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Discussion

RN Auditor/Coder

Hello. I'm not quite sure if this is the correct place for this but here it is...

I'm interested in a position as a Nurse Auditor. Some of these positions require coding certification and some require "familiarity" with CMS guidelines and ICD-9 codes.

What at is the best way to "familiarize" yourself with CMS guidelines and coding? Is it really worth it to become a certified coder? I'm not sure exactly what type of experience these companies are looking for when it comes to this. I've worked in an acute care setting for 7 years and have worked closely with case management and am aware of what differentiates an inpatient vs. observation stay and what qualifies a patient for either. I'm aware of the 2 midnight rule and other basic CMS stuff. Is this enough?

Long post short:

1) Should I obtain coding certification for this type of position even if it's not required? Is it that useful and does it make me that much more valuable as a potential employee?

2) How do I familiarize myself with CMS guidelines?

Thank you!

Solved by rg42284

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Featured Replies

I know this is a very late reply but I did land an ICD coding position without earning my CPC. This company preferred nurses over non clinical coders (CPC' CCS). They provided in-house training that was very organized and structured. But equally designed to progressivly squeeze out nurses that did not meet thier high production quotas & standards. Im glad I did not invest in getting my CPC license because I learned even though I could do it, I REALLY REALLY disliked it. Most recently I took a on line HEDIS training course and combined with my QA/Admin experience landed a position for the 2019 season. Down side is it is non salary IC and pays strickly per chart/review. Think Ill do better and be more productive on good old self motivation vs pressure of high quotas. Id love to hear an update on what yor doing, we all have to find our niche. WFH is hard work, all those physical skills get flipped into added mental strain. I dont miss comutting in traffic and enjoy the perks of my dog laying at my feet while sipping my coffee in PJ's. Hope your doing the same

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