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Why Medical Coders are the Superheroes in the Healthcare Industry

A medical coder typically codes the claims of a physician, hospital or a therapist. Unfortunately, it is understood that the responsibility of a coder ends with coding alone.

This is not true at all!

Medical Coders do much more than just coding. The job of the coder can vary and grow to more extents, based on the facility or organization that he/she works for. The Healthcare Insurance industry can never function without them. In short, they are the superheroes of the industry.

Let us look at some of the non-coding activities performed by Medical Coders:

1. They act as mentors

The medical coders are the right people to teach and mentor the healthcare industry and the healthcare insurance industry about the coding fundamentals and guidelines. The doctors and administrators also often get coached and receive a lot of crucial information from them about the guidelines.

2. They are on a learning curve always

Getting a job in coding does not mean that the coder has an easy job to do now and he can put his feet up in the air for life. On the contrary, a medical coder has to keep learning how to code unlearn and relearn periodically. Because the coding guidelines keep changing. Like the recent one, ICD 10 transition is going to affect medical coding. Learning new codes, additional guidelines, and mentoring the same across the industry are some of the major responsibilities of the coder. A minor issue in coding can mean that the claims getting denied or underpaid, which no physician or facility appreciates.

3. Deal with the denials

Speaking about denials and underpaid claims remind yet another job of the coders. They are often left to deal with denials, as same as the billing staff. Senior coders are often part of the denial management team. If a claim faces an issue, often coding is checked and, in case of continuous denials, a coder gets into action. He or she would have to check with the insurance company, if the codes are wrong, or reassure them why the specific code is present in the claim.

4. Coders have their plateful

Now, if the coders have received the appreciation of dealing with the codes, insurance knowledge, it is time to extend the applause. For they also take time to learn about LCD, NCD, policy guidelines, HIPAA rules, State and Federal laws and much more. They come handy to them, to keep off from errors.

5. They understand what the doctors mean

Pharmacists are often valued for understanding the writings of a doctor. Next time, the coders should never be forgotten. Pharmacists have the opportunity of reading the names of the pills and medication from the boxes. Sadly, the coders have a lot of patience to decipher what the doctor has prescribed. If there are nursing assistants taking a note of the procedure and treatment process, they have a great day dealing with different set of handwritings for a single claim.

Apart from these, the best struggle of the coder can be considered to have knowledge about the case studies, surgeries, and codes. Coders are often life science background or someone who has something to do with the healthcare industry. That does not mean they can understand all these, and yet, they often are required to discuss these topics, though not a physician.

Difference Between The AAPC CPC AND AHIMA CCS/CCA Examination


AAPC and AHIMA are certifications for medical coders.

What is medical coding?

Medical coding is the transformation of health care diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The need for coding arises because the medical diagnosis and procedures are complex to understand for a non-medical professional so by converting them into standard universal medical alphanumeric codes it becomes easier for professionals like insurers to understand and provide appropriate compensation. The other purpose of coding is to transform the data form suitable for computer-aided analysis. There is a huge demand for medical coders in the healthcare industry. The salaries offered to these coders are also highly remunerative. In this scenario, many certifications have come up which certify the coders who would like to make it a profession. Famous among them are AHIMA and APPC certifications.

Differences between AAPC CPC and AHIMA CCS/CCA Exam

Medical coding can be categorized into facility coding and professional coding.

AAPC stands for American Academy of Professional Coders. The aim of AAPC is to provide education and certification to coders working in physician-based settings. AAPC CPC certification is more suitable for professional coding. Professional coding is the type of coding carried out an outpatient as part of outpatient services. Some of these outpatient services require professional coding that includes emergency medicine, surgery centers, private practices etc. Professional coders are known to work mainly in the doctor’s office.

AHIMA stands for the American Health Information Management Association. AHIMA’s stated mission is to be the professional community that improves healthcare by advancing best practices and standards for health information management and become a trusted source for education for education, research and professionals credentials. AHIMA CCS certification is more suitable for facility coding. Facility coding has to do with the type of coding carried out on inpatient services. Facility coders are known to work mainly in hospitals.

Another important factor is the certification exams. For both the AAPC AND AHIMA, you’ll need to sit for and pass a very lengthy exam as a necessary requirement. The standard in medical coding is high and there is a huge demand for qualified and proficient coders.

The CCS and CCS-P exams are not considered entry-level exams. They are ‘fill- in- the- blank’ questions which are very difficult to clear, which is why they are only recommended for coders who have a few years of on- the job experience.Most of the graduates take the CPC exam because the exam includes a free retake.Typically entry-level coders begin as out-patient coders. Many times outpatient coders move into inpatient coding once they get more onsite experience because inpatient coding is generally considered a more advanced and experienced level of coding.

For this reason, a CPC credential or a CCA credential will both put you in the right position to be certified as an outpatient coder first with the potential to move into inpatient coding later as you gain more experience and additional credentials.

We hope you found his article beneficial and have made a choice about your certification exam.

Scope and Future of SAS in Healthcare Industry

Statistical analysis system (SAS) is one of the most successful and popular tools used for data analysis and statistical modeling. It is one of the fastest and robust software for advanced analytics, multivariate analyses, business intelligence, data mining, data management,  report writing, statistical analysis, applications development, business modeling and data warehousing. SAS is an asset in various job markets as it holds the most significant market share regarding jobs in advanced analytics.

Role of SAS in the healthcare industry:

SAS is extensively used in clinical trial data analysis in the pharmaceutical and clinical research companies. SAS programmers play a vital role in clinical trial data analysis.

  • A SAS programmer addresses the technical needs of the healthcare industry.
  • Implementation of information technology in the healthcare delivery system helps to gain valuable knowledge from data, and insight to recommend action or guide decision making, and patient care quality improvement and practice of medicine.
  • SAS analytic solutions help achieve business goals in healthcare related to revenue generation, cost control, and strategic performance management.
  • SAS  tools are used to explore clinical outcomes and risk tolerances to improve the overall quality of patient care.

Role of SAS programmer:

Statisticians provide the methods of the data analysis, implement the analysis methods on the collected data and provide the study summary tables, graphs, and data listing to the statisticians and or clinicians to write study report.

  • SAS programmers closely work with statisticians and data managers to provide the link between raw data and the analysis.
  • In few companies, SAS programmers also create the database. SAS programmers need to write programs to read database data to SAS data sets and also generate a SAS format library.
  • SAS programmers will also write SAS programs to clean the database data according to the edit specifications provided by CDMs.
  • SAS play a significant role starting from defining the clinical study to till regulatory submission. The clinical study report is compiled using the data generated in the SAS environment.
  • SAS also plays a role in protocol development, the randomization process, CRF designing, adverse event reporting etc.

Future scope of SAS:

The clinical SAS programming industry in India has seen rapid germination in the last few decades and the trend seems to continue, for the next couple of years, due to cost advantage and the availability of skilled labor.

Due to the heightened demand for skilled resources, the wants of the programmers have taken a different shift toward diversifying exposure, unsustainable wage inflation due to multiple opportunities and high expectations around career progression.

According to a recent study, SAS analytics skills are the most valuable skills to have in today’s job market. The traditional healthcare paradigm is expanding the range of career choices for SAS programmers. To gauge the current state and future vision of healthcare analytics, SAS is has become a valuable tool.

If you feel resonated and think a career in SAS is worth considering, then drop us a line at…….. or visit www.joshimedicode.com  

Opportunities and career advancement for women in Medical coding.

Ladies out there!! When it comes to obtaining a new career, do consider medical coding and billing- a highly demanded profession in a growing industry.

The U.S. Bureau of Labor Statistics expects that three million healthcare jobs will be created in the decade leading up to 2019. Employment in medical coding and billing is expected to increase by 18% in the same time, which is faster than the average for all other occupations.

Medical coding and billing in the healthcare industry is not just a great option because it’s fast-tracked; it also opens up infinite future opportunities, especially if you want to move elsewhere in the healthcare industry. Medical coding and billing can provide you with a career while you take further studies in nursing or even medical school. Medical Coding can also be useful for future pharmacists or general caregivers.

Job responsibilities

Medical coding and professional billing specialists work hand-in-hand to make sure that all of the medical invoices are coded and paid correctly. As companies shift to electronic medical records, workers who have a strong understanding of technology and computer software will be in high demand.

To make sure that all medical services are billed correctly and are paid on time, medical billers need to communicate with patients and insurance companies frequently. In contrast, professional medical coders have less interaction with patients and insurance companies but work closely with physicians. They are accountable for assigning a code to each procedure and diagnosis for insurance purposes.

Medical coders work in a mixture of environments. Some coders work in hospitals, doctors’ offices,  or outpatient facilities for full-time or part-time. Many coders even provide their services from home this is especially an advantage for women who seek for the job from home. Few coders work for insurance companies. Some medical coders work as employees, while others do their work as a freelancer, this is also another great opportunity that women can grab. There are many work environments available to medical coding professionals, which makes medical coding a convenient career.

Required skills and training

The medical coding and billing profession requires a strong knowledge of medical terminology, anatomy, coding procedures, the laws in concern to health information, medical billing software, and quality improvement measures.

Medical coding and medical billing training can take anywhere from about 6 to 9 months for a certificate, the majority of which prepare students for certification exams.

As medical coding and billing offer many opportunities and benefits, it is a great opportunity for women who seek for career advancement. Medical coding and billing training at Joshi Medicode is a smart decision for motivated women who want to enter the healthcare industry quickly. If you would like to know more information about medical billing and coding, contact us today to discuss upcoming demos, enrollments, and take the first step towards a bright future and a rewarding career.

5 Reasons Why Medical Coding is a Good Career Choice for Women.

Women all the over the world are looking for a great career opportunity, which provides them not only the job security and a decent salary but also those careers which offer good opportunities to progress, has flexible timing, provides them ample work-life balance etc.  Medical coding is a secure and good profession that is always in high demand and provides the options which women are looking for.

Women who are looking for challenging career opportunities are also realizing what a good option medical coding is.  

Following are the 5 reasons why medical coding is a great career choice for women

1.Easier to receive education on medical coding

Once you have made up your mind to start with medical coding, there are various online and onsite courses available making it easy to get educated while you are in your existing job. Many of these online courses for medical coding are comparatively less expensive. It is always easy to find a job in the field after you have completed the course.

2.More options and better job security

Women all over the world are looking for more options in an industry and also a job which provides them a job security. And being a medical provides the same. As per the US Bureau of Labor Statistics, out of the top 20 fastest growing professions, 8 are in the healthcare industry.  When you become a medical coder, it will help you enjoy more options and provide you with much better job security and stability. And due to regular advances in medicines, and the aging population, there will be a continuous increase in demand for medical professionals across the board.

  1. Decent Income

Medical coders work a 40 hour week, with part-time and other variable positions available, which allows balancing work life so that it is a gratifying career. A survey done by AAPC reveals that average medical coder earns from US$18 to US$30 an hour which is totally based on the experience. There are many cases where medical coders also get an opportunity to work more than 40 hours a week and also earn additional overtime income.

  1. Option of work from home

When it comes to women, they always want to have a job which is flexible and convenient – one which is rewarding,  while there to be for your family. Medical coding is just right for them, as they can enjoy the liberty of working from home.  There are many medical coding companies who provide work from home option. In the beginning, they may want you to work on site to gain some work experience, but as you go on accumulating years of experience in medical coding, you will provide work from home option. Work from home can offer many benefits like flexible working hours and reduce your travel expenses.

  1. Flexible and Family Friendly

Be it any field, a career which is family friendly and flexible is always a dream choice for women. And with medical coding, you can grow in the career, which is very family friendly and flexible.  Once they have made your mark in medical coding, they can expand their career in various fields which are related to coding like, Medical compliance, auditing, and teaching. There are unlimited possibilities and the sky’s the limit once they are determined.

Learning Medical Billing Is Not Difficult At All! You Just Need A Great Instructor!

Learning medical billing becomes easier when you have a good and experienced medical coding instructor.  They have an excellent grasp of medical coding and have understood the subject inside and out. At Joshi Medicode, the instructor’s main duty is to teach eager students about medical billing and how to use them in a practical setting. This involves teaching students about general medical terminology and also different types of medical billing codes and how and when to use them.

Here are few important things that a great instructor does:

Helping students understand tough concepts: One of the toughest jobs of a medical billing instructor is to make the students understand difficult concepts. And to make things easier, they break down these concepts and make them easy to understand.  They go through the lessons and administer tests and quizzes to make sure that all students have grasped the concepts and ready to grasp the more difficult aspects of medical coding.

Personalised attention to the students who have difficulty in understanding: And in those times, when a student has a trouble understanding something, he spends additional time helping that individual providing personalized attention and helping that student succeed. He does not mind spending some one-on-one time with a student.  In addition to teaching the regular lessons and testing students, the medical billing instructors will help the students and guide them in the right direction.

Explaining complicated concepts in an easy manner: The medical billing instructor not only has the ability to communicate ideas effectively but has the ability to explain complicated concepts so they are easily understood by a layperson. They have a great deal of patience for that.

Responsible for the future medical billing experts The instructors have a lot of years of training, education, and experience, as they are solely responsible for turning out the world’s next medical billing and coders. Hence as a general rule, they hold a minimum of an associate degree in the area and have years of experience.

Real-time experience: Last but not the least the medical coding instructors have a great deal of experience in the field, even before they start teaching others the trade. For example, for the American Association of professional coders (AAPC) there is a requirement that the Certified Professional Coding Instructor Instructor (CPC-I) applicants have at least five years of professional experience.

Why Business Analyst in Health care domain a dominant profile?

Business analysis is the process of managing with potential support to the whole of the project life cycle. A potential business analyst will have the basic knowledge of requirement methodologies, testing methods, and implementation cycle and software development process framework.

Business analyst in healthcare domain has a lot to give in. healthcare domain is very complex and requires good working knowledge in the industry to know the detailed business process and internal workings. It requires an in-depth knowledge of the workings of hospitals and laboratories in the country.

Techniques and technologies in the healthcare domain have seen a sea of changes from the past few years and the business analyst candidate will have to have a good grasp of the process and be technologically sound. The business analyst’s job in the healthcare domain is to provide better process and software packages and also to ensure that the time, cost and accuracy has adhered as the systems are linked to the human lives and a small mistake may result in disaster directly.

A healthcare business analyst should have experience of various clinical trial procedures and terminologies with knowledge of tools like SAS. Expertise or basic knowledge in clinical research with the medical coding course will help to get a healthcare domain job for the business analyst.

There are several systems like content management systems, data warehouse storing millions of patient records. Also, there are systems which help medical professionals in making a firm decision. It is the responsibility of the business analyst to ensure that the implementation of such systems is failing proof. Another important attribute of the business analyst in the healthcare domain is to have discreetness to ensure that the lives dependant is protected.

Software information security is one of the major issues and business analyst should be aware of the importance of security of the data. The nonfunctional requirement specifications which are documented by the business analysts should clearly list out the risks and constraints related to healthcare domain and should ensure a layer of security if required. A business analyst should be aware of the programming languages, business applications, data mining tools, documentation management and another technological aspect.

An ideal candidate must get the proper business analyst healthcare training post which the candidate would understand the essential topics covered and performed by a business analyst.

Joshi Medicode is the one & only institute which is providing high-quality business analyst healthcare course in Telangana & Andhra Pradesh.

Success Tips To Master Medical Coding

There is no doubt that healthcare careers are complicated. Healthcare experts attempt to understand, interpret and diagnose problems in the complex human body. Even a health information technician career such as medical coder, biller or transcriptor, which doesn’t involve working directly with patients, but requires a keen understanding of the various codes assigned to different medical diagnoses.

There are several different careers to choose from health information technician. If you are looking for an in-demand option that you could launch with minimal qualification, medical coding might be the perfect fit.

Learning the ropes of medical coder may not be a walk in the park, but it’s not even a rocket science, either. There are the insights on the challenging aspects of mastering medical coding.

What is medical coding?

Medical coding is assigning codes to insurance claims from a particular patient visiting a healthcare facility. Straightforwardly, whenever a patient visits a clinic or hospital for any reason, the visit is assigned with specific medical codes to help track the reason for the patient’s visit.

This system of medical coding assures that health care visits are categorized correctly during billing and process of insurance claims. A medical coder is a person responsible for allocating those specific medical codes such as CPT, ICD, and HCPCS to the claim.

Is medical coding really too hard?

Definitely No! Medical coding is more like learning a foreign language. What makes it challenging is that there are three major coding systems and each of them is different. So you are likely to learn three foreign languages. Learning a foreign language may be a daunting experience, but it’s surely not impossible.  

What are the most challenging aspects as a medical coder?

Human anatomy has a lot of grey areas, but medical coding is all about black and white. It can be quite challenging to transform cloudy and complicated symptoms into clear, discernible codes.

One of the most challenging parts of the medical coding job is just to learn the quirks of the computer and how to get around them. It takes a lot of diligence and attention-to-detail to be a successful medical coder.

Another challenging aspect is to keep up with industry changes.  Medical coding has a constant state of flux- the changes in governance and healthcare regulations all impacts coding systems, and it is crucial for coding professionals to stay on top of these changes to avoid documenting erroneous information.

But these challenges are the main reason for medical coders to be in such high demand. The hunt for efficient and accurate medical coders is fierce! This is why there is a huge demand for educated and credentialed coders. And the best part is that the pay increases with the more experience and credentials you have.

Five  success tips to master medical coding:

Medical coders are responsible learn and research, and it this not job for everyone. It takes a lot of self-motivation, focus and diligence become a medical coder.

If you think you have got what it takes then, these 5 top tips  will help you achieve success in coding studies:

  1. Enhance your learning skills with flashcards, note-taking, online quizzes and other supplemental educational materials. Practice and deep understanding are essential keys to becoming a competent medical coder.
  1. Make sure you grasp what you are learning. The bare minimum won’t be enough to pass the certification exam; you need to understand all your learnings.
  1. Commit to keeping up with current changes in the industry. To be successful in this field, you will have to be a lifelong learner.
  1. When you are sure that you learned something new, read it one more time, this will assure that you have retained your new knowledge and had a deeper understanding of the material.
  1. Study and review the learnings daily. This will benefit you to translate information from your short-term memory to the long term.

Be apart of health information technician careers such as medical coding, billing, and transcription by getting trained at Joshi medicode. Reach us at www.joshimedicode.com for further assistance.

6 Surprising Facts about Medical Coding and Billing, you didn’t know

The medical coding profession is an indispensable part of the healthcare industry. By allocating codes to the description of a patient’s health condition, medical coders help to keep the flow of information between the doctor and patient as well as insurance companies. What is more, jobs in this field are booming high! The Bureau of Labor and Statistics is foretelling a 15% increase in medical records and health information technician jobs between 2014 and 2024. While this profession has a significant place in the job market and holds a high demand but there are still a lot of people who are unaware of it.

Here are 6 facts about the medical coding profession:

  • Medical Coding and Medical Billing are NOT the same –

Medical coding is the assigning of codes to descriptions of a patient’s health condition and services offered to that patient while medical billing is the means of submitting claims and handling payment for services rendered.

 

  • Medical Coders plays a vital role in the health industry –

Documenting a patient’s history is extremely important. Not just communicating the correct information to insurance companies, it also ensures providers have the full image when trying to piece together a diagnosis, helping to save lives!

 

  • Medical Coders is problem solvers –

The act of allotting codes from descriptions is as much of art as it is a science! Sometimes it requires too much research and follow-up with doctors, patients, and insurance companies to ensure accurate information is captured. Excellent problem-solving skills help in this profession.

 

  • The Medical coding system is massive –

Medical claims require the application of thousands of codes. Most Billers and Coders operate with systems for tracking and assigning codes because of just how big the medical coding system is. If you have a great memory, you will find it that much simpler to assign codes.

  • Medical Coders can work in any healthcare environments –

Medical coders are needed in all the sectors of the healthcare system. Some medical coders work in hospitals while others work directly in a physician’s office.

 

  • The future outlook for Medical Coder looks promising –

The lack of skilled medical coders is disturbing the healthcare industry and creating high demand for medical coding. As per CNBC, the demand for medical coders set up by new federally mandated coding standards, which have lowered productivity.  

Joshi Medicode provides accurate, reliable and unbiased training sessions for medical coding, billing, and transcription. Joshi Medicode offers a self-paced program with round-the-clock support from our well trained and experienced staff who provide complete hand-holding, motivation and guidance right from course beginning to course completion and placement.

To be a part of this booming profession. Partner us for a bright career in medical coding, billing or transcription. Visit us @ www.joshimedicode.com for further information.

Benefits of being a certified medical coder.

Benefits of being a certified medical coder.

Medical coding is the in-demand career right now, and there is a high rise in medical coding jobs. One can have a great career in medical coding if they have an excellent medical coding training which prepares them for certification tests.

A medical coder who is certified is a professional responsible for overseeing records of patients.  Working as an intermediary to the insurance company, health clinic, and billing office, medical coders require skills which are detail oriented and analytical. They should also be proficient with the medical software.

Advantages of Certified as a Medical Coder

There is an inherent advantage of being certified, as it distinguishes a certified medical coder as more competent, knowledgeable and committed to quality.  It also gives one a competitive edge in career advancement and to be considered for higher administrative positions in the medical industry.

A certified medical coder gets a foundation of learning in medical terminology, pathophysiology, anatomy, and physiology. He is prepared to work as certified coding specialist in health data management. Also, finds deep understanding compliance with the medical law and ethical standards set out by national health service organization.

Being certified will also help employers know that one has learned the skills needed to work in this field. It also provides one with the confidence to work independently and reassures employers, giving a tremendous advantage over those who are not certified.

One with certifications in the field can earn more than those without. Certifications increase the earning potential. Medical coders can also establish themselves substantially in the job market with a higher potential with an average range earning the potential of US$3000 to $50000 per year. According to the annual survey of AAPC, certified medical coders earn more than 21% in contrast to non-certified coders. The medical coders who are certified have some bargaining power when interviewing for a new job, especially when one has already experience in the medical field.

Medical coders with a certification are committed to higher quality and have a good understanding of medical coding and the errors associated with them. Employers understand this quality and are more likely to hire one with a certificate than another one who doesn’t own a certificate.

The huge advantage of a medical coder who has certifications is that they would be recognized by employers, medical societies, and government organizations. This helps a candidate to secure great jobs and they also draw salaries much more than ones who are not certified.

Being certified ensures one to have a grand entry for jobs in the US healthcare industry. Being one of the fastest growing professions in the US, medical coding is emerging as a highly rewarding career and one with certification earns 20% more than noncertified medical coders.

Getting AAPC certification from Joshi Medicode

AAPC certifications provide working knowledge for cleaner claim submission, quicker reimbursement, and a lesser number of denials. AAPC certifications include professional service coding (CPC), hospital outpatient (COC), hospital inpatient (CIC), payer perspective coding (CPC-P), professional billing (CPB), medical auditing (CPMA), medical compliance (CPCO), and physician practice management (CPPM).

We at Joshi Medicode provide in-depth classroom, and virtual training to pass out the AAPC certification exams.  Our certified course in medical coding prepares students for these exams.

Visit our website https://www.joshimedicode.com  if you are interested in a career in the healthcare industry and get certified.

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