearing. There are 12 people in our Department excluding management. We are assigned cases quarterly. We have a Data Team that assists staff members with obtaining our claims history for the provider being reviewed. This is then given to us in an Excel format and we also establish our overpayments in Excel. Prior to coming to Medicaid, I worked as a coder in the Emergency Room Department of Medical College of Virgina located in Ricmond. I hope this has been helpful.

I am happy with the work I am doing because, it does not only involve coding and auditing but also training of physicians and interacting with them and addressing different coding questions and concerns.

I have worked in this field for over 30 years. I have been with my current physicians for 18 1/2 years. They continually move forward with changes necessary to achieve the greatest amount of reimbursements and do so with all the necessary compliances mandated by the insurance industries and Medicare. I hear a lot of talk at meetings from other coders whose physicians seem to be their biggest road block in correct coding. I feel very fortunate that I do not have that issue to deal with. Educating at the physician level is a difficult task. Their time is so limited as it is with all the required documentation and now with most insurance companies requiring peer to peer discussions for testing, that coding education is not at the top of their priorities.

The practice works as a team

I work for a Hospital. Coming from the professional side has been a challenge but the dr's, fellow coworkers are fantastic. I have learned much!

My providers and management are very supportive. Appreciate my work

I work for an insurance carrier. Compliance with all regulatory authorities is expected at all levels and integrity is job#1. I am very fulfilled and enjoy the challenge of auditing and keeping up to date on the guidelines

I supervise 9 certified coders in an anesthesia practice which covers billing in both North and South Carolina. My staff is very dedicated to do both quality and efficient work. Out employer know how important it is to have top quality coders on its staff and they provide us with what ever we need to keep our cerification.

Work for 5 surgeons - and we have 5 full-time employees. I am the manager, coder, medical assistant, etc. VERY stressful job, but the surgeons believe that nothing could possibly be more difficult than what they do and therefore I don't complain.

We audit and monitor almost all services provided by our physicians. We sit with them face-to-face once each year and more often for individuals who may need reminders about coding and documenatation guidlines. I also put together audit summaries for each provider and the group as a whole, this helps to see where the problem providers lie AND it also shows how much potential lost income we were able to capture(or lose for that matter) for the group by correct coding.

I enjoy working in a facility that supports continued coding education.

I am the coder for the neurological surgery department in a large educational institution. The 11 physicians do brain, spine, interventional and pain management surgeries/services. So, while I only code one for one department, I feel I have extensive expertise. I code approximately 5000 major surgeries a year. There is one A/R person who has recently passed the AAPC test. She does not code. Charge entry is done on premises but there is a central business office which handles the rest of the routine.

I love it!

I primarily do insurance appeals and follow up due to no openings in the coding department. No one ever leaves those 5 positions. I want to use my CPC credentials more.

I enjoy coding in the field that I am in and feel fully supported by my supervisor. There had not been a coder here prior to me coming with my knowledge and experience so the doctors and clinicians have been going thru a learning process with coding and documentation and it has been received very well. I hope that the AAPC will consider a speciality credential in Behaviorial Health.

I changed jobs last year to get away from a noncompliant situation. My current position is wonderful. The physicians and residents all try to understand coding and reimbursement, and are getting better at it all the time. Education has become the most important part of my responsibilities, and I always look forward to an opportunity to provide feedback and education.

My work as a coder can be many different things including gathering correct payer information, training front office staff in billing issues and registration, overseeing our billing department's workload and managing staff, keeping abreast of coding changes and issues and compliance. It's satisfying because part of being a good coder is teaching other staff what they need to know to understand the revenue cyle.

I feel the coders in my organization are valued and have a lot of responsibility.

I am very happy with my work environment and my employers. I enjoy coding and plan to stay in this field. I encourage others to become certified coders.

I feel a lot of my time is spent researching compliance issues since we are a small office we do not have a compliance officer. This makes coding productivity seem slower to the physician yet I feel it is up to me to be safe instead of sorry. I wish it was easier and more payors were required to put policies in writing. I know most people dislike Medicare, I enjoy them since they have policies in black in white. I love coding and would never give it up even the times I get frustrated over the expense of CEU'S, the miles I have to drive to be able to take part in a Chapter meeting or the expense of resources. For what we are paid in comparison to these expenses, I still feel like I haven't worked a day in my life, just been challenged everyday!

I am the only coder in my direct area, we have nurses and patient access specialist.I assist with coding, insurance and denials. We have professional coders in the hospital and I work with the head and cNeck physicians. My skills are utilized with the appropriate documentation and billing for the center.

The time necessary for researching issues and educating myself is taking up a larger portion of my time each year.

My work environment is a user friendly one we are electronic so the billing and coding is so much easier and less time consuming.

Physicians will work with us when they understand how important it is that we have accuracy or need clarification so we stay in compliance.

I feel that all coders should be certified and employers should have to pay to keep CEUs up to date.

Well comfortable environment and questions asked are answered, just would like more education.

It is a great place to work. I plan on retiring here. Wonderful environment.

I have a very positive work environment at the VA Medical center. As a large hospital, there is co-operation between all areas to get the work done correctly and have the best interest of the patients.

I am an LPN. I am a member of AAMAS, and I am in the process of trying to pass CPC exam. I work in the Special Investigative Unit and Accurate Provider Payment Unit. I have been a medical auditor with PHP for 7 years. We do provider profiles, high dollar claims review (all claims over $100,000 are reviewed in our department prior to payment) and research fraud and abuse allegations for our members and providers. Having a CPC certification will add a new measure confidence in my work.

We have meetings as a group at least two to four times a month and discuss operative reports and billing issues. We are multi specialty group, so each coder or biller for the most part only codes their specialty. By meeting this way, we can learn from each other and keep up to date on changes and new codes. This group consist of coders, nurses, managers, supervisors and billers. This lowers the risk of possible denials and coverage when an employee is absent.

I take classes and go beyond my responsibility as a coder. Learn other specialty to have a better understanding regarding billing, coding and compliance issues as well as the proper documentation regarding medical record and patient care.

I am a new coder and am enjoy the work and the work environment

I enjoy my work as a medical coder/auditor/trainer at an army hospital. Providers are eager to learn but some times they do not understand the level of E/M services. But I am working on it. I have execellent co-workers. we always learn from each other. Thank you.

As a coder you are looked upon to do other duties other then coding like credentialing due to being detail oriented. I am also a Manager and strive to get further education for all of my employees. I believe knowing coding is vital even when working accounts and calling insurances. Even more important when knowing when to appeal and how to appeal a denial.

I have a great work environment.

I really enjoy me job and my fellow co-workers make me feel needed and that what I do is very important to the whole organization.

Excellent work environment. We have buy-in from all 5 MDs to do it right and we work extremely well as a team.

The administration highly appreciates the work that our coders do which in turn makes for a great working environment. They listen and support us in all situations that we may question. They also have paid for my CEUs and certification renewal since I only do coding part-time.

Most of the physicians in my office are very good at coding their services. The physicians that are challenged with coding their services are very open to suggestions made by the coders. They all want to be kept informed.

There is a strong commitment to correct coding within our organiztion. All coders are CPCs.

I work for a payer and enjoy it. I try to keep a positive communication between the provider and us. I think it is a necessity, a must to go the extra mile to make sure the insurance companies and providers have the best understanding of each other issues/policies and procedures.

I am the office manager and the certified coder for the office. I also do some of the clinical work. I love where I work and the work that I do.

Having a front desk background allowed me to move into a management position at my current job. I manage two front desk, medical records and I am the only coder for a 7 provider Internal Medicine practice. I believe that coders should have some knowlege in all areas of a practice. When I first got in the medical field I worked the check out desk and posted charges by reading office notes. That is how I became interested in becoming a certified coder. Coding is my passion and I fill that coders should be involved in every area of a practice.

Working for a program safeguard contractor I am tasked by Medicare to look for fraud, waste and abuse in the Medicare system. My company understands the importance of having certified coders to review the claims and documentation submitted to verify that all was billed correctly. All of the staff who do the reviews are also nurses. I think this is also a big benefit to anyone coding. Understanding the procedures, medications, reactions, anatomy, etc I think is crucial to coding a service correctly. I think more coders should have a medical or clinical background.

My bosses are supportive.

I love my company and I wouldn't want to work anywhere else!

It is a requirement of my company that all coders are certified, or are within a short time frame of being certified. In the last scenario the coder would need to bring at least 3 years of exprience with them and have exceptional knowledge of the billing and coding process.

LOVE IT!!!!!

I work with a General Surgeon - 1 physician office- both the office manager and I am a CPC and our Doc is great about education and staying educated himself. He sends us for currant trainings about every 12-18 mo and agrees to let us off early to travel for chapter meeting 1-2 times amonth. We have great office support, and work together great as a team.

As the senior coder and billing manager, I try to make things the simpliest for the doctors to code their charges by creating a superbill that is detailed with codes, modifiers, and coding hints. I see that all staff including doctors are aware of changes. We discuss compliance issues and work to get any shortcomings corrected as quickly as possible. My doctors are supportive and depend on me to keep them informed. They are always willing to sit down and help me find the right codes when they have performed a difficult or unusual procedure. I have the respect of my doctors and staff and I respect them and we have a wonderful working relationship. I have a very supportive administrator who encourages and backs me with all aspects of coding and billing compliance situations.

I work in a good work environment. Our coders and local coders network and have a good relationship. My employer is very active and supportive of the coding department. We play an active role in the billing process. Being a certificed coder is very important. Remaining update and current is also very important in the reimbursement process.

My employer is very open to suggestions and new ideas to capture lost revenue. They are also great at providing the proper tools to perform the job.

I work for a great practice that believes that the more education we get the better we can serve our doctors.

I provider chart auditing as well as coding review and correction of the services the Providers provide to their patients. I am solely responsible for correcting coding issues. I provide staff/provider training in all areas of Documentation, Coding and Billing services, they do not always adhere to my suggestions which makes my job even more difficult. I am responsible for multi-specialty providers which include, OB/GYN, Pediatrics, Neurology, Psychiatry, Family Practice, Nurse Practitioners, Midwifes, Internal Medicine and Infectious Disease Providers. I have a wide range of experience over the last ten years of coding but find that providers still want to do things their way when I try to encourage them regarding accurate ICD coding as well as accurate CPT/HCPCS and documentation requirements. I have a very difficult job.

I work for a billing/administrative service for a multi-specialty practice of 1500++ providers. We are not subcontracted though, but are directly employed by the practice plan for coding, reimbursement, practitioner credentialling w/payors. We are, ourselves, a group of approximately 175 front-end coders, back-end reviewers, insurance followup, Compliance, Payor Contracting, etc. folk.

I work for a group of nurse anesthetists, coding for them is wonderful, they mostly do gastroenterology procedures. I also work on denials and communicate with insurance companies regarding these issues. I love being a coder, its a whole new experience.

I enjoy the work I do. i am in the right job in the right place.

My work environment is great! I work with very knowledgeable people. The work is very satisfying & I really use my coding credential & coding experience & professional knowledge in my job every day.

Coding is a good job

In our division we have physicians who are very aware of correct coding, and a few that are not. We tend to monitor more closely the ones who are shakey in their application of codes, but we do monitor all of the providers and bring any errors found to the attention of those who make them. This keeps correct coding in front of them at all times. They actually appreciate the education for the most part and they know we are only trying to protect them in an audit situation.

I work with 20+ medics that all do the EMS reports I must code from, proper documentation is an issue here for some. I have a great work environment here, no complaints. I work for a city so upper management is clueless as to what it takes to code claims and get them paid.

I work in a nice environment. The physicians for the most part are very open to our help and are more than willing to participate in education where their documentation is weak.

Some of these duties are not performed in the Compliance Department. The answers here are absolute, whereas in real life the answers may reflect differently. So when I say that our providers are coding and are accurate, most of them are accurate, some are not. Mostly their E/M codes need help more than their surgery or minor procedures. We have a smaller percentage of providers who do not get it. Mostly, everyone gets lots of education and know and are aware of what they are doing. Thanks for allowing me to participate in your survey.

I am in the physician education and audit dept. which is responsible for the yearly auditing of the 42 physicians in our practice. I previously worked in the coding dept. withing the billing dept. coding office visits, stress tests, echos, and procedures. I prefer the physician education & audit dept. to billing as there is less stress. Coding/billing has production numbers to achieve. The physicians are really receptive to our audit system. They like to know how to improve their personal production especially if they are consistently undercoding visits.

I love my job and the people i work with!

As an auditor I feel that this is a very important position to teach the providers in coding and the need for accurate documentation. The provider can have a program that will code for them, but the documentation must met the codes choosen. I feel that each employer should pay for the education for CEUs. I feel that we should have a union for coders.

Just about every day I may receive an email about how well I am doing from others in my organization. Many departments count on me to help them with any coding issues. If I don't know, I know how to find the answer. :) I do have complaints too but that is when I deny something. haha My boss is very supportive in my professional life as a coder for the company.

Our team coding staff is friendly and helps out each other. We work with our physician to understand compliance. We have the necessary tools for research of codes and diagnoses.

Rewarding environment though stressful at times. Very positive physician/coder relationship.

I am very happy with my work envirnoment. I work for 3 doctors and when I take coding changes and documentation issues to them they are open to working together to make the most compliant choices. Along with my own out of pocket expenses, the doctors also send me to coding seminars to keep up to date.

I enjoy my work environment very much. My employer is extremely supportive of the work I do.

I work for a large health care facility but I am the only coder in Neurosurgery and have an office right in the Neurosurgery department. My job is coding, entry and follow up once the claims are paid. I go thru the accounts severaltimes per year to see if payments were correct. I LOVE my job!!!

I work in a 1 Dr office in very pleasant suroundings. Both the DR and the office manager have been interested and most receptive to any issue that arises, whether it is in the office or a discussion brought up from the new "Cutting Edge". We have reviewed billing/coding, documentation & compliance all with positive results.

I love my job and enjoy the coders I work with. It's nice to be able to ask questions and not be expected to know it all.

I am very fortunate to work for 4 wonderful Physicians who show me the respect they have for me daily!!!!!!

The work I do is enjoyable. The upsetting part is having management not know what is going on wanting changes without education.

I love my job, wouldn't trade it for the world! I work in a small billing office with the corporate benefits. My manager is great to work with. I work very well with the physicians. I am coding for several different specialties: neonatology and orthopedics and soon to be coding for oncology and neurology. I feel very fortunate to learn and use my coding training and experience for several different areas in the medical field

My superiors support my education and the importance of having credentials. They have have given me the tools I need to do my job. I have only been a CPC for 2 months but I can see the importance of having the credentials and how it helped me in just a short time.

I have an excellent work environment. I work for an anesthesia office which was being run by the physicians themselves. Last spring, they turned it over to a billing & collecting company that specializes in billing & collecting for anesthesia offices. I am the only coder. I was hired between taking the test & finding out that I did not pass. I have to retake it to get my certification. Having a certified coder is a high priority. My team leader & manager both are exerienced anesthesia coders, but with no certification. Coding is just one of their tasks along with charge entry, or the billing part. The billing company has really streamlined a lot of things, taught the doctors a lot of rules, regulations & important things they need to be documenting for us so we can collect as much as possible. Also, so we can stay in compliance. Things are steadily going up & up.

This is my second coding position, Where I am at now, they want all coding done quickly, and all claims sent as as soon as possible, so the end result from all this is a lot of mistakes. But overall the job is very rewarding. Thanks AAPC !!

My work enviroment is very pleasant. My employer is very supportive in many aspects.

Excellent work environment. Large billing company for radiologist, pathologist. We are encouraged to attend coding seminars (at company's expense). Very pleased with my employer and my salary.

I enjoy my work as a coder in our cardiology specialty office, our physicians are great as far as learning from us as coders. They do a wonderful job for the most part and are very willing to make change's if necessary. We have 2 certified coders and one not certified.

I work with the EHR and I need to review everything that the providers enter. The EHR is fairly new to us and it is taking time for everyone involved to be on the "same page". Some providers consistently down-code while another up-codes. So, I have to audit and notify the providers to choose the correct e&m codes etc. We're learning and teaching each other too.

I have a great work environment and have been able to flex my time to attend college to further my education. As with any job position there are always challenges that arise and as a coder sometimes it is rather difficult to get a point across to the provider. Providers who have been practicing for many years are reluctant to accept coding rules and guidelines. Coding has many gray areas and this can make the job of a coder very challenging.

My physicians are very supportive of certified coders and I feel understand their worth in the practice. They do however have some issues with accepting direction on documentation guidelines and coding limitations.

Communication between physicians and coders is the best why to maximize reimbursements and fullfill compliance issues.

I love my job.

I have been coding now for 8 yrs and the place I do coding for is the best. Physicians are cooperative and perceptive to your ideas regarding improvements in thier documentations and other aspects to running a smooth and compliant practice. I was about ready to quit believing there was not a place in the medical field with management and physicians alike not willing to listen to the ideas of a professional coder.

I work for a specialty surgical practice that at one time had 6 surgeons, 4 physicians assistants, had 2 offices and provided services at 4 hospitals. We have downsized over the years and now we have 2 surgeons and an ARNP. I am just as busy now (coding, billing, credentialling-etc.) with these providers as I used to be for all of the others due to the paperwork necessities-PQRI-literally educating insurors on add on codes and modiifer exempt codes that they continually cut reimbursement for. It is a challenge sometimes but well worth it when the proper payment arrives.

I work full time for two wonderful physicians that understand the many changes from year to year and they are always willing to listen when changes effect them, I also work part-time for a physician doing only coding, and he is always willing to listen to my opinion re. his coding...

My workplace is an awesome place for a coder to learn and grow.

We have a pleasant work environment. we are located in an administrative office which is not within the clinics. We have an electronic superbill which we review and approve for submission to payors. Any issues or questions are directly address to the individual provider. I also train and audit our providers and am able work directly with them on coding issues. Most of them are open to my comments.

The physicians I work for are very receptive to suggestions or changes I make and are respectful of my knowledge. They are some non-compliance issues here which I am researching and bringing to the attention of the office management. I have only been here 7 months so I am proceeding with care, and making sure my information is correct before I address any issues.

I am fortunate to have physicians who appreciate the work that I do. I enjoy coding very much. I don't, however, enjoy "battling" with insurance carriers.

This is a speciality office with one physician and one employee (me) I have my CPC and do everything from reception to coding/billing. I am very fortunate to have an open-minded employer. Any coding changes I feel need to be made we always discuss. When dealing with operative notes this is a hugh learning experience for me. I studied for my CPC because I wanted to learn more and be more confidant in my position (I had no medical office experience, but did work at hospitals and for a HMO) The experience, opportunities and confidence I have gained since becoming a CPC and associating with the AAPC have been priceless!

As a certified coder I work providing information on how to code and bill for services so as to maintain compliance with regulation. All of our 100+ providers select their own CPT/HCPCS codes the majority do not select their ICD-9 codes. We have found that accuracy in diagnosis codes is higher and reimbursement prompter when the physicians select the diagnosis codes.

I love my job.

My Physicians and PA are usually accepting of any input regarding coding issues that I may have. If there is any disagreement, we will usually work things out using the current coding books and medical dictionaries available to the practice.

I absolutley love what I do. I taught myself to code at my previous employer and have since had formal training. I love the challenges that I face every day. There is always something new!

Because I work in a small practice, I have responsibilities beyond being a certified coder. This makes my job more challenging and less monotonous. I like working in a small office.

Some providers are more interested/ adept at coding than others. I am really looking forward to electronic medical records. This will aid me trememdously in keeping everyone's knowledge current and the provider getting direct feedback when more info is needed at the point of care. Thank you.

I enjoy the work I do!

My job description is to review and code CPT & ICD-9 for medical necessity following the Medicare Guidelines for all government entities. The second part of my job description is to review claims previously denied, make nay necessary corrections and return to the A/R department who follows through with appeals to the carrier. I have a very large volume of charts that come in uncoded from the providers, which require 100% coding. In the event that the chart is incomplete my job duty also requires that I contact the hospital(s) and request the missing medical documents. At times, I have to stop coding and turn over to the billing aspect of the process withing the central billing office. At this point I become the coder/charge entry person, this happens a few days a month, but not on a consecutive basis, it is only PRN. I am the senior coder and I help out my fellow coders when they are having a hard time with a coding scenario. I am always available for the coders and give detailed information to help them learn more about our coding specialty.

Our practice began using the electronic medical record almost 4 years ago. It has enhanced our provider's accuracy of CPT and ICD-9 codes and speeds up the entire billing process. Even with the EMR we still review all claims for accuracy before submitting them to insurance but the process is much faster now.

I love being a coder!

My position of Office Manager/Coder Biller is very exciting and fast paced.The specialty coding has been by profession for about 8 years now. Prior to GI coding I did Cardiovascular. Great job to have

I work in the Central office for a large, multi-specialty group. We have centralized coding, where in all of the groups send the charts to the CO where the coding team and resources are located. We have a claims resolution team that receives denials and sorts them. The coders only receive denials that pertain to coding issues. That helps extremely with being able to do more coding and less claims resolutions. We have a Medicare and Medicaid specialist on the resolution team. That is extemely helpful. The dept's at the CO all interact and share info, so as to reduce the denials. We have an extremely low AR days and the company values us as a dept. It's nice to feel your worth as a dept and coder within a company.

I typically love my job. I am the only certified coder on site doing 98% of the coding as well as handling coding denials.

I would like to see more opportunities for reviews and changes in a more casual setting, so that you feel comfortable asking questions face to face for education. It is more efficient learning environment.

I am the only coder in a small insurance company. I believe I am a valued employee because I am a CPC. I just wish I knew of more resources that would help me in my very specialized arena. Our company does ONLY workers compensation insurance.

I work the insurance low pays and appeal the incorrectly paid claims and review to make sure they were billed/coded correctly. I LOVE my job!!!!

Because of the tremendous volume of visits, each encounter is reviewed quickly, with a trained eye for any physician errors (missing mod 25, appropriate dx for type of visit, medication quantities, etc) All surgical and procedural coding (ASC) is done by a coder. Although each coder is knowledgeable and shares coding information with the providers, finding time to meet with them is their greatest challenge.

It seems that we have very little time to educate the physicians. Sometimes when we do educate the physicians they do not make any changes or they change for awhile and then go back to the way they used to do things. Each coder does not have much interaction with the physicians. Mainly we have a coding educator and a coding manager who meet with the physician but they don't have a lot of times themselves to meet with all the physicians.

I have received my CPC certification--I am looking for a career change so I can better utilize my training and knowledge. I enjoy coding.

My work is divided between physician billing and hospital billing. I code and do charge entry and follow up on the A/R. I am part of the internal audit committee. I also credential the physician groups employed by the hospital.

I work as a compliance auditor for a large academic medical center. We perform audits on over 1100 billing providers (MD, NP, PhD, PA, etc.) annually. We also educate physicians and staff on coding and government compliance. Our office reports to the administration of the medical center so we are essentially independent from the physician practice groups. We are given the opportunity for continuing education and are encouraged to seek it. We have support from "champions" in each of the department of medicine specialty groups and work together towards reducing risk. The providers are responsible for coding their own services on the outpatient side. Coders are responsible for the inpatient side. Our office also performs "coder audits" on the inpatient coders.

I consider myself very fortunate in that my five physicians understand the importance of and comply with coding guidelines. They listen when I bring changes to their attention. I am the only coder and have an assistant who posts for me. Between us, we handle putting in all charges. We have a billing person who posts payments and I handle all appeals. All in all--it works.

I have an excellent work environment and I enjoy the variety of coding tasks that I have been afforded to learn and take upon.

Our doctors do their best in choosing the codes for their work. Our coders audit their code(s) and change them as needed, and make sure all codes are present to bill. We have a great working relationship between our office staff and our physicians--communication is key.

I am the only certified coder in my home health agency. I ask the therapists/nurses to get documentation from physicians to help with documentation for coding. I love what I do!

I love E/M auditing!! I did an audit last year for two cardiothoracic surgeons, you would not believe all the mistakes I found on thier E/M coding. I had a 85% error rate. How can you explain to a physician the proper coding technique when it comes to E/M???

My company is very supportive with obtaining education and keeping up with all the changes.

I code just for our endoscopy procedures. Each charge ticket that the physician turns in filled out or not I review against the dictated procedure report and if any pathology results. There is an understanding in the office that the coder reconsiles all charges and reviews everything before going out the door. There is a great relationship between the physicians and the coder attributing to ongoing education between both parties.

I am in the Corporate Compliance Dept, so I do not have direct knowledge on most of these questions. My audits do not alway include the coding aspect, however without coding experience, I would not be able to perform my duties.

I love my job and all of my providers are the best!

I often comment that I do not have adequate time to review reading materials, verify CCI edits, etc. We are now in the process of training someone studying to become CPC certified in our charge entry process. This should alleviate this problem but it has been such a long standing problem that I worry I may have missed vital information critical to the practice.

I am a coding supervisor in a university based surgery practice we do 90% of the surgery coding We work very hard to code correctly.

I love this career, it is always challenging because things are always changing. The office management makes my job very enjoyable by being flexible. I work for a group of 20 radiologists and unfortunately there is not enough communication between the coders and physicians because they read at 11 different hospitals along with 5 free-standing centers and have various other contracts.

I work for an IPA. Coding is essential since my unit reviews and updates authorizations based on codes and medical necessity. A large portion of my job is reviewing appeals for potential payment of denied claims. Coding is important in this area because we utilize CPT to determine coding accuracy. We also have physicians that we utilize should we need a higher level of expertize in regard to medical necessity, or in the event that a denial is upheld. Our physicians are well versed on coding though none are certified. Thank you.

The Physicians and CEO in my office are very supportive of the Coding/Compliance Department.

My employer is supportive and cooperative with my job responsibilities. I find the insurance industry very aggravating, wasteful, incompetent, and inconsistent with CPT guidelines. Too much time is spent on the "game" of reimbursement with insurance companies. This effects the positive health care patients should be receiving from their providers. I have 41 years experience in physican reimbursement and it isn't getting any better....

My Doctor has had coding thru his residency, continuing education and by discussion with other professionals in his field. He listens to me when I feel there is an issue. I feel he trusts my judgment but I do discuss any changes with him and am prepared to defend the need to change. I also supply him with information when it is presented to me by mail, email or conference etc. There is another person non-coding to do a lot of the calls and I do the follow up when and where it is required.I keep her informed as well and she goes to some functions with me.

I work for a large anesthesia group. I have been with this company for almost 19 years. I am the billing manager and also deal with coding every day. I audit the around 100 accounts on a quarterly basis to see if on a whole we are doing the best we can in every aspect. I feel some of the time we should review more closely the daily work being sent out due to the denials we are receiving but everyone does not feel the same way about their jobs as I do mine. I could not ask for a better work environment. I have my own office and am supplied with everything I need.

I've been blessed to work with very supportive providers and management. Most errors are misunderstandings of the rules or process and allow corrections to be made and feedback given. As our practice has expanded duties have been shifted for "small portions" and to specific providers. By doing so each coder/charge entry staff becomes skilled with the provider they are working with. Chart audit results are given to these same staff to be in tuned to problem areas.

enjoy it more ever day

I am strictly a E/M coder. In my group, there are smaller "departments" where some coders do cardio, some do neuro, etc. I like what I do and I'm learning every day.

I perform chart reviews for 100+ Providers, and I am the only certified coder for our group. I have the full support from my boss, the Medical Director, as well as the support from the majority of the Providers. I provide feedback on their audits and also educate them in any areas of concern. They are always very receptive and actually will email with questions, or ask me to review notes and give my opinion for a level of service. I love my job!

You must keep up with the rules and changes in the industry - it's a must to be an effective coder. Also, never, never, use old books.

I started working for an OBGYN office the latter part of October. Since then we have very few denials and AR is cut in half. I think that doctor's offices should have a expereinced coder or someone whom have completed a thorough medical coding program.

Very much enjoy my job. At my place of employment we only code. There is no billing or claims work for the coders. We each code out-patient, in-patient, and surgeries equally divided among us.

I love my job as a Medicare risk auditer. I have all the resources I need on hand and peers to communicate with when ever questions crop up. My physicians (14) come and ask me questions all the time. They are receptive to my answers and learn quickly.

I immensely enjoy the work for which I am responsible. I wish the MDs would be more accepting of the documentation requirements instead of trying to get away with minimal documentation. It's an ongoing struggle but also ensures my job security.

I work in a small office specializing in the treatment of sleep disordered breathing but getting ready to expand in this coming year. I look forward to the challenge of learning more about the business. My coding knowledge has gotten items paid for that had been denied by Medicare, which made me happy to see an important consequence of my education.

Employer/CEO is very supportive of coding/billing staff and efforts toward compliance. Physicians (50 of them,) are very hard to educate and change.

I love my job!!!!!!!!!!!!!!! It's great to be a coder!

I work as a consultant and do all of the areas of the business office from appeals to audits and billing, coding.

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