Remote Coding - Is it for You? Virginia Outlaw, CPC, CPPM, CFPC, CPB

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1 Remote Coding - Is it for You? Virginia Outlaw, CPC, CPPM, CFPC, CPB

2 Definitions Pro vs. Cons Employee Suggestions Employer Expectations Employment Process Test Agenda

3 Definitions of Remote Work A remote job is performed away from the office in a remote location, (i.e. home or on the road). Office meetings can still be required. A telecommuting position is one where you trade your commute for a home-based job (i.e. telecommuting by telephone and computer).

4 Definitions of Remote Work A virtual job is the type of telecommuting job where most likely 100 percent of the job is performed virtually. Home-based jobs are those that perform from the home. It is also similar to a virtual job because most of the time, a job that is called home-based will be 100 percent done from the home without regular trips into the office for meetings.

5 Employee Pro vs. Cons Positives Increased Income Increased Productivity Save money/ time traveling to and from work. Obtain Full time employment Negatives Income which is not reliable. Stability Lack of benefits Only able to obtain contract employment

6 Employee Pro vs. Cons Positives No office drama Flex hours at home Budget Savings Able to interact with family. Isolation Negatives No face to face networking Pay IRS directly Family members expect too much time.

7 Employer Pros vs. Cons Positives Improve HR relationships. Productivity is improved. Bottom line improved. Real time access. Lower infrastructure cost Negatives Culture changes Management challenges. Training costs. Infrastructure capability Loss of face to face interaction.

8 Remote Employee Suggestions Stay Connected. Keep up with the industry trends. Contacts Keep networking. Credibility Reputation is at stake. Competence Be good at what you do.

9 Set a Dedicated Office and Work Time

10 Remote Employee Suggestions Be able to prioritize. Troubleshoot Research continuously. Motivate yourself. Communicate well. Value your time.

11 Focus, Focus, Focus

12 Just a Few More Suggestions Technical Skills I.T. help is not always available. Contact CPA for help on financial questions. Get the correct business work completed. Check on insurance.

13 Last Suggestions Pay your taxes Quarterly. Take a good look at your retirement plan. Keep resume updated.

14

15 What are Employers Looking For----

16 What are Employers Looking For---- Integrity Honest with the employer and yourself. Intelligence - Level of common sense. Accountability Take ownership.

17 What are Employers Looking For---- Leadership Ability Take charge; work without direct management. Competence Ability to complete the job. Courage Speak up.

18 What are Employers Looking For---- Perseverance Inner Strength Modesty Can outwork others quietly Marketable Can present employee to clients.

19 What are Employers Looking For---- Likeable. Action-oriented. Passion Enjoy the job.

20 FINDING THE RIGHT JOB

21 Starting the Job Search Jobs for American Coders (Facebook) Network at AAPC conferences. Codersdirect.com Google remote coding jobs

22 General Process Submit Resume. Talk to recruiter. Pass a computer internet speed test.

23 PASS THE EMPLOYER S CODING TEST

24 The Next Step Some employers also call for you to pass a compliance exam. Talk to HR. Verify hours and pay. Receive equipment if provided.

25 Final Step Go through a training course. Receive your assignment and start working.

26 Test Time This is an example only How is septic shock sequenced? When a patient is being treated for a malignancy and is also dehydrated due to the malignancy; the oncologist is treating the dehydration only in the visit; how are the diagnosis sequenced?

27 Test Time This is an example only When both CAD and unstable angina are present in a patient and there is no other diagnosis a casual relationship is assumed. True or False

28 Test Time This is an example only A patient presents to the ER for a myocardial infarction just 6 weeks after his first myocardial infarction which resulted in a week hospital stay. A code from I22 should be assigned as the primary diagnosis code for the second admission. True or False

29 Test Time This is an example only A lung transplant patient now has a malignant mass of the right lower lobe. The correct coding would be C80.2 category followed by a complication code. True or False How many endocrine hormones are there?

30 Test Time This is an example only How should symptoms of catatonia be coded? The modifiers P1 P6 are used to describe how much anesthesia is needed per the patient s weight. True or False

31 Test Time This is an example only Cardiologist saw a 72 year old male with a myocardial infarction. He spent 180 minutes from 8:00am to 11:00am during his time with a patient in the ER as a consult. A was coded. What if any additional E/M codes should be used?

32 Test Time This is an example only Patient suffered a subdural hemorrhage with 1.5 hours loss of consciousness. The subdural hemorrhage was caused when the pick-up truck the patient was riding in crossed the marked divider line on the freeway and struck a car head-on. Code the primary diagnosis. Code all the secondary diagnosis,,.

33 Test Time This is an example only 49 year old male with a PMHx of Sacroidosis with pulmonary fibrosis, pulmonary hypertension s/p bilateral lung transplant and heart transplant on 08/2013 complicated by two episodes of CMV viremia with leukopenia thought to be secondary to Cellcept which was discontinued on 02/2014 presents for follow-up.

34 Patient seen today, feels very well without complaints. No shortness of breath. Is walking on the treadmill regularly. Patient says that he ate this morning, which may be why his sugar is elevated this morning. Medications: Mg-Ox 800 mg TID Crestor 5 mg Prednisone 5 mg daily

35 Exam General: NAD, well appearing HEENT: PERRLA, EOMI Pulmonary: lungs clear to auscultation bilaterally, no wheezing or rhonchi Cardiovascular: RRR S1 S2 normal Abdominal: soft nt/nd Extremity: no c/c/e

36 Assessment - 49 year old male with a PMHx of Sarcoidosis with pulmonary fibrosis, pulmonary hypertension s/p bilateral lung transplant and heart transplant on 08/2013 complicated by two episodes of CMV viremia with leukopenia thought to be secondary to Cellcept here for routine follow up. Patient is overall stable from a respiratory standpoint however has elevated fingersticks at home. #sarcoid s/p bilateral lung and heart transplant 2013 #CMV viremia -resolved #DM Pulmonary Critical Care Fellow, PGY5

37 The patient was seen and examined by myself, Dr. Faculty M.D. I discussed the case with the resident. I agree with the above findings, impression, and plan as documented in the resident's note. I reviewed the Patient's chart including all new data. I spent 45 minutes with the patient exclusive of the resident's time with the patient,most of which was spent discussing the management and treatment Plan. Improved spirometry compared to last visit and is asymptomatically with high level of function. Immunosuppression therapeutic but blood glucose remains poorly controlled and will increase Starlix dose. Plan as noted above in the fellow's note.

38 Code the note. What is the E/M? What is the primary diagnosis? What are the secondary diagnosis?,,,,, Are modifiers needed? If so what are the modifiers.,

39 Questions?? Thoughts?? Experiences??

40 Resources AAPC