Wiki Does anyone know if AI will be used for medical coding or billing in the near future?

Has anyone had their medical coding or billing career taken over by the use of AI in the doctor's offices? I really need to know before I devote my money and time to this career. Thank you all for any information that you can give me on this subject.

Most definitely. They want to assuage everyone's fears, but the reality is that if AI can get to the point that it surpasses the general success rate of coders and speeds up revenue and cuts costs at the same time, then it will be the natural course of capitalism. Combine it with guiding providers to select codes or automatically select before it ever gets to a review process and it may eliminate most of the revenue cycle. The AI can be trained even for specific insurances so that they know what codes they take and eventually it will probably force everyone into even tighter codes and selection processes to speed up payment and processing.

To take it a step further, AI can also look at the notes that a provider is going to submit and start offering suggestions like "You haven't made a definitive diagnosis -- did you mean to put this in your notes?" Or "this insurance won't accept this nonspecific code -- is there something else you could pick?" And then provide 1-10 generally specific codes that would be paid.

Hello slduke2@yahoo.com
I feel comfortable discussing this. I am seriously proudly work for an AI company (my “forever career” for over two years now in my specialty).
Have you thought about this! We are in the middle of not only coder shortages but physician shortages. Healthcare facilities need to be smarter especially financially.
Figure both of the deficiencies out. Coders are being reallocated to take on other duties and physician’s that are assigning CPT and diagnosis codes are not coders and should simply left alone to provide their time to their patient’s and not assigning CPT and ICD codes wholeheartedly in my opinion.
I attended the APPC HEALTHCON, last fall in Las Vegas. I was told from several presentations that coders will be transitioning to CDI and Auditing (CPMA) roles. It’s not quite there yet. You or any other coder here needs to figure out what you want to code and specialize in it.
Be proactive, if you feel that E&M is your calling, step up to the next level doing the auditing role or CDI role. You know just because AI is here doesn’t mean that coding isn’t necessary. There are those cases deemed complex that a coder will always be necessary to code. Those cases need the expertise of an E&M coder. Do you have the expertise or certification?
I CLEARLY would never have jumped ship from the University of Washington from my prior career to a startup company without being fully “vested” if this wasn’t the way we should proceed in Healthcare.
You or any coder may message me directly or reply. I will never look back and regret my career decisions.
If you have any questions or concerns, please reach out.
Dana

aaronjherring@yahoo.com said:

To take it a step further, AI can also look at the notes that a provider is going to submit and start offering suggestions like "You haven't made a definitive diagnosis -- did you mean to put this in your notes?" Or "this insurance won't accept this nonspecific code -- is there something else you could pick?" And then provide 1-10 generally specific codes that would be paid.

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OMG really, AI doesn't even care on suggestions here. AI makes the diagnosis. Is everyone going to be clearly crazy or may I explain what is happening here!