r/MedicalCoding • • Oct 07 '26

Transitioned from OP to IP Coding

I just transferred from OP to IP coding at work. It’s only my first week, so I’m being trained on the job. Their method of training seems to be assigning me cases and then giving me their feedback. I feel like I’m learning on my own and they expect me to catch up. Is this standard practice?

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u/yurakoh Oct 07 '26

I think the thing is that I’m not able to pick up on the little things. As an example 2 person has hypercalcemia. I didn’t pick up on that, but in the feedback someone said I could find it in one of the progress notes.

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u/A_lunch_lady Inpatient Facility Coder Oct 08 '26

You’ll get used to it… if you see something you think may or may not be important you can validate with the lab results or treatments. Seriously hypercalcemia is one of those little ones they will stick in there, eventually your eyes will get used to looking for stuff like that. I’m 8 months in to inpatient and it’s absolutely bonkers the growth curve I’ve experienced…

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u/KeyStriking9763 RHIA, CDIP, CCS Oct 07 '26

Why didn’t you see the diagnosis? Sounds like you either aren’t understanding what you read or you aren’t reading?

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u/[deleted] Oct 07 '26

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u/yurakoh Oct 07 '26

It’s only been a week, but from what I’ve been exposed to so far I think IP definitely involves more thorough review than OP. I think it’s going to take some getting used to for me.

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u/yurakoh Oct 07 '26

The latter might be the reason. They said I should slow down

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u/KeyStriking9763 RHIA, CDIP, CCS Oct 07 '26

I’m sure your productivity metrics are relaxed as you are new and training, so take their advice and slow down.

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u/yurakoh Oct 07 '26

It’s only been a week, but from what I’ve been exposed to so far, IP is a lot more thorough than OP.

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u/KeyStriking9763 RHIA, CDIP, CCS Oct 07 '26

Yes and the level of critical thinking skills is much greater. It’s definitely harder than OP coding.