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Coding duties - How is it


Posted: Jun 17, 2013

Done at other hospitals or facilities?  When you work at a hospital, are you expected to know/code all aspects of the patient care as in E/M, professional/physician, inpatient, emergency room, inpatient stays?  Do they separate the professional coding from the facility coding or are you responsible for both?  I saw an ad for a VA and it looks like you have to know how to do all of it.  How many are doing all of it? The coders I know sort of do one side or the other.  Just curious how it works everywhere else. 

VA Coding - sm

[ In Reply To ..]
Unless a facility is small, coders often specialize. Some might not have ED or clinics at all. Many don't code lab, path, or imaging because those are often done by the physician group's office.

VA coding covers everything, especially at big facilities. Inpatient, ambulatory, outpatient clinics, ED, lab, path, imaging, ancillary services like audiology and rehab. Many also have nursing homes, day treatment, partial hospitalization, etc.

It is kind of a lot to keep in your head at once, so I would say most of their coders specialize, or at least don't do everything at once. They stick to inpatient or outpatient. Professional fees might be done by the inpatient coder or by someone who does only that. Same for things like ambulatory surgery, radiation oncology, interventional radiology.

I can't imagine they would expect you to know it all your first day. In fact, there are so many unique things about their coding that they couldn't expect it. They code everything you do, plus a whole bunch of other things. Cases are longer, more complex, and they don't have a chargemaster. Their new-hires learn one thing at a time.

Which one has the job? It's well worth applying for it. They pay well, have a high percentage of benefits, offer a good amount of their own CEUs, and have a lot of room for advancement. They are also classified as medical professionals and are represented by the AFGE, which is a very strong union.

North Little Rock, - AR nm

[ In Reply To ..]
nm

Yes, that is the standard job description - and requirements

[ In Reply To ..]
Yes, that is the job. As you can see, it is a lot for one person to do. Most do only parts of it. The goal is to learn all of it, but you'll notice that it spans 3 grade levels. That is 3 years, roughly.

The requirements are standardized. You will see the same for all these jobs nationwide.


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