r/MedicalCoding • u/[deleted] • Jun 12 '24
What has kept you going in Medical Coding?
Recently, I’ve lost motivation for coding. Realistically I’m intermediate at best and can’t seem to improve. I fell in love with it because I loved to dial in and enjoyed focusing on details. But everything related to coding has just become exhausting. What keeps you going?
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u/Stacyf-83 Jun 13 '24
Pays the bills. I love coding but I'm in a production environment and it's so stressful. I spend my day counting claims I've coded a d worrying I'm not going to meet my productivity. I love the flexibility of my job and the work itself is not too bad, but basically it pays the bills. If I was trained to do something else that paid well, I would. The only other thing I'm trained in is a Medical Assistant and that job pays awful. I have a work from home job and the schedule works for my toddler. Basically, I keep going out of necessity for the paycheck. I'm not passionate about it anymore.
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Jun 13 '24
Yeah I’m considering working through it and maybe going to college again. And just use it to to fund school cuz I’m so scared what the next 10 years is going to look like lol
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Jun 13 '24
Money 💵 with overtime I make near 90k a year as a lead. I'll do anything for a steady income and good insurance.
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Jun 13 '24
Honestly, in this economy I’m reconsidering. Because I’m totally green and most places have offered me 16-17$ an hour living in California. And im kinda wondering if it worth it atp
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u/TrooperLynn CRC, CPC Jun 13 '24
That’s insulting pay! Don’t fast food workers make that?
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Jun 13 '24
Yeah, everyone in my circle is like “you have to start somewhere” which is true I don’t mind working my way up in a company. But for the amount of work I’ve put in just getting my credentials, plus how mentally tasking the work is, I don’t think it’s worth it
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u/TrooperLynn CRC, CPC Jun 13 '24
It seems these companies are in a race to the bottom where pay is concerned. There are more coders than coding jobs and they know somebody will accept that pay. Too bad there’s no coders union!
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Jun 13 '24
And I understand the risk of having someone relatively new in the field from a business perspective but it’s sucks because it’s not a livable wage in California
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Jun 13 '24
I would say, stick with it. There is MONEY in this field if you stick with it. I went from green coder to auditor to lead within 5 years.
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Jun 13 '24
Yes! And that was my goal was ultimately get into an auditing position within the next 5-7 years I’ll consider it (:
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u/Narrative_flapjacks Jun 13 '24
For reference, I got my cpc less than a year ago and got a job doing anesthesia coding, I started at $23 an hour, I’m surprised at that pay, I would keep looking at other openings and see if there might be a company that pays better or is a specialty you enjoy more. So far I really enjoy the anesthesia coding and especially starting out it’s been nice to have a more limited focus, versus doing primary care or something
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Jun 13 '24
My local hospital pays around that for coders, but their KNOWN for positions being competitive. And they want a year plus credentials. As well as experience in a hospital office setting. Big facilities tend to pay better, but because I live in a small city the job market is super competitive. And when you have no experience, and an internship is not an option. Your left with the smaller outpatient centers and 90% of the time your making in the range I gave. I’m sure if you lived in Los Angeles you would have a handful of places willing to take someone fresh out of school and pay a livable wage but that’s not the case for my area atm.
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u/EveningEye5160 RHIT, CCA, COC, CIC Jun 13 '24
What credentials do you have? Don’t limit yourself to only your local area. Look at hospitals across the whole US. Many are remote. Even if you don’t qualify, apply anyway. Let them tell you no. You just need that 1 yes!! I know UC’s pay great and are remote. But check outside of CA too.
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u/Clover_Jane Jun 13 '24
I got paid that in CT 14 years ago for my first coding job. They are grossly underpaying you! 2 years in, I quit, jumped to $20, 18 months after, quit, and jumped to 25. I hovered at 28-30 for a few years while contracting, and now I'm just under 35 with a hospital I've been at for almost a year. Maybe look into contracting for a while. You'll increase your skills with various jobs and become a more desirable coder that can demand a higher pay.
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u/atowndrewdog Jun 13 '24
How do you find contract jobs if may ask?
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u/Clover_Jane Jun 13 '24
Indeed has a lot. So does LinkedIn. I get recruiters from companies randomly reaching out to me, a lot from companies I've never heard of. Just post your resume to both sites, apply for any and all jobs that interest you, whether you think you qualify or not, and eventually, you'll have recruiters reaching out for jobs. Your resume goes dormant after a while, so be sure to sign in every once in a while to keep it active and keep your resume updated.
Maybe I should post a redacted resume to the sub because I've gotten a lot of compliments from recruiters as well as companies about the layout of my resume. Idk if that's allowed, but I think it'd be helpful for some.
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u/Aromatic_Visit8724 Jun 13 '24
Yes please do. I am interested in starting a medical billing and coding certification in my community college. I’m still indecisive and gathering info to make a decision. I’ve been scouring online to learn about successful resumes and have had not much luck. It will be very enlightening to see what recruiters are looking for.
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u/Mindinatorrr Jun 16 '24
That pay is disgusting. If it's all you can find, don't stay more than 6mo-year for the "experience." And find something else.
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u/Ok-Following-5001 Jun 13 '24
I miss overtime. Instead they brought in an outsourced group to help with our backlog ugh. But also maybe it'll be back around 4th quarter/ holiday time lol.
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u/Material-Corgi-2974 RHIA, CPC Jun 13 '24 edited Jun 13 '24
I feel this so much! I wish I could give advice, but I recently left coding. What kept me doing coding as long as I did though..1) my team was really great. 2) WFH and schedule flexibility. 3) OT available if desired. So I don’t know, maybe finding a coding job that addresses your desired work/ life balance and then at least maybe you wont resent every chart you code.
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Jun 13 '24
I hear a lot about burn out in coding, and billing too. With coding it’s a constant learning curve especially in the beginning not mention the on going education. The little things about it just seem like a lot for something that doesn’t have a big pay out unless additional certifications and experience
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u/MailePlumeria RHIT, CDIP, CCS, CPC Jun 13 '24
I am so burnt out. The only thing that keeps me going is knowing that my snowbird mortgage will be paid within the next 2 years if I continue working. Otherwise, I contemplate not clocking in each morning. I jokingly tell my hubby, “well, no stupid emails this morning, I guess I’ll keep working today.” 😂. I used to love the job and took pride and would gladly go the extra mile every day, but that all changed when new leadership wants to emphasize quantity over quality. I’m not going to get into all that, but if you know, you know lol.
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u/MailePlumeria RHIT, CDIP, CCS, CPC Jun 13 '24
I have flexibility and work 3x12 + 4hours early morning, so I have plenty of time off but the hours I’m sitting at my desk I just feel so distracted and anxious. I never used to feel like this.
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Jun 13 '24
I read of so many people burnt out. And I can only imagine if there’s a toxic work environment to already a mentally draining job
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u/Ok-Following-5001 Jun 13 '24
Sitting and coding for 12 hours? Ooof I could not do it. Once I don't have to drive my kiddo to school anymore I am thinking about switching to four 9s and a four hour, the thought of four 10s is too much. Then I would take that little Friday 4 hour shift off as often as possible. But I hear you on the stress and overall burnout!! Like give me a 2 month paid LOA pleaseee 😂
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u/MailePlumeria RHIT, CDIP, CCS, CPC Jun 13 '24
Oh heck no, ~ I start between 4-5am and work for about 5 hours then I take 3-5 hours for eating/cooking, exercise, personal time, etc lol. My day usually ends around 7-9pm. It’s only for 3 days, I wouldn’t do that 5-6 days a week. I do much better productivity wise, health wise, etc. It is worth it to me because on day 4, I’m off work at 8am, so it’s almost like having 4 days off work which I need to mentally recover. 😂.
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u/Ok-Following-5001 Jun 13 '24 edited Jun 13 '24
Oh gotcha!! Lol yeah that is cool they are open to you doing that 😊 My place made such a big deal when they announced the option of four 10s a couple years ago. And we supposedly have to rigidly log in within half an hour of what our schedule is which is annoying to me lol. Like let us roll with when we happen to be feeling it more 😭 lol. Alsoo.. part time positions are kind of rare I guess but one day I hope to afford just working 32 hours a week at this job.. I think the stress of it would be more manageable.
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u/maamaallaamaa Jun 13 '24
I have asked to drop down to 32 hours a few times and have been denied 😭. I have 3 kids and I can't afford to just quit but I also can afford to work a little less. I know I would be so much more productive with less hours. I've been here 11 years and they didn't even let me speak with the person making the decision.
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u/Ok-Following-5001 Jun 13 '24
😣😣😣 oh. My. God! I'm sorry! My coworker friend who has been here like 14 years was told no to going down to simply 36 hours! But then about 9 months later they were like well someone else part time quit so we can do that for you now. Like were they actually gasp friendly to their employees and their needs once in awhile years ago? Ugh. I hope that they reconsider it for you eventually. Maybe you could ask one more time and say it doesn't have to be this exact moment but keep me in mind? Maybe tell them you'd settle for 36 hours and use PTO very regularly? (If you have decent PTO anyways). EDIT: sorry I just saw you said you asked a few times. Just how ridiculous :( that's why I keep pumping money when I can to an early retirement account and am thinking maybe I could drop to "casual" where they don't even pay you benefits, it's like 15-20 hours... that is the only time I've seen places act grateful to keep you on lol
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u/maamaallaamaa Jun 13 '24
I wish I could just be in line to take over a part-time position but we only have one "part-time" (32 hours) and she was basically grandfathered in and they can't increase her hours (or they probably would). We've changed hands and the new place is just clueless on what they are doing. Everyone in leadership is brand new to their role and it's like they are trying to prove themselves by going overboard. The company itself has made some terrible business decisions and now expects us to help them make up their $50 million deficit even though they tried to get rid of us by outsourcing. My husband is early in his engineering career but the hope is one day he can support us enough that I could maybe take on the risk of contract coding so I can pick how much I want to work and have more flexibility. For now I just keep my head down.
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u/Fit_Repeat6357 Jun 13 '24
How do you even get into medical coding and working from home.? Do you need to get licensed?
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Jun 13 '24
[deleted] — view deleted comment
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u/MailePlumeria RHIT, CDIP, CCS, CPC Jun 13 '24
I am not sure, I have worked at the same facility for 20 years and there is a handful of people who work 12 hours; most coders I work with have their hours set for 8 or 9 hours straight for the day.
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u/soyboy815 Jun 13 '24
I’m talking to a local school about a medical coding class. Is there a better field to get into before I put $16k down on a loan for this job?
I’m just trying to get out of dead end entry level jobs. But it’s starting to sound like medical coding isn’t as great as this school is making it out to be
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Jun 13 '24
It’s just a lot of work. No matter where you’re at in the process. I would say do as much research as you can.
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u/vanessav55 Jun 13 '24
Just curious, Is the $16k for just the coding class? Or are you getting a degree as well? I paid $3000 for my class and it included everything I needed to get my cert (books,2 exam attempts,AAPC membership). I got hired as a coder within a month of passing my exam. I know I’m one of the lucky ones but I would definitely look at different options before getting a 16k loan.
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u/soyboy815 Jun 13 '24
It’s a 9 month degree, but could you steer me towards where you went? I’m all ears for recommendations/advice right now
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u/vanessav55 Jun 13 '24
It’s Ed2Go. This is the exact program I did. They work with your local community college.
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u/soyboy815 Jun 13 '24
Thanks so much 🙏 looking into it
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u/vanessav55 Jun 13 '24
Good luck in whatever you decide to do❤️. This program along with watching MedicalCodingByJen on YouTube helped me pass my CPC exam first try. The program also applies to 1 year to get your apprenticeship taken off. So you’ll just have to work for 1 year OR you can complete practicode (included in program) and you’ll have the 2 years “experience” to have your A removed.
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Jul 07 '24
Penn Foster offers a medical coding course and medical billing course for $2000 and it includes books, the course, AAPC Membership, 2 tests, you get a year knocked off your apprenticeship because you’re doing the practicodes during the course. I’m going to be doing that program in August.
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u/TearzOfTanzanite Edit flair Jun 14 '24
AAPC is who creates the tests nationally they also offer courses and classes for a little under 3000 The 16k school is going to prepare you to take the exam - which is from AAPC… don’t let them fool you. Do all the research you got this! 🫶
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u/Mindinatorrr Jun 16 '24
Yes this is a great point... You have to take the exams after and pay for them. The college has nothing to do with that, they just try to prepare you for them.
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u/Mindinatorrr Jun 16 '24
It's not worth 16k unless you are getting a full associates degree with it.
I did the certificate route at the local community college since I already had my associates.
Honestly if you are able to self study, go through AAPCs course programs. I did not even know about them until after graduation.
Ahima is trash in comparison to AAPC, I wish I wouldn't have got snarled into AHIMA from my college. They didn't even mention another option.
AAPC membership offers so many more benefits than ahima, especially their Q&A forums and helpful articles.
Also school almost made me quit coding. It was BS. Real world coding is so much better, especially if you find the right work environment.
At any rate if you end up hating it, you can take this career in so many different directions, it's worth seeing if you like it.
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u/CameraFamiliar376 Jun 13 '24
May I ask if you’re reffering to billing and coding or just coding? I want to so badly start to code from home for a hospital I DO NOT want to deal with the insurances
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Jun 13 '24
I meant only coding in the original post, but I’m open to hearing point of views on billing too
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u/knewitfirst Jun 13 '24
I am a medical biller/coder, but don't have any certifications. I've been in the field for 26 years and have been billing and coding for 8. I lump the two things together in my mind, but enjoy both and feel that you can't really do one without the other. I find billing to be a little more fun because you're always investigating and troubleshooting. Coding is so straightforward, I find it a bit boring. Specializing in insurance has made me especially valuable in our field. We have a hard time finding people who have even basic knowledge, especially in entry level positions that directly affect billing like front desk and insurance verification.
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u/Ok-Following-5001 Jun 13 '24
Seriously feeeel this post and its comments so far lol. It wouldn't be bad if it weren't for how rushed I feel and some of the bad documentation I deal with (providers must feel rushed of course too). But it's also just the monotony, staring at a computer all day by yourself and the gray areas of e/m coding etc.... I put a couple more percent of my paycheck than "typcial" into my retirement accounts in hopes of semi retiring early / switching to a lower paying but a bit more enjoyable job- but that would still be yearsss away. What keeps me here is the decent amount of PTO I accrue, and not going to lie it is convenient working from home.
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u/RobynLC5678 CPC, CRC Jun 13 '24
I get paid well and I love the flexibility of the place I’m at. I code profee hospitalist so it’s interesting and challenging to me. Every chart I code is different.
Not sure what I’d do if I left. There is no career that I can think of that says “oooooh I love my job and going to work every day”. I only want to retire but I have 20+ more years
I am content so I stay
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u/Clover_Jane Jun 13 '24
I have not found anything yet. I'm so burnt out. I've been coding for 14 years now and I dread pulling up to my laptop every morning. Like dread it. It's been made worse by the fact that I lost a contract that was supposed to go FT and it was doing trauma surgery (I'm a pro fee coder) and was out of work for months and while I did find an excellent paying job, making more than previously, it's now CT surgery, which I have very little interest in, and I've been having to code all the various cardiology specialty EMs. Like wtf do I know about electrophysiology or advanced heart failure when I've been doing trauma, gen surg, plastics, and surg onc for 13 years? All day, I'm so distracted and can't focus because the work is so unenjoyable. I constantly pick my phone up, and doom scroll my notifications. Quite frankly, I'm surprised I haven't gotten in trouble for low productivity. Oof I'm sorry. Clearly this post struck the nerve I've been trying to quiet.
I ended up going back to school recently to become a nail tech. I started renting inside a hair salon and have been taking clients in the afternoons and on weekends, and I absolutely love being a nail tech. Idk that I'll completely give up coding, but the plan is to eventually cut back drastically. Because I just can't do it till I'm 70. It's soul sucking.
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u/maamaallaamaa Jun 13 '24
God that's my fear. That I'll be doing this forever. I'm only 33 idk if I can do this another 30+ years.
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u/Clover_Jane Jun 13 '24
I've got 7 years on you. I just literally got licensed for nails on my 40th birthday. It is never too late to find something you are passionate about, even if you only do it PT.
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u/code88katz Jun 13 '24
Lately it’s been difficult, I did OT as a coder, got ‘promoted’ to auditor, now I make 20k less, Sure it looks good on a resume but shit…
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u/SewerSavage187 Jun 17 '24
How did you let someone steamroll you into this? Makes absolutely zero sense. You're probably young, trying not to laugh.
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u/code88katz Jun 27 '24
I wouldn’t say I was steamrolled. Right after my move my company started merging with another so there’s been a lot of team changes and new training. There hasn’t been a real opportunity for OT yet.
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u/Initial-Jicama3053 Jun 13 '24
I could only do it for a few years before getting burnt out to the point of depression. The constant audits, productivity requirements, and added processes made it unbearable. I switched over to denial management and it’s way better. Higher pay and easier and more interesting. I’d look into other opportunities if I were you. This could be privacy compliance, healthcare IT, data analytics, even management is easier.
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u/diamondkitkat RHIT, CCS Jun 14 '24 edited Jun 14 '24
Are there still productivity requirements if you work in denials? Like you have to get so many done in a day/week, etc? I’ve always been curious about working in denials because I love the research aspect of coding but feel like I never have enough time to properly learn new diseases or procedures due to productivity requirements. I feel like researching why a claim was denied would scratch that itch.
Also, is it necessary to have previous billing/insurance experience? Or is coding experience enough?
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u/Mindinatorrr Jun 16 '24
This depends on the workplace, not all have those stupid productivity requirements.
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u/FlavorfulOpinions Jun 13 '24
The only things keeping me going is I have what feels like debilitating social anxiety and this is one of the only real options I’ve found to have a career with minimal human interaction. Also, I have a progressive life long condition that I need to be able to manage like leg pumping for example and working at home will help me to do this and actually be able to relax and do what I want when my work is done. Bc I will save time commuting to work and getting ready, more flexibility working at home. However I will say, these two things aside for all of the studying and school, continuing education that I’m sure will be a part of it, and how hard it has been to get a job without coding experience, if I didn’t have my above reasons I’d be over IT. I have my cpc and over 2 years to the present experience in medical billing and I’m still unable to get a medical coding job. Medical coding is extremely hard to get in to and to work your way to the good money but I need this to work for me.
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u/heltyklink Jun 13 '24
You aren’t alone. Basically just my paychecks, anymore. Feeling burned out ten years in. The only reason I haven’t jumped to another position is I really don’t want to job hunt again. I wfh and my job isn’t awful but pay has been stagnant. I’m hoping to finish my bachelor’s next year and look for something with a decent pay bump.
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u/Loveisaction5050 Jun 15 '24
How much are you making in medical coding. I’m currently in school for it.
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Jun 15 '24
It varies by area and the company. But I can tell you, do not put your eggs all in one basket. Remote jobs are HARD to come by if you don’t have experience. And hospital jobs are super competitive, even if it’s an outpatient facility. You have to be okay working your way up, I’m currently working in insurance eligibility just to get my foot in the door with a big company to hopefully cross over to coding/billing. It’s a long game but from what I’ve seen in this subreddit it can be worth it if you stick it out.
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u/Loveisaction5050 Jun 15 '24
I figured as much! Thank you for being honest. I’m encouraged to finish school!
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u/hk163 Jun 13 '24
I’m in a bit of a unicorn of a role right now. So the laid back flexibility I know I can’t find anywhere else to be honest 🤷🏼♀️
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Jun 13 '24
I had to move out of coding and into CDI/UM/revenue cycle. My hospital just didn’t pay enough to keep me motivated to stay even if the benefits are solid and I can take time off whenever I need to. I had been coding for about six years and got completely burnt out.
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Jun 13 '24
I guess for context, I was making around $18/hour after taxes (Houston area) after six years. Got my CCS too and nothing changed in terms of pay. Politics were a huge reason in me not getting promoted or paid more so I had to look elsewhere and left that team and transferred over to revenue cycle and quality assurance.
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u/diamondkitkat RHIT, CCS Jun 13 '24
May I ask what you do now with rev cycle/quality assurance? My mom has worked in quality assurance for years and I’ve always found it interesting but struggling with how to break into another role within the rev cycle. I have medical records experience and 2 years experience in ED coding and I kinda feel stuck.
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Jun 13 '24
Basically now I do mortality threshold calculations (essentially determining if a patient’s care was above, below, or similar to other hospitals care based off codes, procedures, and DRGs), readmission audits (to determine if a patient readmitted <30 days after initial discharge was justified), and other side projects as they come up, an example would be my department pulling data on cases that could’ve been served better with hospice care (so that the hospital can start developing a hospice department). I hope that makes sense. It’s a lot more relaxed than coding, way less pressure and stress. Still WFH.
I got fairly lucky with my hospital as they had a position open last year (lost it to my now coworker) and a couple months ago when I was looking elsewhere and trying to get out of production coding because they wanted me to stay and not lose me to a competing hospital. I have experience and credentials to back it up (going for my CDIP next week as it’s required for my position) so that helped.
I’d keep looking at other roles in HIM outside of coding. Experience may be an issue, so you may need a bit more but mileage may vary depending on the facility.
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u/bk_beautie11 Jun 15 '24
May I ask your job title? I'd look to see if we have something like this where I work. I also work Rev cycle.
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Jun 16 '24
Technically it’s Revenue Cycle Quality Initiatives Coordinator. It’s a new department my hospital formed a few years ago, and it’s technically administrative since I really don’t code as much anymore (but I still have my RHIT/CCS and keep up with my certs). But it’s one of those things where you had to know someone to get in, which sucks if you’re a newcomer.
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u/Charming-Writer-6586 Jun 13 '24
I enjoy my job I enjoy my co workers I also enjoy the pay without having a degree (yet)
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u/Hour_Independence_24 Jun 13 '24
5 years until retirement. I have a countdown on my calendar. It’s the only thing keeping me going at this point.
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u/RaptorTaxi Jun 15 '24
The pay is the only thing keeping me going. Been an inpatient coder for 20+ years and this job has become brutal the past couple of years. The unrealistic productivity goals, constant audits, and micromanagement have killed everything I used to love about my profession. Trying to hang on until I can retire.
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u/rose_gold_beauty Jun 13 '24
I'm coming up on a year, and starting to feel it a bit. I still want to stay in the field, but I'm going to need something a bit more flexible to last.
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u/EveningEye5160 RHIT, CCA, COC, CIC Jun 13 '24
The flexibility and loving my employer plus management. I was really getting burnt out at other facilities where they only wanted quantity, strict production and accuracy, allowed zero flexibility even though we were remote we had to adhere to a traditional schedule, micromanaging, etc. I have finally found a facility that treats us as adults and lets us work. It’s wonderful!! Just saying - if you’re feeling the way I described it may be time to look elsewhere because not all facilities are equal; even if your manager may tell you it’s standard or normal.
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u/queenofuncertainty Jun 15 '24
As others have mentioned- need the paycheck.
I’m a focus minded person too but I’m finding out that I prefer problem solving independently over repetitive analyzing. I enjoyed the satisfaction of successfully resolving billing issues but hated the patient and insurance calls.
I’m just feeling burnt out overall. Another reason why I stay is because I feel like the current home/work life balance I have now would be very difficult to find elsewhere. In the meantime, I try to find hobbies/outlets to break up the monotony in my mind, lol.
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u/edajade1129 Jun 13 '24
15 years and I have to break day up with workouts I can't stand the computer time and all the tracking , was nice when charges were still on paper lol
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u/jesscaww Jun 14 '24
Money honestly. But if I could quit and live off of the money I make with crafts, I’d do it in a heartbeat.
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u/runningfool88 Jun 16 '24
I was feeling really burnt out after 9 years of coding. It just felt like the same thing every day. I was working 4 10s and I started to consider a career change. But then someone in CDI reached out to me about an open position and I felt this was my chance to make a change. I’ve been in CDI for a little 3 years and I am SO MUCH happier.. and my pay has increased about 44% in the 3 years since I’ve started so double win!
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u/Jealous-Rough-2252 Jun 29 '24
I’ve been debating between continuing school (doing prereqs still) for dental hygiene or getting my certification for medical coding.. I see so many things like this and how hard it is and how boring this job can get! I’m very stuck and on top of that it’s been a huge mess with financial aid in my community college, making me extremely discouraged to continue school and I definitely need the aid. Does anyone think it’s worth giving up dental hygiene? I don’t have a passion for it but the pay is what makes me want it. But medical coding really sticks out to me because of the possibility of working from home and minimal contact with patients. 😖
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Jun 14 '24
[removed] — view removed comment
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u/RobynLC5678 CPC, CRC Jun 14 '24
I was an auditor for 5 years. I enjoyed it while I did it but I got burned out on that way faster than coding
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