Recently I have been bombarded with emails about coding; coding for specialties, proper use of modifiers, how to maximize coding efforts, how to code to not attract audits, how to regularly look at your coding bell curve, how to avoid coding pitfalls and the impact of ICD10 on practices.
What has struck me most is how much knowledge the certified coder must have to be able to handle the various scenarios of an average single specialty practice, much less a multi-specialty practice. Getting ready for ICD10 involves extensive classes in anatomy and physiology and the ability to translate that knowledge into very specific codes.
I know many coders personally, I have employed coders and have managed coders. Of course, my emphasis has always been on cost reduction and efficiency ( another word for how fast can you get it done?) The coders were always focused on accuracy. Accuracy in coding, regardless of experience, takes time. Documentation by physicians is never totally complete and often must be translated. (my apologies to those physicians who consistently attempt to document thoroughly)
We rely on coders in healthcare to ensure that the procedures performed by physicians, and the "routine" visits are coded to maximize reimbursement. We also rely on them to keep physicians informed of recent changes in carrier rules, how to better document to best capture all allowed compensation. Coders routinely communicate with physicians about coding denials when physicians perform their own coding.
We try to standardize coders work flow, we attempt to prod them to incorporate our CBO mentality of batch processing, and we waste their time having them regurgitate to us their time-management practices.
Coders are by nature a different breed, they are attracted to details, while we in management keep our eyes on the big picture, they pour over documentation while we in management try to sum it all up.
There is probably a national coders day, but today I stand in awe of certified coders. They take real pride and effort to doing it right. Take a minute today to tell your coder(s) how much you appreciate their efforts and their ongoing efforts to learn and know how best to accurately reflect the work a providers performs.