AHIMA's Exams - No Educational Requirements!

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DeBorah L in Long Beach, California

78 months ago

I have read some of the comments on medical coding and billing. I too was a little confused about the certification process. I have on the job training as a coder. I left that job over 5 years ago and now find it hard to get back in that field, since I'm not certified. I am now in Long Beach Community college taking medical terminalogy. I'd like to know if anyone can point me to the best website or books to prepare for the certification testing.

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tdratt in Memphis, Tennessee

77 months ago

Tami in CA in Costa Mesa, California said: Thank you all, your input really helps. Since I've been out of work for 22 years, I think a course would be a great refresher so I might as well for for the lower cost, AHIMA approved course. I just hope it won't be difficult to find a job with no recent experience.
I appreciate the information and support here!

Another area you can look at is Clinical Document Specialist. With your clinical background and a few basic coding classes you could luck up and find someone willing to teach you the rest. It is a little more fast pace since you would be working onsite and on the floor reviewing records.

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tdratt in Memphis, Tennessee

77 months ago

DeBorah L in Long Beach, California said: I have read some of the comments on medical coding and billing. I too was a little confused about the certification process. I have on the job training as a coder. I left that job over 5 years ago and now find it hard to get back in that field, since I'm not certified. I am now in Long Beach Community college taking medical terminalogy. I'd like to know if anyone can point me to the best website or books to prepare for the certification testing.

It is a very tough question. I advise to go to a certified college that offers coding classes because you will have college credit if you decide to go further with your education. Now the question which certification is better? From my past experience it is according where you work. Doctor offices look more at the CPC through AAPC and hospital look at CCS from AHIMA. Some facilies will hire a CPC with an agreement to go and get the CCS in a year. The field is getting harder and harder to get in. Everyone is wanting an experience coder but no one stops to think that you have got to start some where.

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Savannah in Raleigh, North Carolina

77 months ago

I have been researching salaries for medical billing and coding. They range anywhere from 26K/year to 60K/year. What is realistic, it seems so misleading. I Googled OOH (Occupational Outlook handbook) which the federal government puts online. What would a billing and coding person make in NC starting out in a neuropsychiatrist office or hospital??

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Sheri in Allen, Texas

77 months ago

Vanessa in Bronx, New York said: I have heard though of someone who didn't go to any coding school and bought the books and taught herself. So I guess it could happen. Dedication is the key.

Yes, you can buy the books and study. I did, took the CCA exam and passed but I also had 2 years of previous study in college while attemping my nursing degree which covers A&P, pharmacology, physicology, and HIPPA so it wasn't difficutlt for me. What was difficult was attemping the CCS (missed by 25 pts) and the CCS-P (missed by only 9 points). Yes, expereience is strongly recommended but not necessary. Advice, take the CCS-P before even attempting the CCS. I was warned, didn't listen. The CCS is a doozy. The cases were twice as long as the practice cases in the review books. Yes, the passing rate is 49% but it can be done. The grading is scaled. The grade I got on the CCS-P was 214 and I needed 223 to pass. It changed every year, check the AHIMA site. Hope this gave same insight to someone.

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kate75 in WeHo, California

77 months ago

Advice, take the CCS-P before even attempting the CCS

--> I don't agree with this statement. CCS-P is physician coding which is different from CCS which focus on both inpatient and outpatient. The test fee and credential maintenance is not cheap. When I took CCS exam, the hardest part is Part II, when I see a case that I am not familiar, I will skip it and come back to do later.

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cherylbest in Woodbury, Minnesota

76 months ago

I am interested in the medical coding field and am glad I came across this discussion. I have a Bachelor's degree (1991) and am looking to go back to school for coding. I have been at home with my kids for the last 9 years and most of my previous work experience is in the banking and legal fields. There is a lot of confusing info out there about the different schools and different types of coding certificates! I am looking at a local community college doing a 5 month program to earn a Certified Coding Associate Certificate (which should prepare me for the CCA exam), or doing the online program through AHIMA for the CCS. Is one approach better than the other? Are certificates from online schools widely accepted by employers? Any input at all on this would be much appreciated. Thanks so much!

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cherylbest in Woodbury, Minnesota

76 months ago

2Sexy in Hattiesburg, Mississippi said: I'm planning on taking the CPC exam because Allied, the school I'm attending online, will pay for one year of membership to AAPC. I might take the CCS in the future.

Hi. I was wondering what you thought of Allied. Was it a good school for learning coding? I have read both good & bad reviews on it, but would like to hear your opinion if you wouldn't mind sharing the info. Thanks!

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romack in Burbank, California

76 months ago

I want to take a course in coding, but have a dilemma...do I go with Kaplan Online where I can ultimately test for the AHIMA CCA certificate, or with Allied where I'll test for the AAPC CPC certificate? I understand hospitals look for AHIMA; however, if I go with that, would I not be able to work in a doctor's office? The guy at Allied told me the AAPC is better (of course) and they prepare us for the test, which is supposedly harder than the AHIMA one. Can I test for both and get both certificates? Help..and thank you!!

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Sheri in Allen, Texas

76 months ago

First of all, you do NOT need a coding certificate from a school. The ONLY certificate you need is the CCA certificate (for starters) then the CCS-P certificate. The CCS is harder than the CCS-P. Getting into coding is easy if you already have a medical background, say nursing where you don't have to take A&P, pathophysiology, and pharmacology, along with medical terminology. These are the classes you need to take (at school or online) to get the foundation before taking on a coding class. The coding classes I took were basic as a CE class first which got my feet wet with what coding was all about and did some basic coding. The advanced class and real life simulation class I took online. Once you get the gist of it, study the CCA exam review book by Saunders or one of the others and take the test. AHIMA is regarded higer than AAPC, ask around. Hope this helps.

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DeBorah L in Long Beach, California

76 months ago

thank you, this helps a lot

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elza in Wheeling, Illinois

76 months ago

I just took CCS-P yesterday... it is really hard, I have CCA already and I work as a coder! I only passed surgery coding part! multiple choice I missed by 4 anwers.
Now I have to wait 91 days to try again.
Can anybody recommend particular book for studying?
thanks

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Maria in Lombard, Illinois

76 months ago

Nicole in Dublin, California said: I just read in Ahima's fine print: "The CCA exam is not linked to any formal education or training in coding."

All you need is a high school diploma to qualify for the CCA. So basically, you can go to school for coding ANYWHERE to sit for the exam.

In another section, I read "it is strongly recommended that you have at least 6 mos of experience OR have completed an AHIMA-approved coding certificate program or other formal education program."

Same for the CCS and CCS-P exams - there are no specific education requirements, just recommendations on how long you should have worked in the field before taking the exam.

This cleared alot up for me on schooling. I didn't realize it doesn't really matter where you go to school, just as long as you can study to pass the AHIMA exam. I really recommend it.

It's exactly like when I got my real estate license.. it didn't matter WHERE I took the Real Estate Principles class to qualify for the state exam, I just had to pass the state exam to become real estate licensed. No one ever asks where you took the class because it doesn't matter!

Hi all,

I just wanted to recommend an entry level billing/coding program to you all. It is located Triton College in River Grove, IL and is offered through their continuing education dept. It is a 6 month program that includes an externship. And it's only $1889 instead of the several more thousand at other private schools. Whenever possible, I'd recommend taking program at your local community college. They're always way better than the private schools as far as cost effeciency and sometimes curriculum too (private schools often make students take more classes than necessary to crank up the fees!). It's really a great program and gets you ready to take the CCA exam. It's not AHIMA approved, however, as the above comment points out, AHIMA doesn't require it to be an AHIMA approved course for students to sit for the exam.

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Joni Joyner in Tulsa, Oklahoma

76 months ago

Thanks so much, I am spending a good fortune at Devry and though I have asked for a break-down I still have not got one, all I received was a 5000 student loan and 750 grant, taking 6 hours, got nothing back, what is up with that. I am a Veteran and found out I can go to a Junior College in OK for free! Thanks I thought it had to be AHIMA certified to sit for the examination!

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medha in San Ramon, California

76 months ago

I am planning to give my CCS exam next week. I wanted to get some Info. about the multiple choice questions and the questions related to DRGs. Does anyone have any expereince with this test? I am really nervous! Please let me know.

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Maria in Chicago, Illinois

76 months ago

Pardon me, "pleaselearntospell", it's "efficiency".

I feel bad you were sitting at home on a Friday night finding typos on career forums on the internet.

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happyjl in Coventry, Rhode Island

76 months ago

Hello. I am about to start classes for Medical Billing & Coding.
I was wondering about the depths of the Metric System course.
I would have to say is my weakest and was hoping for some insight on what to expect.??

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Christine in Myrtle Beach, South Carolina

75 months ago

I am trying to decide the right option for me, any input would be helpful. Because of time restraints, I have to do it online and of course money/cost is an issue.

First, has anyone taken the Online Medical Coding Program through the continuing ed dept a Trident Tech Charleston, SC?

I do qualify for a Pell Grant (which will not pay Continuing Ed Classes), the only online Medical Coding course I found that accepts Pell Grant is Everette Community College in Everette, Washington. Their program uses Career Step courseware. Has anyone taken Medical Coding through Career Step or Everette?

Thanks for any help or advice.

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cpayne in Tahlequah, Oklahoma

75 months ago

Annie in Millington, Michigan said: Oh, and I am pretty pro-AHIMA, but I wouldn't go for the CCA credential IMO. I don't think a lot of employers recgonize it and it is equal to or lower proficiency than the CPC. (Again, IMO, I'm sure there are areas that differ.) I do think the CCS is worth shooting for, though I've heard it is pretty hard.

I just took the CPC and passed, and after two years of school I found it extremely easy. But I am afraid of the CCS exam! We did the prep books in my coding internship and they were so hard.

I disagree with you in regard to obtaining the CCA through AHIMA. It is a relatively easy "entry-level" coding credential to obtain (no more than 6 months, possibly less study that can be done at home with the use of a text book and CD). If you do not have any prior work experience, but have your CCA, this can be a door opener to get into a Medical Records department, and possibly a outpatient coding position.

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rgrover in Hopkins, Minnesota

75 months ago

Medha in San Ramon, California said: I am planning to give my CCS exam next week. I wanted to get some Info. about the multiple choice questions and the questions related to DRGs. Does anyone have any expereince with this test? I am really nervous! Please let me know.

Hey Medha
did u give the exam for CCS ?...& cud u make it ?
I am also panning on it , but just started with it ..so wondering if i cud get some guidance from u ..
grover.ruchi@gmail.com

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rgrover in Hopkins, Minnesota

75 months ago

cpayne in Tahlequah, Oklahoma said: I disagree with you in regard to obtaining the CCA through AHIMA. It is a relatively easy "entry-level" coding credential to obtain (no more than 6 months, possibly less study that can be done at home with the use of a text book and CD). If you do not have any prior work experience, but have your CCA, this can be a door opener to get into a Medical Records department, and possibly a outpatient coding position.

Thanx cpayne
so encouraging to read ur comments !
I was planning to give CCS exam ..but from all the comments & reviews here , i think i shud first give CCA. Can u plz advice where to buy books from , & do we need to buy all the books which are listed in the "recommended resouces" section on the AHIMA's site. Each book is around $100 , so thats a ot of expense if i have to buy all . And which CD did u recommend for studying ?

Thanx for ur help...plz respond soon .

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cpayne in Tahlequah, Oklahoma

75 months ago

Look up "books" on www Amazon dot com and search for the Professional Review Guide CCA. This book comes with a CD that has practice exams that will help you prepare to take the CCA test. I have purchased this book for my employees and two of them studied and passed the CCA on the first try.

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medha in San Ramon, California

75 months ago

I missed it only by number of points!! That was really upsetting. Anyways, I think you need to practice as many inpatient/outpatient cases as you can in order to get the speed you need. Since I didn't have any work experience, I was struggling to finish all 13 cases within the time limit. You have about 3 hours for 13 cases. I did good on outpatient cases, but missed some points on inpatient cases. You also loose points for applyig wrong codes! I studied AHIMA's CCS review guide and CCS coding exam review by Carol Buck. Good luck with your exam.

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rgrover in Hopkins, Minnesota

75 months ago

cpayne in Tahlequah, Oklahoma said: Look up "books" on www Amazon dot com and search for the Professional Review Guide CCA. This book comes with a CD that has practice exams that will help you prepare to take the CCA test. I have purchased this book for my employees and two of them studied and passed the CCA on the first try.

Thanx for ur help cpayne
is this the only book which i wud need to study or there is a list of books ? As on the AHIMA's site , they have given given ref books accordings to different topics of the exam content .
so i was kind of confused whether to study only this one book or is this one of the books ?

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rgrover in Hopkins, Minnesota

75 months ago

Medha in San Ramon, California said: I missed it only by number of points!! That was really upsetting. Anyways, I think you need to practice as many inpatient/outpatient cases as you can in order to get the speed you need. Since I didn't have any work experience, I was struggling to finish all 13 cases within the time limit. You have about 3 hours for 13 cases. I did good on outpatient cases, but missed some points on inpatient cases. You also loose points for applyig wrong codes! I studied AHIMA's CCS review guide and CCS coding exam review by Carol Buck. Good luck with your exam.

Hey Medha
thanx for ur reply .
If u dont mind , can u give me ur mail ID/ fone num ..as there r few other things which i wanted to know ...& being such an expensive exam , i think , i'll have to wait for an yr , if in case i m not able to make it in the first try , so if i cud talk to u abt certain things , it'll b really greatfull of u .
Thanx for ur help
Ruchi

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r grover in Hopkins, Minnesota

75 months ago

Thanx a ton for a prompt reply .

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Rose in Round Lake, Illinois

74 months ago

Hi, I am an RHIA and in Dec 2008 graduated with an associates in Nursing. I wanted to know if my nursing courses for my associates degree count towards CEUs. I took 4 semesters of nursing in 2008. Can you tell me if I can use nursing courses for credit towards my RHIA?

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Goose1957 in Shirley, New York

74 months ago

Rose in Round Lake, Illinois said: Hi, I am an RHIA and in Dec 2008 graduated with an associates in Nursing. I wanted to know if my nursing courses for my associates degree count towards CEUs. I took 4 semesters of nursing in 2008. Can you tell me if I can use nursing courses for credit towards my RHIA?

Probably not. I'm an RN currently enrolled in an RHIT program and from what I've seen nursing and RHIA/RHIT ceu's are profession specific and not interchangeable.

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coder311 in Collierville, Tennessee

73 months ago

If I take the CCS exam in 2010, how long will will I be able to use the 2009 versions of CPT and ICD-9?

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agab in Allen, Texas

73 months ago

I am a phone call away from enrolling in the inpatient coding program at CareerStep. Since I have few years experience in office billing I want to go straight to CCS exams. What is everyone thoughts on the school and the program?
Thanks in advance.

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Valerie in Moreno Valley, California

73 months ago

Lorraine W. in Connersville, Indiana said: I've been an Inpatient/ER coder since 1998 and have worked in hospitals, physician offices (physician radiology coding/billing), as a traveling coding consultant, and currently as a remote Inpatient coder.

I have seen new coders who learned very fast...and other coders who, after a YEAR of training just for ER coding--or working Inpatient for over 15 yrs, could not code to save their lives.

What does it take to make a go at coding? I think that you either have it in your blood or you just don't.

Some things I've seen in myself and other coders:

--attention to detail. Yes, it's a term thrown out all over the place...but it is very true. I used to be a professional proofreader of complex legal and engineering documents. Without that keen eye--for what is missing and what is simply incorrect--I wouldn't have done well with either field.

--ability to retain and understand new information. You're coding a chart. You're unsure of the principal dx. Can you remember reading a Coding Clinic relating to it from 3 years prior? Otherwise, you wind up incorrectly coding the chart.

--THOROUGH knowledge of anatomy, physiology, pharmacology, abbreviations. And sometimes MDs make mistakes while jotting down prog notes. You need to be able to discern if they've screwed up (ie, writing 'parenchyma' when they meant 'paronychia'--from a real case btw).

If your typing/10-key is too slow, take a refresher and/or speed course. Productivity is key: 12-20/hr ER, 5-9/hr OP, 3-5/hr IP in most hospitals.

Lorraine,
You're absolutely right about the CCS exam.. It's VERY INTENSE and I've seen co workers spend too much money by failing twice.. With no inpatient coding experience..I've was told to purchase Carol Bucks CCS but I don't think it'll give me all the knowledge I really need.. What would you suggest??

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linda@columbia in Columbia, Missouri

72 months ago

Trish in Coldwater, Michigan said: Late 40's?.....go for it! You are good for another 30 + years...and if remote maybe 40+. HA HA no driving...(just a joke..cause I am 50).. itwill be the best thing you ever did.
I had a college instructor tell me when I got a 4.0 in Chemistry at college at 40 that his best students were that age...cause they studied like they had no tomorrow and he wished his younger ones would do the same...I always sucked at math and that stuff in school..
so don't let age stop you!!!!!!!!!!!!!!!!

Trish,

I am a HIT student at Minnesota State and had a two year degree in 1983. I am 55 and will be almost 56 when i graduate.I will take the exam RHIT in May 2010. You are not to old.Anyone that made a 4.0 chemistry should look into nursing it takes about the same amount of time.

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ferdinandkweh in hyattsville, Maryland

72 months ago

I am intrested in taking the ccs exam but,i am looking for a refreshal class.I graduated from john hopkins sch. of bius. in columbia MD in 2005.it has been along time and i have no expirence in coding.I am an lpn now and will love been a ccs cert.If anyone knows someone around the dc,va&md area offering refreshal course should email me please fefeck1972@yahoo.com

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backtoschoolat52 in Mount Pleasant, Michigan

72 months ago

Has anyone taken online classes for Medical Coding/Billing and would like to recommend their school? Based on previous comments DeVry is a no. Also, would you recommend a Certificate, Diploma, or a Degree if I just want to work from home? Thankx for the time you take to respond.

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ferdinandkweh in hyattsville, Maryland

72 months ago

Leventer in Washington, District of Columbia said: I am interested in study groups, seminars or network programs for new medical coders beginners.

Thanks

i am intrested in the group study.if u will be intrested joining me that will be great.my email is fefeck1972@yahoo.com

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Cindi in Tahlequah, Oklahoma

72 months ago

I attend the HITT program through Midland College in Midland, TX. I reside in Tahlequah, OK and the coursework in 99% on-line. Some of the exams need to be proctored at a testing facility, which is no big deal. I will also have to do clinicals at a facility that requires actually visiting another facility. This is my second year going part-time and working full-time. You can finish the coursework in two years if you go full-time.

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Cindi in Tahlequah, Oklahoma

72 months ago

I forgot to add that I researched many many on-line Health Information Technology schools through the AHIMA website by sending their list of on-line schools an e-mail asking for pricing and other pertinent questions. Midland was the most cost effective and has a very responsive (helpful) director of the HITT department.

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kim, CPC in West Jordan, Utah

72 months ago

ferdinand kweh in hyattsville, Maryland said: I am intrested in taking the ccs exam but,i am looking for a refreshal class.I graduated from john hopkins sch. of bius. in columbia MD in 2005.it has been along time and i have no expirence in coding.I am an lpn now and will love been a ccs cert.If anyone knows someone around the dc,va&md area offering refreshal course should email me please fefeck1972@yahoo.com

with no coding experience, you might be better off sitting for the CCS-P instead of the CCS (which is inpatient coding and extremely hard for those who actually do it every day)

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backtoschoolat52 in Mount Pleasant, Michigan

72 months ago

Thanx for your response Cindi. I am now leaning more towards a Medical Billing/Coding certificate program. UMA has been pursuing me. Has anyone taken the course through UMA? Their program sounds pretty good. 7 months. The cost is $14,500. Financial aid available if you qualify. Any opinions?

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Valerie in Long Beach, California

72 months ago

there's an inpatient course giving at UC San Diego and it's a year long course on tues, thurs 5:30 to 8:30 and on Sat 8am to 11am..The cost is $3,500 and the course prepares you to take the CCS exam.. Is that worth paying $3,500??????????? I NEED ADVICE QUICK!!!!

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dfmf in Wilmington, OH in Mechanicsburg, Ohio

72 months ago

I have spent most of my morning reading through all the comments on here and I would like to thank all of you for your inputs. I have been looking at taking the courses on AHIMA. org and now I think I really am making the right decision. I am not sure about not sure about some of the other online programs out there, but with AHIMA I can transfer those credits to a traditional school whenever I decide to go and get my associates. Once again, thank you all for all the great information!

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backtoschoolat52 in Mount Pleasant, Michigan

72 months ago

dfmf in Wilmington, OH in Mechanicsburg, Ohio said: I have spent most of my morning reading through all the comments on here and I would like to thank all of you for your inputs. I have been looking at taking the courses on AHIMA. org and now I think I really am making the right decision. I am not sure about not sure about some of the other online programs out there, but with AHIMA I can transfer those credits to a traditional school whenever I decide to go and get my associates. Once again, thank you all for all the great information!

Were you able to get any Federal grants or Student Loans through FAFSA to go through AHIMA? I have talked with employers at various hospitals and they require an Associates degree as well as certification before they will hire anyone.

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notimpressedwithcoding in Minneapolis, Minnesota

72 months ago

I finished Medical Administration and Terminology last summer hoping to get into medical billing and coding. I did qualify for pell grants, etc. I have not taken the test yet (my INSTRUCTOR told me I didn't need to!!) so this info on this site is interesting, but what I'm finding is that all of the employers want experience, which I don't have! In fact, a friend of mine called the school I went to and they don't even offer it anymore because the market is saturated with new medical billers and coders. Now I'm applying for ANYTHING, even if it's not related to the medical field. I need a job!! I also graduated with over a 4.0 but so far what does it matter? I was a realtor for 12 years and am sick of trying to live on commissions with the market the way it is. So sorry, but I'm not impressed with medical billing and coding anymore. I've noticed theres plenty of jobs for MA's and CNA's for anyone in MN thats thinking of employment and schooling. I may see how much longer I'd have to go to get a MA license/certification.

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Valerie in Compton, California

72 months ago

NotImpressedWithCoding,
I have a few friends who are coders and some who are not. Well the ones who are not are in a nursing program..Have you ever thought of that?? At least with a nurse you are behind the scene when it comes to those medical notes..You can actually see whats going on. Just a suggestion...Also CRNA-nurse anesthesiologist are making in the high $100 thousand annual salary. I say it on yahoo and that's a hot job for the health care industry.

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notimpressedwithcoding in Minneapolis, Minnesota

72 months ago

Valerie in Compton, California said: NotImpressedWithCoding,
I have a few friends who are coders and some who are not. Well the ones who are not are in a nursing program..Have you ever thought of that?? At least with a nurse you are behind the scene when it comes to those medical notes..You can actually see whats going on. Just a suggestion...Also CRNA-nurse anesthesiologist are making in the high $100 thousand annual salary. I say it on yahoo and that's a hot job for the health care industry.

I took a 3 month course because I needed an income immediately. I don't know if I can afford 1. the loans (I've postponed mine till October) or going to school and a job. I'm a single mom of 2 kids and on (embarassing) county support because my ex does not pay what he should and sometimes doesn't even pay.

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Valerie in Compton, California

72 months ago

It can be stuff being a single mom with kids and a dead beat dad..Well, I have friends who are single moms of course with kids. But they were determined to get where they're at today. Some have very successful careers with no help from their sperm donors. But these women were determined to "make it"..They worked and went to school. Sometimes you gotta do what you have to do not what you want to do. Hang in their, look outside of MN even if you have to bring yourself and the kids to another state..

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notimpressedwithcoding in Minneapolis, Minnesota

72 months ago

You are soooo correct on the sperm donor!! LOL I am a tough cookie-raised them by myself and have worked two jobs before...just trying to get ANY job to pay the bills, then will worry about schooling. I can't move...my house has been paid for by my uncle with no payments, so I'm very blessed in that aspect. Its a tough market in MN and I have sooo much experience in a lot of stuff! How is it in CA? Gina

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Valerie in Compton, California

72 months ago

Hey I'm 40, that's what I still call mine.."sperm donor"...But anyway..Lots of opportunities in California but you have to have a minimum of 2 years.. But the pay sucks, living in Southern Cal you get paid less that's why I moved here from the bay area (san francisco) I'll stay for another year for the experience then I'll move back to the bay area where I can get paid for what I'm worth.. I haven't been coding for yearssssss but sometimes you can get that by how much you know and how quickly you catch on...Of course, the weather is perfect..I prefer the cold, the wind and rain...Have you thought about calling up Coding mgrs and asking them if you can volunteer to sit with them and see how other coders code.. Call around to a few hospitals and see what they say...

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notimpressedwithcoding in Minneapolis, Minnesota

72 months ago

That's a great idea! I asked my dental office if they'd let me code for free and they wouldn't. I may even volunteer at a hospital just to get my face and name out there. I'm 46 and am wondering if that has anything to do with it?? If you like the cold, try Minnesota! LOL

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ferdinand in Hyattsville, Maryland

72 months ago

kim, CPC in West Jordan, Utah said: with no coding experience, you might be better off sitting for the CCS-P instead of the CCS (which is inpatient coding and extremely hard for those who actually do it every day)

thanks for yr advice,hope it do work for me.

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