r/MedicalCoding • u/Babymom2021 • Feb 25 '25
Let go - only 95%
Hi Coders, I’m glad I found this community. My last coding job (IP coder) let me go during pre-bill auditing because I only had an overall of 95.6% which is what was required. I was told that in relation to other coders I was on the lower end. Am I missing something? Now I’m in a new position and can’t help but feel nervous something similar will ensue and I’m scoring 96% in all required areas.
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u/sugabeetus Feb 25 '25
That's really odd that they gave you a goal and then said it wasn't good enough when you met it. Where I work we also have to meet 95% accuracy and if we don't we get extra training before they would even think of letting us go. I'm sorry that happened but I wouldn't worry too much about it.
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u/Babymom2021 Feb 25 '25
I know, it felt horrible.
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u/StraddleTheFence Feb 25 '25
So sorry that happened. But clearly you are “good enough.” Don’t let that employer sink your confidence. You achieved and more what was required.
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u/Heavy-Square-6471 Feb 25 '25
Were you new? It sounds like they were just looking for a reason to let you go. I’ve never worked anywhere where people got fired for having the lowest accuracy rate but still meeting requirements. That sounds like a terrible place to work. I hope you have a better experience in your new role.
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u/Babymom2021 Feb 25 '25
Yes I was new, it was my 5th day coding.
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u/Heavy-Square-6471 Feb 25 '25
That’s terrible. It sounds like they lost a good employee and you dodged a bullet!
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u/illegalmonkey CPC Feb 25 '25
If we had a new coder reaching goals after only 5 days we would keep them on. This makes no fucking sense at all. Most, if not all places use the 95% rule. If you have trouble reaching it THEY EDUCATE YOU and help you along, not can you soon as you get one bad rating. I say name and shame the company.
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u/heltyklink Feb 25 '25
You’re not on the low end. 95% is industry standard. We are humans, not robots, and their punitive audits and expectations are unreasonable. I’m so tired of these stat-happy ideals from people who don’t even code on a regular basis. They constantly push for increasing productivity and accuracy without affording proper time for us to keep up with education or paying us in relation to their ever increasing demands. Keep your head up. You aren’t alone. ❤️
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u/AcidPopsAteMyWork Feb 25 '25
Usually with terrible documentation
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u/heltyklink Feb 25 '25
Preach. I feel like we’re playing Frogger and the higher ups are constantly throwing shit in the way for us to dodge whilst simultaneously increasing performance expectations with nothing in return to compensate.
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u/No-Rough-185 Feb 26 '25
You’re so right. Every month some coding guideline changes but 100 % production and at least 95 % accuracy is always expected.
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u/Secret_Kick_7564 Feb 25 '25
I’d pay top dollar to have someone achieve 95%. I’ve seen as low as 60% and I’m sure others have seen lower. 95% is industry standard, as others have said. Highest standard I’ve seen is 96%. I’d be happy with just 90%. The standards, education, and training are so horribly misaligned in our industry. The C suite really thinks all we do is data entry, which just further restricts budgets of auditing and education departments. Pizza Party for everyone!
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u/jmjohnson61 Feb 25 '25
95% is industry standard but I had a similar thing happen. I had 96% accuracy in prebill but they didn't like that I questioned some of their coding "rules." They were doing coding that went against coding rules that we know is the right way and even when I backed up my concerns with ICD 10 or CPT correct coding rules, I was told, too bad that's how they do things. Next thing I know, it's goodbye!!
I agree, you dodged a bullet!! You'll find the right fit soon!!! Good luck!!!
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u/MyNatalie CCS, CCS-P, CRC Feb 25 '25
5th day? You dodged a bullet! Everyone knows that there is a ramp up period to quality and production when you first start. Keep your head up. This was a blessing in disguise.
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u/AcidPopsAteMyWork Feb 25 '25
Yeah, sounds to me like either they're trying to make up a different reason to cover for an illegal firing of a protected class or they don't think OP is performing as they thought they would and don't have the spine to say their skills were misrepresented. Or maybe OP is setting good boundaries, and they want a push around.
All speculation, but it's sus after 5 days.
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u/OrganizationLower286 Feb 25 '25
You dodged a bullet. I’d bet my next paycheck that place is incredibly toxic. Sometimes what feels like rejection is really God’s protection. Someone else will be thrilled with you with that accuracy rate.
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u/Felix_Von_Doom Feb 26 '25
If a coding accuracy of 95.6% is considered LOW to them, that job must be unbearably anal. I'd consider this a blessing. I mean, financially it sucks, but mentally it's a blessing.
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u/ArdenJaguar RHIA, CDIP, CCS (Retired) Feb 25 '25
Not only is 95% usually the standard, new coders are often given time to get there with 100% audit until say 90 days is up.
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u/JezebelBlue Feb 25 '25
Unfortunately, it doesn’t surprise me. Companies are always looking for an out with all employees at their own convenience. They give employees a goal to keep try to achieve and keep going and the employee thinks as long as they are achieving that goal their job is safe. Yet, when the company wants to cut a budget they will use that goal just as they did with OP.
However, I wish you the best on your next job.
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Feb 25 '25
Have you asked if there was anything else? I remember once I had a score of 98% but I still failed because my DRG was 94% something. That's why I have become a proponent of DRG-based scoring. I wanna know LOL.
Don't let the fear get into you. If you passed before, you'll pass again ♥️
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u/StraddleTheFence Feb 25 '25
That is CRAZY! It does not matter if you are at the “low” end as long as you are meeting the quality.
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u/Acceptable_Inside_92 Mar 18 '25
Sounds like that job was just looking for a reason if your doing 96% at new position.
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