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Monday, 1 August 2016

1. What is Medical Coding?


Let me start with the core responsibilities of a Medical Coder (be it India or elsewhere). These core responsibilities would help us understand how well one can fit into the role per se. How a medical procedure is coded determines the financial reimbursement for that particular procedure, and accuracy in coding also ensures quality data for future sound medical decisions. It affects everything in a healthcare organization.

Patients receive medical care or services. And it the responsibility of the Medical Coder to convert or translate the services received into a bunch of codes which will later help in billing, administration, fraud detection and investigation, recovery etc.. This line of work mandates experience in ICD 9 and 10 codes, CPT codes and HCPCS codes. Certifications add to ones' experience as well knowledge.

2. How are the prospects?
Now, coming to your core question : Yes, the prospects look good.

Primary reasons:

  1. The level of coding work outsourced to India
  2. Existing medical coding jobs in India (non-outsourced i.e.)
  3. The growing Healthcare sector in India


3. What is the career path?
If you are currently employed as a Medical Coder, it would perhaps make sense to gain considerable work and domain related experience first i.e. at least 1-2 years of experience. This experience coupled with the right certification (refer point #4 below) should give you a head-start on your career progression.

The US healthcare industry is in the middle of a shift from ICD9 to ICD10 and having experience in the latter is a valuable asset right now and for the next couple of years.

With increase in your expertise and experience, you can expect your pay-scale to go up (either in the same company or when you switch jobs). Down the line, from what I have researched, you can get into Medical office Management or Medical office Operations.

4. How to prepare to succeed?

  1. Well you can start by gaining as much Coder work experience as possible
  2. Get comfortable with and then gain expertise on CPT codes, the ICD 9 and 10 coding systemMedical Charts
  3. Once you feel you are comfortable with the coding terminology, research and choose an appropriate certification:
    CCA aka Certified Coding Associate (offered by AHIMA i.e. American Health Information Management Association)
    CPC aka Certified Professional Coder (offered by AAPC i.e. American Academy of Professional Coders)
    - Other certifications (COC aka Certified Outpatient Coding, CIC aka Certified Inpatient Coder, CRC aka Certified Risk Adjustment Coder, CPC - P aka Certified Professional Coder - Payer)
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