I am learning coding and finding it very complicated.  Especially the pregnancy codes.  I really don't know how you keep track of all the different variables.  Does knowing just come with doing more and more?  I feel very doubtful at the moment.  Any advice?  Thanks. 

I found that my on the job training was where I learned the most.  My coding classes taught me the basics but the on the job was the best.  I had problems with pregnancy codes as well but once it clicked in my head it wasn't so bad.  If someone is pregnant you must use a pregancy code as PDX unless the doctor states that it is incidental to the visit (which almost never happens).  If you read the description in the ICD-9 book it will tell you if you need to use another code to help specify the condition. The last digit of  is always used for visits proir to delivery and the last digit of  is always used the visit of delivery.  Last digits of  2 and 4 are used depending on visit/circumstance. 

I would just write down all the rules and use that as a guide when you are doing that type of coding.  I have cheat sheets that I started when I got my first job and still write codes down so I remember for next time.

Hope that helps!

Stacy

Yes, just hearing someone else had a little trouble too helps me think it is not impossible.  Cheat sheet is good idea, I have started writing things down but it is more of a maze at this point.  Not quite to the clicking point yet!   Thanks, Stacy. 

Jan

 

Yes, I will agree.  Being a new coder now for 5 months, I can tell you I felt everything went out the window of what I learned from class.  I work for outpatient clinic and I started with the basic codes of what I will need to know from looking at the records and once they started adding more complex charts I have a list you think I didn't know how to use 3M encoder or the ICD9 book but I tell you I still reference the book and once you see the same content of the charts you will know what will be coded off the top of your head.  Sometimes I will have to ask the question know what are they here for because you can get caught up into their notes and think wow this is to much.  But I will say this I can quote off the numbers but I still look at the cheat sheet because ur mind will be boggled with all those numbers.  Good luck and It is truly a great start to a great career.

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Shanda

Yeah, just keep keen to your job and what you need to know and you'll get it. 

I do know though that AAPC has an OBGYN specialty credential and resources that might help you out with the OBGYN codes.  I'd also do as much reading as you, here in Advance or other places.  That will help you get the bigger picture.

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1scholar
Medical Coding Quick Links: AAPC, AHIMA

Hi J,

I had to make myself a help sheet when I first started with OB coding because I would always forget something.  I am willing to share it if you want to email me at cmbenjamin@bellsouth.net

Make sure read on the most active coding board lists so that you can get the best info and practice every coding exercise in your textbook and then some so you can gain confidence. 

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Christina Benjamin, RHIA, CCS, CCS-P
Independent Coding & Education Consultant
Email: cmbenjamin@bellsouth.net
www.tools4coding.com

Free CCS credential support group at

http://health.groups.yahoo.com/group/Hospital_Inpatient_Coders/

AAPC has a very good forum for helping you learn also I have a coding group that many have found helpful.  Medical_Coders_Resource_Networking_Group  on yahoo as well as a tutoring group for new coders.  So much of what you learn in your classes does not apply in the real world.  I am a co author of a new text book that gives insite into real world coding so the student will be more prepared for coding when they enter their first job.

 

Christine Goans

Coding Smarter Office Support Plus

AHIMA facilitator Studying for the CCS-P, Insurance,WA state COP's

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Christine Goans & Company
Coding Smarter Office Support Plus
Consulting and Educational services

I just finished my second semister for Health Information Technology and I had to take both CPT coding and ICD-9-CM coding. I find I like CPT coding much more. But when it came to take the final exam I was so lost. I still have another year before I acutally get out in the real world and I am very scared. Im sure once I get the hands on experience I will be able to understand it much more. I get a little confused when it comes to modifers too. Any information on how to remember modifers will be helpful to me. Thanks.

What is the name of your book?

Thank you!

Diana

 

Hi Christine G.,

What is the name of your book? Where can I find it?

 Thank you!

I would be very intersted in this text book that you speak of. Could you please give me more info. I am a current student enrolled in school to learn medical coder/biller. I find that the class room course is very complicated and I need laymans's terms.

 

Thanks

 

Christine Newberry