Wiki E/M coding

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patrickrjonas

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When it comes to getting a new job in the Medical Coding field, how important is it to know how to level and E/M code from a patient's chart note? From 1 to 10, 1 being that it's not necessary at all, you can easily be trained, to 10 being that it's absolutely essential and you need to be ready to hit the ground running at your new post, no exceptions?
 
Hi there, with the exception of a handful specialties I'd say it is an 11 and recommend anyone who needs E/M training start by reading the Evaluation & Management chapter of the current CPT manual.
 
It depends. Some employers may require you (as coder) to code directly from dictation, and in many places, it is the providers responsibility to assign the proper level code.

In my opinion, regardless of which is true of your employer, I would consider it to be of great importance that you know how to properly level your e/m visits based off of dictation...... especially being in a coder position.
 
You should know about it. But it really depends on what you are looking to do. "Medical Coding field" is a very broad term. If you were a risk adjustment coder and only looking at diagnoses, it wouldn't really matter much. If you wanted to code in the outpatient office setting (and many other settings) it would be a 8-10 if they wanted someone to code E/M. There is no 100% answer to this. Some employers are willing to train. Others are not.

What do you want to do in coding?
 
amyjph said:
You should know about it. But it really depends on what you are looking to do. "Medical Coding field" is a very broad term. If you were a risk adjustment coder and only looking at diagnoses, it wouldn't really matter much. If you wanted to code in the outpatient office setting (and many other settings) it would be a 8-10 if they wanted someone to code E/M. There is no 100% answer to this. Some employers are willing to train. Others are not.

What do you want to do in coding?
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Well, my experience is in a Family Physician's office where the doctor did all the E/M coding. I just took info from encounter forms and turned them into insurance claims and mostly managed the revenue cycle. As for what I want to do, I'm looking for 100 % remote work as either a coder or biller (as long as very little customer service is involved) for a clearinghouse or central billing/coding office. I've done both CPT and ICD-10 coding, but, working for a Family Doc, we did very little variety of CPT coding, so my experience there is scant, unfortunately. I can handle ICD-10 coding fine and am a quick learner with the right training when it comes to CPT coding. As far as a coding specialty, I have no preference.
 
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