What you NEED to know BEFORE getting into Medical Coding

Contempo Coding
18 Mar 202110:45
EducationalLearning
32 Likes 10 Comments

TLDRVictoria, a medical coder and educator, shares insights on the realities of medical coding as a career. She explains that it's not a programming language but involves reviewing medical records and translating data into code sets. Math is minimal, with some calculations for specific codes. Different types of coding exist, and certification is valuable, though not all jobs require a degree. She also discusses the importance of job search strategies, annual costs like book updates and membership dues, and the impact of ongoing changes in regulations and guidelines. Victoria emphasizes the need for specificity in coding and mentions the presence of outsourcing and offshoring in the industry.

Takeaways
  • ๐Ÿ“š Medical coding isn't a programming language like Python or JavaScript; it's about reviewing medical records and translating data into code sets.
  • ๐Ÿงฎ Some basic math is involved in medical coding, such as calculating areas for wound coding or adding up multiple injuries.
  • ๐Ÿ” There are various types of medical coding jobs, including coding for physician services, hospital services, and diagnosis coding.
  • ๐Ÿ† Certification is often required for employment in medical coding, with popular certifications being AAPC's CPC and AHIMA's CCA.
  • ๐ŸŽ“ A formal degree isn't necessary for medical coding; online courses and certification exams are sufficient for most entry-level positions.
  • ๐Ÿ“ˆ Medical coders are typically audited for accuracy and have productivity quotas based on the number of charts they process.
  • ๐Ÿ”Ž New medical coders may face challenges in job searches, and having a well-prepared resume and networking skills is crucial.
  • ๐Ÿ’ฐ Annual costs are associated with medical coding, including book updates, membership dues, and continuing education units.
  • ๐Ÿ“š Change is constant in medical coding due to federal regulations, insurance guidelines, and updates to code sets.
  • ๐Ÿค Outsourcing and offshoring are trends in medical coding that may affect job availability and location.
  • ๐Ÿท๏ธ Specificity is key in medical coding, with detailed information needed for accurate data submission.
Q & A
  • What is the primary role of a medical coder?

    -A medical coder's primary role is to review medical records, abstract specific data elements, and then translate those elements into code sets.

  • Is medical coding similar to programming languages like Python or JavaScript?

    -No, medical coding is not similar to programming languages like Python or JavaScript. It does not involve writing software code but rather involves translating medical data into standardized code sets.

  • What kind of mathematical skills are required for medical coding?

    -Medical coding requires basic mathematical skills, such as calculating square centimeters for wound measurements or adding up values for multiple lacerations or burns. However, the math involved is relatively minimal.

  • What are the different types of medical coding jobs?

    -Different types of medical coding jobs include coding for services provided by doctors and advanced practitioners, coding for hospital services (inpatient stays), and diagnosis coding.

  • What kind of education is required to become a medical coder?

    -To become a medical coder, one does not need a bachelor's or associate's degree. Instead, they can take online courses and pass a certification exam. However, for those without a medical background, a diploma program from a community college or technical school is recommended.

  • What are some popular certifications for medical coders?

    -Popular certifications for medical coders include the AAPC's CPC (Certified Professional Coder) and AHIMA's CCA (Certified Coding Associate), which is an entry-level certification.

  • How do medical coders maintain their accuracy and productivity?

    -Medical coders are typically held to a 95 to 98% accuracy in their code submissions. They also have productivity quotas, which require them to submit a certain number of codes or charts within an hour or a day, depending on their organization's requirements.

  • What are some challenges new medical coders face during their job search?

    -New medical coders may face challenges because employers can be cautious about hiring those who are just good test-takers. A strong job search strategy, a polished resume, and networking can improve their chances of landing a medical coding job.

  • What are the annual costs associated with being a medical coder?

    -Annual costs for medical coders include purchasing updated coding books, paying membership dues for organizations like AAPC, and completing continuing education units, which may involve additional costs for specialty-specific resources.

  • How does change impact the medical coding profession?

    -Change is constant in medical coding, with frequent updates to code sets, federal regulations, and insurance guidelines. Coders must stay updated with these changes to maintain accuracy and compliance in their work.

  • What is the role of encoder programs in medical coding?

    -Encoder programs are used by medical coders to assist in finding the appropriate code for a specific medical procedure or diagnosis. They can range from simple search tools to more advanced programs that guide the coder to the correct code based on the entered information.

  • Why is specificity important in medical coding?

    -Specificity is crucial in medical coding because it allows for the most accurate abstraction and submission of data. Coders must capture detailed information about medical procedures and conditions to ensure the right code is used.

  • What is the impact of outsourcing and offshoring on medical coding jobs?

    -Outsourcing and offshoring can shift medical coding jobs to different locations or even other countries to reduce labor costs. While this may lead to job losses in some areas, it can also create opportunities for coders in organizations that specialize in outsourced medical billing and coding services.

Outlines
00:00
๐Ÿ“š Introduction to Medical Coding

This paragraph introduces the audience to the basics of medical coding, highlighting that it is distinct from other types of coding like programming languages. Victoria, a medical coder, educator, and content creator, emphasizes that medical coding involves reviewing medical records, abstracting data, and translating it into code sets. She mentions that while there is some math involved, it's minimal and mostly related to calculating areas for certain codes. Victoria also outlines the different types of coding jobs and the varying pay associated with them, stressing the importance of certification for employment.

05:01
๐ŸŽ“ Education and Job Search in Medical Coding

In this section, Victoria discusses the educational requirements for medical coding, clarifying that a bachelor's or associate's degree is not necessary to start a career in this field. She suggests that online courses and certification exams are the primary pathways to entry. For those without a medical background, she recommends community college or technical school programs to gain foundational knowledge. Victoria also touches on the importance of job search strategies for new coders, including resume polishing and networking. She mentions that employers often require a high level of accuracy and productivity from medical coders, which can vary based on the organization and the type of coding work.

10:02
๐Ÿ’ฐ Costs and Changes in Medical Coding

Victoria explains the annual costs associated with being a medical coder, such as purchasing updated coding books and paying membership dues for organizations like AAPC. She emphasizes the importance of continuing education and the costs associated with it. The paragraph also addresses the constant changes in medical coding due to federal regulations, insurance guidelines, and other industry-specific updates. Victoria provides examples of how these changes can affect coders, such as the introduction of new vaccine codes during the pandemic. She also mentions the exceptions to guidelines and the gap between theoretical knowledge and practical application in the field.

๐ŸŒ Outsourcing and Offshoring in Medical Coding

The final paragraph discusses the realities of outsourcing and offshoring in the medical coding industry. Victoria explains that some healthcare organizations may outsource their coding work to other companies, which can shift jobs rather than eliminate them. She advises those looking to work locally to check if local organizations are outsourcing. Victoria also mentions offshoring, where work is moved to other countries to reduce labor costs. She concludes with a bonus tip on the value of obtaining multiple certifications in medical coding, while also cautioning about the associated costs.

Mindmap
Keywords
๐Ÿ’กMedical Coding
Medical coding refers to the process of reviewing medical records, extracting specific data elements, and converting those elements into standardized code sets used for billing and record-keeping purposes. It is distinct from programming languages like Python or JavaScript and involves minimal math, primarily related to calculating areas for certain medical procedures. The video emphasizes that medical coding is a specialized field with its own set of rules and practices, which may differ from what is taught in educational settings.
๐Ÿ’กCertification
In the context of medical coding, certification is a critical step for individuals seeking employment in the field. It validates their skills and knowledge, making them more attractive to employers. The video mentions AAPC's CPC and AHIMA's CCA as popular certification options. Certification is not just about passing an exam; it also involves staying updated with continuous education units and industry changes, which are essential for maintaining credentials.
๐Ÿ’กEducation
While a bachelor's or associate's degree is not required for medical coding, education is crucial for understanding the medical language and concepts involved. Online courses, community colleges, and technical schools offer programs that can prepare individuals for a career in medical coding. The video suggests that those without a medical background may benefit from formal education to grasp the necessary medical terminology and procedures.
๐Ÿ’กAccuracy
Accuracy in medical coding is paramount, as coders are held to a high standard, typically between 95 to 98 percent. This means that the codes they submit must correctly reflect the medical services provided. Any discrepancies can lead to billing errors, insurance claim issues, or even legal problems. The video emphasizes that maintaining this level of accuracy is a key responsibility of medical coders and is often a part of their job evaluation.
๐Ÿ’กProductivity
Productivity in medical coding is measured by the number of charts or codes that a coder can process within a given time frame, such as per hour or day. This quota varies based on factors like the type of coding, chart length, specialty, and efficiency of processes. For example, working with electronic medical records (EMR) can increase productivity by streamlining the coding process, whereas manual interventions like pulling paper records can slow down the process.
๐Ÿ’กJob Search Strategy
The video highlights the importance of having a job search strategy for medical coders. It involves having a polished resume, knowing where to find job opportunities, and understanding how to network effectively. Since many employers may be cautious about hiring new coders who only have certification exams under their belt, a solid job search strategy can increase the chances of landing a job in the medical coding field.
๐Ÿ’กAnnual Costs
There are annual costs associated with being a medical coder, such as purchasing updated coding books and paying membership dues for organizations like AAPC. These costs can be surprising for new coders and must be factored into the profession's financial considerations. Continuing education is also a significant cost, as coders are required to earn a certain number of units each year to maintain their credentials.
๐Ÿ’กChange
Change is a constant in medical coding due to frequent updates in federal regulations, insurance guidelines, and code sets. The video mentions that new codes are implemented regularly, and staying current with these changes is essential for coders. This includes adapting to new practices like telemedicine and understanding updates to the federal register, which can introduce new coding guidelines or modifications to existing ones.
๐Ÿ’กExceptions
Exceptions to guidelines are common in medical coding, as real-world documentation often does not perfectly align with standard coding requirements. The video explains that providers may use different terms or omit details that do not match the codes, necessitating clarification requests or the use of unlisted codes. This highlights the need for flexibility and problem-solving skills in medical coding, as well as a deep understanding of the nuances in coding practices.
๐Ÿ’กSpecificity
In medical coding, specificity is crucial for accurate data submission. Coders must capture detailed information about medical procedures and conditions, such as laterality (right or left), presence of incarceration or strangulation, and the nature of pain or discomfort. This level of detail ensures that the codes accurately reflect theๅŒป็–—ๆœๅŠก provided, allowing for proper billing and insurance claims processing.
๐Ÿ’กOutsourcing and Offshoring
The video discusses the trend of outsourcing and offshoring in medical coding, where healthcare organizations may contract with external companies to handle billing and coding services. This can shift jobs from direct employment with healthcare providers to third-party organizations, sometimes even to different countries to reduce labor costs. For those seeking local employment in medical coding, it's important to be aware of these trends and the potential impact on job availability and location.
Highlights

Medical coding is not a programming language, but rather the review of medical records and translation of data into code sets.

Mathematics in medical coding is minimal, often involving simple calculations related to medical conditions or procedures.

There are various types of coding, such as coding for physician services, hospital services, and diagnosis coding.

Certification is often required for employment in medical coding, with popular certifications including AAPC's CPC and AHIMA's CCA.

A formal degree is not necessary for medical coding; online courses and certification exams are sufficient for many roles.

New medical coders may face challenges in the job market due to the lack of stringent regulations on becoming a coder.

Medical coders are subject to audits and must maintain a high level of accuracy in their code submissions.

Productivity is a factor in medical coding, with quotas for the number of codes or charts to be submitted within a given time frame.

Medical coding involves constant change, with regular updates to code sets, federal regulations, and insurance guidelines.

Exceptions to guidelines are common in medical coding, requiring adaptability and a deeper understanding beyond formal education.

Medical coding professionals may use encoder programs to assist in finding the appropriate codes for medical procedures.

Specificity is crucial in medical coding, with detailed information required for accurate data submission.

Outsourcing and offshoring are trends in the medical coding industry, impacting local job availability.

Multiple certifications are becoming popular among medical coders, offering increased credibility and opportunities.

Continuing education is mandatory for medical coders, requiring the submission of a certain number of units annually.

Annual costs associated with being a medical coder include membership dues, book updates, and continuing education fees.

Transcripts
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