Hi! Due to a diagnosis of arthritis in my lower back, i am having to shift from an assistant manager at a popular coffee chain to a sit down, more quiet and focused line of work for my back and ADHD. Whether thats working in office or from home!

What got me interested in MBAC was working for a health insurance during covid as an intake associate entering prior authorization and referrals! I learned about ICD-10 codes and was so fascinated by what they all meant and lead to! Unfortunately this was through a temp agency and this being during covid, laid offs happened within 4 months. So bye bye fun job!

BUT i would love to know which department of MBAC you work for, and what a typical day is for you?

Are you held to tight deadlines?

Do you feel supported when you need it (i.e having questions answered)

Do you feel as though you are watched? Or is it more self starting independent work for the department you work in?

I'm genuinely looking for something i can be a little worker bee at, and excel with my memory and loving to learn! Filling out prior auth and referrals were tedious but so fun for me (why must i be like this? 🤣) where they would drop the files, i would fill it in on the app they use for processing and click boom done! It was so fun! Working at my job currently is fun and i love it, but my back and my mind after 6 years are over it 😭

Thank you so much for reading, your time and hope you have a great rest of your week 🥰

Hey guys, i have a question. hoping i can get some helpful answers/advise.

I work at a multi-specialty practice: family, internal, cardio, obgyn, etc., so we are often referring to specialists within the same medical group.

my questions are:

- i.e.) An ob needs an echo done, and the patient is not currently established with our in-house cardio, can we still order an echocardiogram for interpretation, with the patient establishing care at a later date if needed? can interpretation alone be provided without seeing the patient for a separate consultation?

- From a billing standpoint, I would like to understand how this works if a patient needs an echocardiogram on the same day as an OB-GYN visit. For example, would having the echo performed on the same day affect our ability to bill for the postpartum global service in addition to the echocardiogram?

- For HMO plans, would echo authorization be obtained by the cardiologist, obgyn or the PCP?

Thank you!

I’m currently an RN with 8 years of ICU experience and 3 years of primary care. I wanted to change to something with more chances to be remote. I know that the pay will not be the same. I’ve been home for over a year due to burnout so this income would just be considered “extra” at this point.

How is the career options and outlook? Would my experience help with getting hired? I have some experience with coding because the DOD made RNs and providers do their own coding there. I’d want to be dual certificated in outpatient and inpatient. Thank you.

I got my CCS certification in 2022. Since earning my certification, I only had 1 unsuccessful outpatient coding job interview in the past 4 years. Should I save money and let my CCS certification expire this year or spend the money to renew it and keep holding on to hope that one day I'll get a coding position?

Can diagnoses from the ordering provider's chart note be used for the radiology claim if the chart note is attached to the radiology order?

My auditor stated that diagnosis information from the ordering physician's note(s) cannot be used on the radiology claim, and that we can only use what is on the literal order and in the radiologist's interpretation.

Does anyone have a reference to support/dispute this? I feel that in the current digital age, where the orders and notes are all digital and linked together, we should be able to use the ordering provider's note to clarify a diagnosis (i.e., location of pain when the order says "pain" or location of injury when the order says "MVA").

Unfortunately, I am unable to find an official AHA or CMS guideline either way. Any help would be very much appreciated!

p.s. I also posted in /r/MedicalCoding, so not a dupe if you are subbed to both places, I just can't crosspost.