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Showing posts from December, 2010

New Year, New Attitude

I know many of you out there are looking for jobs. And I know that many of you are also suffering from a lot of rejection. And although I'm not much for New Year's resolutions - because let's face it, they don't usually last more than 30 days - I am a fan of new beginnings and the new year is a great time for new beginnings. Spoiler alert: I'm about to get out the pom-pons and get really Pollyanna! First a little diversion - I love Christmas and everything about it. My house is decked out in full Christmas regalia while I'm still digesting Thanksgiving dinner and no room in my house is safe from a little holiday glitz. That said, after the new year, I love packing it all away and getting everything clean and organized and new. Of course, I am a coder, so organizing things is right on the top of my list of favorite things to do. And I encourage you to do the same - except organize your job search efforts instead. It's time for a new perspective. The d...

Recovering Encoderaholic

Most coding students spend semesters learning to navigate ICD-9-CM and CPT code books and maybe a little class time plus internship experience learning how to code using an encoder. And then they graduate and, if they move on to a position at a hospital, they start using an encoder almost exclusively. In fact, many hospitals don't purchase code books for their coders because they pump so much money into encoders. The result can be coders who forget how to use their code books all together. In case you aren't familiar, encoders are software programs that automate the code book. This makes coding faster for the coder and also allows for inclusion of coding and billing edits and coding guidelines and advice. Not to mention, it helps us remember to put fifth digits on all those diagnosis codes! There are two types of encoders: logic-based and book-based. Logic-based encoders are probably the most popular. They ask the coder a series of questions that ultimatel...

There's No Future in Coding... or is There?

When I graduated from college 15 years ago, there was a big local trend in my area to train RHITs to become utilization review (UR) case managers. In case you haven't heard of UR, they are typically nurses who review medical record documentation against criteria from insurance companies to help the doctors know when it would be best to discharge patients and they help arrange post-hospitalization care if needed. There was a local company created by an RHIT who received her first post-grad job from none other than my mom (also an RHIT) and she promised me an interview when I graduated. See? Networking is important! Once I graduated, I called in the favor and met with her HR recruiter. The only problem was, I had just finished doing a lot of coding at an internship and I had fallen in love with it. Believe it or not, at that time there were no open coding positions. I used to joke that the only way I would get hired as a coder is if someone moved out of state or retired! So I...