Welcome To MGMA Northwest Missouris - - PDF document

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Syd Stevens, CPC, CIMC, AAPC Fellow, has been Practice Administrator for Midwest Nephrology Consultants since 2000. She has close to 40 years combined experience in the health care field and has worked in all facets of the health care industry – including hospital administration, managed health care, long term care, home health care, consulting, and physician office administration. Syd received her core coding certification in 1999 and a second, internal medicine certification in 2008. Recently she applied for and was honored with the AAPC’s Fellow status. She holds an Associate’s Degree in Business. She is a member of WPS | Government Health Administrators POE AG (Provider Outreach Education Advisory Group) representing Nephrology practices for the J5 MAC Part B Physician Community. Syd also serves as a member of the CMS Region VII Medical Societies & Medical Group Managers’

• Committee. She holds active membership In the RPA, ASDIN, the local and national MGMA Societies.

Syd is Past President of the AAPC of Kansas City Chapter for 2016 and was Member Development Officer for the Chapter in 2017. As a featured speaker for both local and national coding and society meetings, Syd tries to bring humor and common sense to her peers to navigate the ever-changing world of healthcare. She spends her days corralling eleven beloved providers assisted by her excellent business and clinical staff without whom she could never be successful. They are the real brains of the outfit. Syd Stevens CPC, CIMC, AAPC Fellow

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Welcome To MGMA Northwest Missouri’s Silver Anniversary Symposium We’re So Glad You’re Here!

WEDNESDAY – SEPTEMBER 26TH – 2018 KCI EXPO CENTER 11728 NORTH AMBASSADOR DRIVE KANSAS CITY MISSOURI

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Getting Your First Coding Job:

ADVICE FROM NEW CODERS & FROM THE EMPLOYER’S PERSPECTIVE

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Your “Virtual” Panel Today:

SARAH JENKINS, CPC-A | CHEYNET MCGUIRE, CPC-A | MARY BONINE – CPC SYD STEVENS, CPC, CIMC, AAPC FELLOW

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Sarah Jenkins, CPC-A

• Sarah has a degree in Sociology and “fell” into the field of social work which she practiced for nearly

10 years before the decision to become a coder.

• Her first job out of school was working for a community mental health agency and over the next ten

years worked for various social service agencies.

• She met her husband, who is in the Army, and in 2015, they moved to Leavenworth, KS from Fort

Benning, GA. While there, she worked in a military hospital in their department for Behavioral

• Health. Sarah admits she was completely burned out at this point in her social work career.
• While working in the hospital, she was introduced to coders and alongside providers that selected

mental health codes for their services. From time to time she met with coders to discuss issues. She discovered she really enjoyed the administrative aspects of that job and found the coder’s world interesting.

• When Sarah and her husband moved to KC in 2016, she took the big leap of faith and chose to not

look for a social work job, but instead, started studying for the CPC exam.

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Cheynet McGuire, CPC-A

▪ Cheynet worked as a certified Optician for 16 years. In addition to being an Optician for a large Optometry Group, she also worked with insurance and billing there as well. ▪ After 16 years, Cheynet decided it was time for a change. She wanted to learn more about coding – not satisfied just doing the daily ins and outs of insurance and billing. ▪ Before making the “jump” to become a coder, she made a job change and worked at St. Luke’s for a short stint which enabled her to go back to school. ▪ In August 2015 Cheynet enrolled at Johnson County Community College for the Medical coding certification program.

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Mary Bonine, CPC

• Before becoming a coder, Mary worked for a retail store for 3 years, then went to work for

Corporate Sprint for 2 years - eventually working a total of 5 years for Sprint in customer services and sales.

• Due to some health issues, Mary had to take some time off. She also got pregnant with her

daughter in the meantime “. . . . total accident- but blessing at the same time.” She then decided to take a couple of years off work and be a stay-at-home mom.

• When the time came to get back into the workforce, Mary decided she didn’t want to go back to

work for the communications industry – instead – she wanted to do something in the medical field.

• Having learned a great deal [about the medical field] going through her own health battles, she

decided to she wanted to get into the medical field and learn more. Mary’s interest did not lie in hands-on clinical: CNA, RN, etc., so she did her research and decided on billing and coding.

• Mary enrolled in Pinnacle Career Institute in the summer of 2013.

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What Do These Coders Have In Common?

✓ Working in an industry or profession that was no longer satisfying ✓ Current positions did not offer growth or excitement ✓ Experienced burnout ✓ They all were willing to “start over” ✓ They were all “exposed” somehow to Coding

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What Is Sarah’s Advice?

• “My advice when preparing for entering the coding world would be to talk to other coders! I didn’t ask

enough questions or seek out enough resources when I made the decision to transition into coding.”

• “My transition became easier when I began coming to AAPC meetings and tapped into the community

where I had people that could give advice and answer questions. I was often confused as to what they were talking about during those first meetings and felt completely out of my element, but eventually felt more confident and knowledgeable than I ever thought I would just a few months later!”

• “I took my exam in December of 2016 and passed. I applied for and got my Claims Denial Associate

position with Meritas Health working in claim denials for pediatrics and hospitalists and was hired a few weeks after taking and passing my CPC exam.”

• “I know and believe that I got my job so quickly after passing my exam because I connected to the local

chapter and networked.”

• “It didn’t really take much effort - I showed up at the meetings and listened.”

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What Is Cheynet’s Advice?

▪ “Advice for future coders………get involved! It’s pretty much that simple!” ▪ “Get involved in your local AAPC chapter and use those resources.” ▪ “It really does pay to know people and surround yourself with likeminded individuals.” ▪ “While in the [JOCO Coding] program, my instructor let me know of a position open at Meritas Health - I applied prior to passing my test, got an interview and was told that as long as I passed my exam I pretty much had the job! ▪ Cheynet passed her CPC exam in December 2015. “. . .needless to say I started working at Meritas Health January 2016!” ▪ “My title at Meritas Health is a Claims Denial Associate. I work the denials for several specialties, including ENT, Pulmonary, OBGYN, Neurology, Neurosurgery and General Surgery.”

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What Is Mary’s Advice?

• “My advice would be to really do your research and know what you are getting into. Some people think it’s all

just attaching a code to a claim. As we all know that is definitely not the case! There is much more to coding!”

• “My main piece of advice to new coders or people thinking about getting into the coding field is get your foot

in the door somewhere!! When it was time to go back to work I found a job as a receptionist in a local doctors

• ffice. I honestly learned so much there, medical terminology, diagnosis, how an office works, how to

communicate with a physician, time management skills, etc. It also looked great on my resume when the time came to apply for coding jobs!”

• “My job title is Coding Analyst II and I work for Liberty Hospital as a remote coder. I was hired on without my

CPC credential as an entry level coder with the agreement that I would have my CPC within the first year of

• employment. I earned my CPC-A within the first 6 months of working there, yay! I initially was trained as an
• utpatient coder - coding OP surgeries, GI surgeries, Pain Management clinics, and standard OP accounts.
• After my first year of employment and having my “A” removed, I was promoted to a level two coder! I was

trained on charge entry for the Emergency Department. I now code and charge the procedures for the Emergency Room along with other OP work lists.”

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Common Theme In Their Advice?

➢ Get Involved! ➢ Seek Out Resources! ➢ Beg, Buy, Borrow or Steal Some Elbow Grease! ➢ Develop Your Network!

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Sarah’s Career Aspirations:

• “My future aspiration is to become a certified auditor.”
• “ I would also like to become more heavily involved in my

local AAPC chapter and one day serve on the board.”

• “Overall I have an interest in compliance and healthcare

fraud so who knows what my distant future will be!”

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Cheynet’s Career Aspirations: ▪“My current career aspirations are to enhance my knowledge within the specialties I work with every day.” ▪“Even though I have been in the medical field for many years, I find I learn something new every single day!” ▪“I am currently working on removing my “A”!”

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Mary’s Career Aspirations:

• “I would eventually like to earn my CIRCC - as a heart

patient myself, the cardiovascular system has always intrigued me. Hopefully someday I can earn that credential!”

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Have You Thought Of These Places Where Coding Opportunities Exist?

• Physician Offices – Private and Corporately Owned
• Hospitals
• Independent Physical Therapy Facilities
• Ambulatory Surgical Centers
• Home Health Agencies
• Medical Equipment – DME Businesses
• Hospice Companies
• Billing Companies
• Insurance Companies

Here’s where your networking becomes a real advantage!

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Entry Level Positions and Opportunities

▪ Physician Offices – Private and Corporately Owned ▪ Hospitals ▪ Independent Physical Therapy Facilities ▪ Ambulatory Surgical Centers ▪ Home Health Agencies ▪ Medical Equipment – DME Businesses ▪ Hospice Companies ▪ Billing Companies ▪ Insurance Companies/Specialty Audit Co’s ❑Front Desk Assistant ❑Medical Records ❑Office Assistant ❑Data Entry ❑Accounts Receivable ❑Accounts Payable ❑Customer Service Agents ❑Externs

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Do ✓ Develop a Positive Attitude & Outlook ✓ Get Involved With Your Local Chapter ✓ Attend Everything ✓ Volunteer ✓ Network ✓ Get on List Serves and Blogs ✓ Get a Mentor ✓ Ask to Extern Don’t ➢ Listen to Negative People – Get Away from Them ➢ Be Afraid to Run For Chapter Office or Serve on a Committee ➢ Not Attend Insurance, Medicare, etc., Meetings Outside of the AAPC – Valuable Future Contacts Are Out There! ➢ Sit by Yourself and Fail to Introduce Yourself to Others – Don’t Be Afraid to Approach Leaders ➢ Think You Can Do It By Yourself – You Can Always Use Assistance & Advice ➢ Be Afraid to Extern Yourself Outside Your Comfort Zone

How To Prepare For Getting That Coding Job!

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Your Professional Resume

Get it Updated and Keep it Updated

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How To Develop a Professional Resume

✓Construct a Professional Resume With Another Set of Professional Eyes ✓Begin with an Objective or Goal – Simply Stated ✓Your Experience is Best Displayed Using Action Verbs and Important Accomplishments ✓As a Professional – You need PROFESSIONAL REFERENCES THAT CAN BE CHECKED ✓Cover Letter IS important ➢You Almost Always “Downgrade” Yourself – Don’t Let That Come Across ➢Most Employers Spend Less than 2 Minutes Reviewing Your Resume ➢If it is Unorganized, Messy, has Typos, Funky Fonts and Backgrounds – You Are Doomed! ➢Get Rid of your Cutie pie or Sexy Email Address – It Screams “I’m Not a Professional” ➢Remember your VM & Facebook Presence – Professional?

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OK!

SUSAN SMITH

1111 NE 100th Place ▪ Kansas City, MO 64157 (816) 555-5555 ▪ cutiepie123@hotmail.com OBJECTIVE: Looking for a long-term career in Medical Coding in a remote or in-clinic capacity to utilize my strong

• rganizational skills, attention to detail and clerical abilities.

PROFESSIONAL EXPERIENCE: Acme Medical Transcription • Out of home – Kansas City, MO September 1999 to Present

Obtaining and maintaining transcription business clients; downloading voice files; typing, proofreading, formatting and emailing medical chart notes, operative reports, and letters to medical clinics; scanning documents for emailing; meeting daily deadlines; assisting physicians with STAT transcription/document requests; sending monthly statements to collect payment for services rendered.

KEY SKILLS:

• Utilizing code books ICD-9, ICD-10, CPT and HCPCS
• Data Entry
• Keyboarding
• HIPAA Compliant
• Medical Terminology
• Microsoft Office
• Medical Abbreviations
• Internet

EDUCATION: AAPC • Certified Professional Coder (CPC-A) • Certification 2016 AAPC • Distance Learning Physician-Based Coding Course 2015 Longview Community College • Lee's Summit, MO Raytown High School • Raytown, MO • Diploma 1993 PROFESSIONAL/PERSONAL REFERENCES:

Available upon request

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OK to Great!

SUSAN SMITH, CPC-A

1111 NE 100th Place ▪ Kansas City, MO 64157 (816) 555-5555 ▪ ssmith@hotmail.com OBJECTIVE: Long-term career in Primary Care or Speciality Medical Coding in a remote or in-clinic capacity. Will add value to any institutional, medical billing, or private practice entity through use of my strong organizational skills, attention to detail and administrative capabilities. PROFESSIONAL EXPERIENCE: Owner | Manager ACME Medical Transcription Kansas City, Missouri September 1999 to Present

• Established, developed and maintained successful medical transcription business – generating

current clientele through word of mouth and excellent service. At its peak, Acme was transcribing for 9 practices and over 40 providers.

• Supervised staff of 2 transcriptionists.
• Services were completed over 90% of time within a 24-hour turn-around time.
• Instituted compliance protocol for the physician practices utilizing our services.
• Regularly engaged physicians and providers as well as all strata of physician office staff. Also hold

regular face-to-face meeting to overview transcription issues, productivity and compliance.

• Utilized software-based accounts payable system for client billing.
• Early implementation of downloaded – electronic transcription intake and delivery system – able to

work directly with providers to effectively allay reservations and bring them on board – lowering

• verall costs for our client practices.
• Function as primary problem solver and intermediary for client practices – proofreading all high

level transcription before transmission.

• Transcribed for the following specialities: Family Practice, Internal Medicine, Plastic Surgery, Hand

Surgery, Orthopedics and Infectious Disease. Merchandising Assistant Levitz Furniture Kansas City, Missouri 1993 – 1999 (Operations Ceased)

• Began as Cashier and was promoted to Merchandising Assistant.
• Resolution Specialist for customer service requests and concerns.
• Oversight of warehouse delivery schedules.
• Primary responsibility for vendor interactions at main store and two satellite locations.
• Utilized EDP system to track inventory.

KEY Technical SKILLS:

• 17+ Years Experience Medical Terminology
• HIPAA Compliant
• Proficiency with ICD-9, ICD-10, CPT and HCPCS
• Microsoft Office Suite
• Keyboarding Skills – 90 wpm and 10 Key
• Internet

EDUCATION: AAPC • Certified Professional Coder (CPC-A) • Certification 2016 AAPC • Distance Learning Physician-Based Coding Course 2015 Longview Community College • Lee's Summit, MO Associates Degree 1997 Raytown High School • Raytown, MO • Diploma 1993 PROFESSIONAL REFERENCES:

Robert Smith, OTR/L, CHT XYZ Plastic & Hand Surgery QRS Hand Rehabilitation 100 NE Missouri Road Lee’s Summit MO 64086 Phone: (816) 555-5555 ext. 102 rsmith@xyzplastics.com David Jones, III, MD XYZ Plastic & Hand Surgery QRS Hand Rehabilitation 100 NE Missouri Road Lee’s Summit MO 64086 Phone: (816) 555-5555 ext. 102 djones@xyzplastics.com Diana Roberts, RN, APRN-C Coder – Level II North Kansas City Hospital 2800 Clay Edwards Drive North Kansas City MO 64116 Phone: (816) 555-5555 droberts@nkch.com

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Professional Cover Letter

Susan Smith, CPC-A

1111 NE 100th Place ▪ Kansas City, MO 64157 (816) 555-5555 ▪ ssmith@gmail.com

September 12, 2016 Jane Jones, CPC, CPMA Coding & Reimbursement Manager XYZ Hospital Corporation 1234 Hospital Way Kansas City MO 64111 RE: Medical Coder Position Dear Ms. Jones: I was recently advised of a Coder position you have available in your Department, by Syd Stevens, who recommended I send you my Résumé. I am very interested in obtaining a Coding position at XYZ Hospital Corporation. I believe I am well qualified, and I am ready to join a team who has an incredible reputation for healthcare. Having recently received my Coding Certification, I am ready and excited to begin a career in this ever- growing field. I have 17 years of experience in Medical Transcription, having obtained a great deal of knowledge in medical terminology, client/customer service with providers and clinics. I am proficient in communication and comprehension skills as well as understanding HIPAA classified documentation. I also have an advanced administrative/customer service background, being employed for 6+ years at Levitz Furniture. I offer honesty, longevity, maturity and the ability to look at challenges as

• pportunities. My previous employers have described my work ethic as very positive and personable

with the ability get along great with people in professional situations. I describe myself as dedicated and hard-working. The accompanying Résumé should outline my potential for making a significant contribution to XYZ Hospital Corporation. I would appreciate the opportunity to meet with you. You may contact me by phone or send information to my email address. Thank you for your consideration. Sincerely, Susan Smith, CPC-A

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The Interview – Makes it or Breaks It!

✓Did You Scour the Prospective Employer’s Website? Can You Comment on Some Upcoming or Just Recently Held Event or Change? ✓Wear a Suit, Nylons, and Dress Shoes – Bring a Portfolio with Several Copies of Your Resume and References ✓Turn Your Cell Phone Off – Don’t Even Have It In Your Hands ✓Don’t Trash Former Employers or Co-Workers (even if they deserve it) – Practice Your Presentation – Recommend Role Play – Grammar! Do Your Homework Dress For Success Use Great Grammar

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The Interview – Makes it or Breaks It!

✓Interviews Can Be Intimidating – The More You Practice – The More You Do It – The Easier It Becomes ✓You Are Essentially a Salesman – Think of the Best Salesman You’ve Ever Come Across ✓Remember the Goldilocks Body Language Rule: “Not Too Relaxed – Not Too Rigid” – Just Right! ✓Remember the Goldilocks Makeup and Jewelry Rule: “Not Too Much – Not too Little” – Just Right! ✓If You Have More Hardware in/on Your Face and Mouth Than My Tacked Up Horse Does – Not Good! ✓If Your Hair Is Any Shade of “My Little Pony” – Not Good! ✓Tattoos – Oh Dear. Do It – Afraid! Check Your Body Language You’re Selling Something! – You!

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Question: ➢ You only have just received your CPC? Do you have enough experience to handle this position? ➢ Tell me about a situation in your current/previous position where you were able to solve a dispute between yourself and a co-worker. ➢ Tell me how you’ve professionally interacted with physicians/providers in your current/previous positions ➢ You notice a physician/provider has not been completing notes in a timely fashion – how would you handle/address this situation? ➢ A co-worker gives you her password and asks you to time in for her on Friday – her child has been ill and she’s having car trouble – she’ll only be about 45 min late. What would you do in this situation? Question: ➢ If I were to meet your previous boss and ask her about you – what would she say? ➢ If a previous co-worker were to give me a personal reference about you – what would they say? ➢ Tell me about a project for which you were responsible

• r the lead and how you successfully completed that

project. ➢ Describe your personal work ethic ➢ Our department is really behind on claims entry – about two months. This is a newly added position because we are so busy. Are you willing to work

• vertime to help with this backlog?

➢ A physician/provider is upset that his patients have been triple booked today and comes to you to find out

• why. How would you respond to this?

Questions Prospective Employers May Ask:

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Question: ➢ You only have just received your CPC? Do you have enough experience to handle this position? ➢ Tell me about a situation in your current/previous position where you were able to solve a dispute between yourself and a co-worker. ➢ Tell me how you’ve professionally interacted with physicians/providers in your current/previous positions ➢ You notice a physician/provider has not been completing notes in a timely fashion – how would you handle/address this situation? ➢ A co-worker gives you her password and asks you to time in for her on Friday – her child has been ill and she’s having car trouble – she’ll only be about 45 min late. What would you do in this situation? Real Life Answer: ➢ “I was told that you would consider a CPC-A” ➢ “I told my supervisor” ➢ “I always act professionally” ➢ “I’d probably tell him he needs to catch up” ➢ “I probably wouldn’t do it”

Less Than Optimal Answers I’ve Received:

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Question: Real Life Answer: ➢ If I were to meet your previous boss and ask her about you – what would she say? ➢ If a previous co-worker were to give me a personal reference about you – what would they say? ➢ Tell me about a project for which you were responsible

• r the lead and how you successfully completed that

project. ➢ Describe your personal work ethic ➢ Our department is really behind on claims entry – about two months. This is a newly added position because we are so busy. Are you willing to work

• vertime to help with this backlog?

➢ A physician/provider is upset that his patients have been triple booked today and comes to you to find out

• why. How would you respond to this?

Less Than Optimal Answers I’ve Received:

➢ “I think she’d say I did pretty good work” ➢ “I don’t know” ➢ “I always get my work done” ➢ “I have good ethics” “I don’t know what you mean?” ➢ “I just got married and we need together time after work” ➢ “I’d ask the front desk lady to talk to the doctor”

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The Post Interview – Can Seal the Deal!

✓A handwritten or typed letter is best – a followup email along with the physical note covers all the bases! ✓Thank the interviewer for his/her time. Make sure you get names and titles correct. ✓Reference your interview in a positive way – mention something nice about the office, the staff, the location, etc. ✓Reinforce your confidence that you can benefit XYZ Practice/Company ✓Politely ask for a followup conversation and indicate your flexibility to meet again or converse over the phone

Write A Thank You Note Use Great Grammar Ask For Follow Up

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Do ✓ Give an appropriate, professional notice ✓ Finish your projects or transition them appropriately ✓ Thank your current bosses ✓ Give your best efforts – up to the last day ✓ Leave a checklist or “manual” for the next person ✓ Leave your office/work area clean and neat ✓ Offer to help train a replacement ✓ Offer to render assistance after you’ve left Don’t ➢ Flip Up and Flame Out ➢ Leave unfinished work/projects – be honest as to where you are with your current work ➢ Talk trash about the place and rabblerouse – grit it out ➢ You’re still being paid – do a good job – you’re representing a credential as well as yourself ➢ Be selfish – remember when you were new? Help the next guy – what goes around/comes around! ➢ Refuse to help – it says so much about you! ➢ Burn bridges – life has a funny way of backtracking!

Congratulations! You Got The Job! Now – A Word to the Wise. . . . . . . . . . . .

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Q&A Time!

MEMBER PARTICIPATION

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Thank You All So Much!

Syd Stevens, CPC, CIMC, AAPC Fellow Administrator Midwest Nephrology Consultants, P.A. 2340 East Meyer Boulevard, Building 2, Suite 480 Kansas City MO 64132 816 276-1770 office | 913 579-5588 cell sstevens@mncpc.com www.mnckc.com

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