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Eye Opener - Old dog learning new tricks.


Posted: Jun 11, 2011

Been wanting to do coding for years.  I have been an acute care transcriptionist for 20 years, and thought this would be a good background for coding, an easy switch for me.  I have taken coding classes here and there over the years, and am now enrolled in AHIMA's Coding Basics.  I got an interview last week and took a screening test.  Piece of cake.  Fifteen questions, very simple.  Went back yesterday to take another test.  I had to code four charts.  Holy Cow!  It took me 3 hours and it was really, really hard.  The doctor's handwriting was horrible.  I had no reference books to use, so I was not at all sure about the significance of some of the lab values and certainly don't have this stuff memorized. 

So in other words, coding is not for the faint of heart.  I have a good feeling about the job though because they have been looking for someone since September.  I think I might have a chance, but I honestly was a little unnerved after this eye opener into the real life of a coder.  My transcription friends and I always complained that the coders were paid more than us.  Now I see why.  We always thought their jobs depended on us because they needed our reports before they could code the chart.  Well, this is just a tiny part of what they need to do their jobs.  If you are considering coding, brace yourself.  It is not going to be easy no matter what your background.  At first I thought that a lot of the classes I had to take were just "filler".  Now I will take all the information that is available to help me understand this job. 

I am not trying to discourage anyone.  Just be aware that you will definitely earn your pay if you take on this job.  I love doing coding and hope that some day I will look back and laugh when I see how far I have come. 

How long? - Old dog

[ In Reply To ..]
Does anyone know approximately how long it should take to code an average complexity, 2-3 day stay, chart? Does anyone know if there is a minimum quota that hospitals usually require of their coders?

charts per hour - cj

[ In Reply To ..]
our inpatient coders have a productivity requirement of 3-4 charts per hour. They do get exceptions for long stays and high-dollar charts, which are reported separately. Our sister hospital does it differently; their productivity requirements are based purely on LOS. I don't know their standard, though. Hope that helps a little bit.

charts per hour - Old dog

[ In Reply To ..]
CJ, thanks for your reply. Wow!! 3-4 charts per hour. How long do you have to get up to speed. I bet it takes years to be that fast.
It's not that fast - sm
[ In Reply To ..]
Most inpatient charts are only 2-3 day stays. There isn't much to them. You should get up to speed in a few months, but if you can't do it or don't like it there is always outpatient coding. It requires less reading and less putting things together.

Eye opener - jan2

[ In Reply To ..]
How do I get started in the learning process of coding? I read somewhere that knowing ICD-9 is not necessary and that actually it may be better to not know that and just start with the upcoming ICD-10. I would appreciate anything that would get me started in this process. Thank you.


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