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HIM Transitions

ICD-10 Anxiety

Published September 21, 2009 7:34 AM by Carol Dantzler-Harris, MEd, RHIA, CPC

I try to attend coding updates annually, and I always learn something new. I attended a workshop this week on the 2010 ICD-9 changes. The amount of information is just mind-boggling. It is a good thing I don't have to perform coding for a living. The rationale behind using the new codes can be more confusing than the codes themselves.

There was also information on what we should be doing as coders, directors, documentation specialists, etc. to prepare for the implementation of ICD-10. An unofficial poll was taken and the majority of audience was not convinced ICD-10 would be implemented in October 2013. Most of the group felt that CMS had delayed the implementation so many times that chances are they will not be ready in 2013.

The speaker recommended that we put a team together to prepare for ICD 10 implementation. The amount of work that needs to be done to prepare for this is overwhelming.  Of course the coders need to be trained on this new system and I am sure that they will be ready to go. The software vendors, IT department, billing, insurance companies and other parties all must get on the bandwagon. As an educator, I need to be prepared to teach this new system to students. Both the American Health Information Management Association and American Academy of Professional Coders provide information on how to prepare for this change. There are Webinars and other training materials available through both associations. 

I recall being a student and learning how to code with ICD-9-CM. I thought it was the most confusing area of the HIM curriculum, and I knew it was one task I would not want to perform on a regular basis. I feel like a student again, and I'm sure I will have the same anxiety learning ICD-10. 

4 comments

Carol,

Congratulations on completing the certificate program.  Most facilities want you to have some experience and you must have coding  credentials.  I wouldn't let this stop you from pursuing your career goals.   You might  try getting into a facility by performing duties other than coding.  Once you have been in this position for awhile, express your interest in coding to the HIM director. This may be a way for you to get into coding. You may find that they maybe willing to provide training.  

I hope this helps.

Carol

Carol Dantzler October 6, 2009 9:03 PM

Troyce,

If your interest is in other aspects of HIM other than coding, you need to have a understanding of coding and the external factors that impact this area.  You will not be performing the coding functions.  If you are planning to be coding professional you must be credentialed and your primary focus will be on coding.  You will be responsibile for coding on a daily basis.

Carol

Carol Dantzler October 6, 2009 8:53 PM

Carol,

I read with interest your blogs, as I am changing careers mid-life.

I received my diploma from a certificate school in medical bill coding in June.  I have been unable to find a job in the field. My studies were with the ICD-9-CM.  My transcripts will show that I averaged 94% for the intensive course.

I am concerned that with the changes I am reading about, my recent schooling will be of no use to a prospective employer.  As an instructor, what would your advice to me be?

Thanks.

Carol September 21, 2009 12:15 PM
IN

Carol,

How much coding is required of a HIM professional?  

Thank you

Troyce  

Troyce Golden September 21, 2009 8:48 AM
Indianapolis IN

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