As the coding profession has evolved tremendously, so too have the needs of coding professionals. Experienced coders need education and training tools that will elevate their skill set to match the needs of employers. Today, coders need to be clinically savvy to make intelligent decisions about the documentation.
Computer-assisted coding (CAC) has become a commonly recognized presence on the health information management scene, so much so that we now have coders in the workforce that have likely only ever briefly trained on coding without CAC—or potentially have never worked without CAC at all.
It feels like it has been much longer since the days when many coding professionals were working in the basement of a hospital, still coding from paper charts, the idea of being able to work from home much more dream than reality—but the telecommuting coder has been a relatively recent phenomenon.
Whether caused by a degenerative disease process or trauma, most spinal conditions result in significant pain requiring medical and/or surgical treatment.
Although there are not many changes this year compared with previous years, a few of the changes are very interesting.
After all these years, gallstone pancreatitis still appears to be a favorite topic for RAC audits. While code assignment for this condition is straightforward, determining which of the two codes to assign as the principal diagnosis can be challenging.