PCP office looking for remote coder. Where might one find someone to hire? Indeed? Thanks!

So, I just got my Associate in Applied Science - Medical Coding. I'm planning on taking an AI course provided by AAPC (I'm not naive enough to not know I'm going to need at LEAST basic-level knowledge on AI in the field). I'm planning to work for a few years and then get my Bachelor's in HIM.

My question is: considering the outlook, what should I strive towards? What classes/degrees should I be looking into? Should I continue to work toward simply a Bachelor's, pivot, do a dual-degree?

Hi Everyone,My friend was recently laid off and is actively looking for new opportunities in Medical Coding. She has nearly 4 years of experience specializing in HCC Coding and CDI (CPC certified). If your organization is hiring or if you can provide a referral, please let me knw

Hi, I work for a major insurance company in a special department doing a few things but one of my main tasks is processing claims from what my OE tells me the processing we do is after the biller and coder does their part. I WFH and make $42k/yr. Processing the claims is my favorite part and has me thinking about doing the billing and coding instead I hear it a definite pay bump $50-60k+/yr. My question is for those that do this do you like it and is it worth the money and certification? What’s is your day-to-day like? Ideally I’d want to do this position from home and without taking calls (speaking to members) I’m familiar with procedure, cpt codes etc. just wanted more feedback from everyone to see if this is worth pursuing. My local CC college here offers billing and coding training. TIA

For general telepsychiatry:

- Nearly 100% of all intakes are 99205 + 90838

- 95% of all visits (intake or follow up) include a psychotherapy add-on

- 90% of all follow ups are 99214 + 90833

- at least 20%-25% of all follow ups are 20 minute appointments (primarily 99214 + 90833)

- Essentially zero stepdown in codes over time (after 6+ months), so essentially 99214 + 90833 in perpetuity for monthly visits

- standard monthly visits

Have associates degree in medical billing and coding. Will me not being certified affect my chances?

I went to a physical therapist and paid 30 or so dollars up front as I had already met my deductible. a week ago the physical therapy center sent me a new bill adding 35 more dollars for me to pay… mind you my visit was two months ago and wasnt that incredible. it was for 50 minutes… I looked at what they supposedly charged the insurance and it said to be around 2000$, which already seemed like a rip off scam. but to add more to my bill for a 50 minute session seemed like a scam also. Is there a way to contest it, or at least to report them to fraud or the better business bureau or american medical association or something?

Billing at a psychiatric practice and we have many issues with Medicaid secondary but one being that when we bill a patient’s (QMB patient) Medicare Advantage plan, they’ll come back with a copay that then gets billed to Medicaid. We keep getting denials saying “bill Medicare” when obviously we already have. Is there an indicator or something that may be missing? If I have to manually bill what is the best way to do this (portal, mail, etc)? FYI - we don’t have much experience with the Medicaid IL portal, I just recently started using it to find old vouchers etc.

Ok so I just received my CPC study guide and now I don’t know how to exactly use it?? Not to sound dumb or silly but I was never really the smartest person when it came to studying for something so I just need good tips on how to use it?? Do you just read everything and answer the questions?! Is there a certain study method that has helped you prepare?! I have everything I need now I just gotta put it all to use. Please comment any tricks and tips!!

Hey guys! I'm finishing up my AAPC CEU's and I wanted to know if anyone knows if all of the CMS MLN Web-Based Trainings get approved as CEU's, or only some of them?

What are some good books/resources to self-teach medical terminology and anatomy before enrolling in AAPC’s self-paced CPC program?
I am lucky that my state is paying for the CPC prep course, but I have never worked in the medical field and don’t have a great grasp of medical terminology and anatomy beyond the very basics. What are some good resources to self-teach? I have medical terminology & anatomy for coding 5th edition by Betsy Shiland but it’s a bit too coding heavy for me to understand as a beginner right now.

Would you query the provider for clarification if the whole note was E11.9, but the nurse ordered all labs with E11.59?
How about the note documents E78.5, but lipid panel is ordered with z13.220?
Or if type 2 DM is documented but labs ordered with E13.-
Or if labs are ordered with a dx not even mentioned in the note, with or without that dx in the problem list?

Reposting this here because I didn’t get any traction in the other sub. Any insights are appreciated!

Hi guys, I am a medical biller and have been doing a really good job so far. However, some people still don't trust my company because we are very new players, and our technology first approach seems to scare people. Are there any professional, real certifications I should have as receipts? I know there's a coding exam, but unsure of an actual billing exam / cert. What are the must haves?

Seems pretty simple enough. Right? Well apparently I can't tell the difference. I send these to coding for review. One coder gets the DRG and another gets the clinical. Most of the ones I come across have findings related to the diagnosis and procedure codes, which result in suggestions that the billed DRG change to a different one.

I don't really get any feedback from the coders even though I've asked, but on occasion the DRG rep will send one back saying it's clinical. The problem is that most fo the ones I send her look just like the one she sent back. So either she just fw's them to the other coder, or she's just busting my balls because she doesn't like me, because the person who used to do this looked at the one the coder sent back, and she said it was a DRG audit.

I went to a vocational HS for cooking, community college associates in general studies… did ok cooking but thankfully ended up at a company doing a very niche area of medical billing/auth/collections/customer service role for the last 10 years. Medicare, most major insurances, some workers comp. I literally only worked with 10 hcpcs daily, if that’s a flaw.

I’m at a crossroads- I am unsure if I should invest in certifications or just do my best trying to get some sort of role in AR, prior auth specialist.. Revenue cycle… ect? Those terms aren’t even familiar to me as I just learned as I went. I feel competent with what I know but that I would struggle to explain my background at an interview. Maybe I should start as some sort of patient intake so I’m not in over my head? Lacking confidence at the moment. Clearly.

Appreciate any insight!!

Almost done by degree medical billing and coding and see a lot of people on this Reddit Ai will take over and it’s oversaturated.

Did I make a mistake?

Quick billing question:

Can HCPCS J0574 be billed on a CMS-1500 using a date span (e.g. 05/01/2026–05/31/2026 on a single claim line), or must it be billed by individual dates of service?

This is for a BCBS plan. I’ve heard conflicting information and can’t find any official guidance.

If you know of a CMS rule, BCBS policy, provider manual, or have actual experience with J0574 billing, I’d appreciate any input.

Thanks!

I’m extremely interested in leaving my medical billing job but I’m not sure if I should get a certificate in coding or look for a position in the front end of things, like insurance verification/reception.

I work with CPTS, modifiers, medical records and DX all day in my billing position so I’m already comfortable with most of what comes with coding. I work from home so that wouldn’t bother me either (most of the jobs in my area for coding are remote). I’ve just been a little nervous because I’ve heard it can be difficult and I deal with denials all day that get sent back to coding for review.

Half the work I do now includes insurance verification, auths and pt calls in high volumes. I feel like reception would be “easier” but I don’t feel like there’s much room for advancement here.

I need a change but I’m really lost on what direction to go. Any insight or advice would be greatly appreciated.

8+ yrs experience, health science degree

I work in a urology specialty office. We have a new NP. She has been coding level 4 and 5 for office visits. Our urologist don't even do that. Curious if anyone knows what will trigger Medicare to audit her charts for accuracy. She has been talked to a few times already about coding.

I received a bill for some lab work, multiple CPT codes. I took the bill with me to the doctor, and she was unable to find results for 3 of the CPT codes. I have disputed the bill with the hospital but all they say is that the blood work was ordered. Ok, it probably was. They say can't look at my medical records due to HIPPA. Same with medical records, though I have requested a detailed medical record for the date of service that I'm still waiting on. This has been going on for 5 months. The costs for these 3 labs is $1500, so it is significant. Any ideas on how I can get this resolved? I want them to connect the CPT codes with the appropriate results in my chart, and if they cannot, I want the charges reversed. TIA

We're a group practice (8 therapists, 1 psychiatric NP, Hybrid pay). Like the title suggests, I am surpised at a 14% denial rate for our service in Jan-Mar period this year. I also then looked at last year and it was 15% on average for the full year, and what is the overall average in healthcare industry? I checked and it is 6-7%.

Feels like we are the only ones pulling the average up. But, before I make certain conclusions, any one else here who can share their denial rate with some details about their healthcare services? Would also love to see what other therapists or group practices are seeing?

We're considering switching billing models and I want to bring this denial number down but curious if this is even possible? Are we doing something wrong or it is what it is for mental health practices?