BC Advantage - 2013 Issue 1

Confessions of a Medical Information Analyst (aka Secrets from a Payer Coder)

By Jen de Zayas, MBA, CPC, CPC-H, CCS-PI admit that I have gone to the dark side-I work for an insurance company. I used to work for doctors and ASCs so I know what most people think of payer coders: we are all ill-trained, uneducated idiots working off of a script, and have no knowledge of the real world of medicine.  Yet insurance companies need to review bills before they pay them, and here I am.  There are some very simple things that may cause me to take a special interest in the workings of your facility...

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