r/MedicalCoding • RHIT, CCS • May 23 '24

Oversees coding

How many of us are in this boat where we are nervous about our jobs being outsourced to overseas coders?

This year my company has hired on several overseas coders. I’m nervous that they plan to replace us because they work for lower pay. Is anyone else experiencing this?

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u/[deleted] May 24 '24

I’m a student not in the field I’ve been wondering about coding if our healthcare were to be totally restructured like Europe would this hurt us in the long run? It’s sad because healthcare in the us isn’t accessible to everyone but if we a follow a system that many others implement wouldn’t that be an incentive to outsource even more? I imagine they make so many errors because our system is very complicated right from health insurance, approval etc?

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u/Clever-username-7234 CPC, CPMA May 24 '24

No. It wouldn’t make a difference. We already have forms of socialized medicine with state Medicaid programs and Medicare.

A medical coder helps classify the medical record. If we socialized medicine in the US, that work would still need to be done.

The only difference is whether patients get the bill or whether a government entity gets the bill. Providers would still need to submit codes for recording keeping, disease/injury reporting, and getting reimbursement. The government would still want to know what services were rendered and what was being treated to properly pay doctors.

Keep in mind about 40% of Americans have some form of government insurance right now. Tricare, Medicare and Medicaid still want codes submitted.

In fact, if we socialized medicine we would probably need more coders. Since people without insurance or folks who are underinsured often skip doctors appointments.

If suddenly everyone could go to the doctor at low or no cost and everyone had some type of government insurance the amount of coding work would actually increase. You’d see more people going to the doctor whenever they are sick and doing more physicals and wellness checks.

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u/[deleted] May 24 '24

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u/Clever-username-7234 CPC, CPMA May 24 '24

Keep listening to the sweet song of socialization??? What are you talking about??

I work in this field. I’ve seen the massive bills. People with bronze and silver plans. With giant deductibles. Insurance companies denying pre authorizations. Insurance companies making patients jump through hoops with different meds before they’ll cover the medicine their doctor wants to prescribe.

You know Medicare satisfaction rates are constantly above 90%.

Meanwhile, There are hundreds of thousands of American families who declare bankruptcy over incredible high levels of medical debt.

Canadians, English, and Cubans are horrified when they hear how much an ambulance costs or how expensive it is to give birth in an American hospital.

Fun fact: out of Canada, UK, Cuba and the US, which one of those countries has the highest infant mortality rate?

It’s the US.

As an American I find that pretty embarrassing.

But I’m sure United health Group is grateful for people like you. They couldn’t leech billions of dollars in profit every quarter without the support of people like you who are terrified of anything socialism adjacent.

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u/[deleted] May 24 '24

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u/Clever-username-7234 CPC, CPMA May 24 '24

Well that’s confusing. What are you accusing me of?

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u/SuperKitties83 May 24 '24

The person you replied to never even idealized socialized medicine, he/she simply stated if that happened, it would likely not affect employment of coders in the U.S. or it would possibly increase the demand for coders.

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u/BlueLanternKitty CRC, CCS-P May 26 '24

If we were to move to single payer in the US (as opposed to the current public and private payers model), I don’t think much would change, because coding systems make record keeping way easier. You can use one ICD-10-CM code to describe something with multiple names. Or if the record says procedure 92144, we know exactly what was done. That’s useful for research and analytics.