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Ti f C l Ch
Coder Shortage?
Time for a Cool Change
Coder Shortage?
Amphion Has the Answer!
AMY WIRTH
AMY WIRTH
DIRECTOR, STRATEGIC HIM SALES
MINNETTE TERLEP, BS, RHIT
VICE PRESIDENT BUSINESS DEVELOPMENT
CORPORATE COMPLIANCE OFFICER
CORPORATE COMPLIANCE OFFICER
© 2014 Amphion Medical Solutions
About Amphion
p
Founded by HIM leaders for HIM leaders
Experienced leadership in healthcare 
technology and services
gy
All credentialed coding consultants
Flat organizational structure
Continuous improvement
Service customized to meet your unique needs
2
© 2014 Amphion Medical Solutions
Service customized to meet your unique needs
Quantifying the Shortage
Q y g g
40% of respondents to 2011 survey by AHIMA 
attributed shortages to lack of qualified coders
2009 AHIMA survey mirrored these findings
Source:
ICD‐10 Requires a Strategy for Managing the Coder Shortage
Veronica Hoy, MBA  |  ICD‐10 Monitor, 9/29/2011
3
© 2014 Amphion Medical Solutions
Current Coder Workforce
Average
Average 
age of 
medical 
coder was 
54 i 2010
Today it is 
58 Source:
Strategies for Dealing with the National
54 in 2010
Hospitals & health systems
Strategies for Dealing with the National 
Coding Shortage
Jill Schwieters
HFM Magazine
Hospitals & health systems 
should take proactive steps 
now to meet coding needs 
and prepare for the challenges 
f i l i di
HFM Magazine
April 2010
of implementing a new coding 
system.
4
© 2014 Amphion Medical Solutions
Current Coder Workforce
Estimated 
nationwide 
shortage of 
30% Need for 
30%
new 
medical 
record 
technicians Need for 
technicians
new 
medical 
health 
technicians
technicians
Source:
Provider HealthNet Services provides all types of health plans 
5
© 2014 Amphion Medical Solutions
in AZ, CA, OR, and WA
Current Coder Workforce
U.S. 
Coders
60,000 
IP 
Coders
169,267 
OP 
Coders
Source:
Federal Register   |   Vol. 74, No. 11   |   January 16, 2009
6
© 2014 Amphion Medical Solutions
Rules and Regulations
Potential Coder Workforce
60,000 IP coders x 30%
18,000
60,000 IP coders x 30%
169,267
169,267 OP coders x 30%
68,780
Additional coders needed
This does not include older coders leaving the workforce 
7
© 2014 Amphion Medical Solutions
due to retirement or not wanting to learn ICD‐10
Your Options
p
Hire a recruiter
Hire a recruiter
• Average cost $12,000
• No guarantee coder will be competent or reliable
• No guarantee coder will be competent or reliable
Outsource coding
• Approx. $28,000 for 3 mos for 1 IP coder
Hire new grads
• 100% QA until standards are met
8
© 2014 Amphion Medical Solutions
Your Options
p
Train OP coders to be IP coders
Proven to be valuable & reliable
Appreciate opportunity to advance
Appreciate opportunity to advance
OP coding is a better fit for new grads
9
© 2014 Amphion Medical Solutions
Your Options
Train transcriptionists or other
p
Train transcriptionists or other 
staff with knowledge of A&P 
and medical terminology for IP 
coding
Retain quality employees
Good solution if downsizing 
transcription pool due to EHR
Staff appreciates opportunity to 
advance
10
© 2014 Amphion Medical Solutions
Amphion’s Solution
p
C i d li i i l i i
Customized live remote interactive classroom training
Participate at desk, in a classroom, or from home
11
© 2014 Amphion Medical Solutions
Amphion’s Solution
k h f
p
6 weeks – 240 hours of training
AHIMA approved trainers
Faye Brown’s Coding Handbook
Coding Clinic references
Official Coding Guidelines
12
© 2014 Amphion Medical Solutions
Amphion’s Solution
Class limited to only your staff Use your facility’s records for 
p
coding practice
Access to instructor any time Ongoing testing with results
Faye Brown ICD‐9‐CM Coding Handbook 2012  ‐‐ Sue Smith
Chapter Exercise Points Possible Points Earned Score
Chapter 5 5 1 7 7 100%
Faye Brown ICD‐9‐CM Coding Handbook 2012  ‐‐ Sue Smith
Chapter Exercise Points Possible Points Earned Score
Chapter 5 5 1 7 7 100%
Chapter 5 5.1 7 7 100%
5.2 6 6 100%
Total 13 13 100%
Chapter 6 6.1 3 2 67%
6 2 10 8 80%
Chapter 5 5.1 7 7 100%
5.2 6 6 100%
Total 13 13 100%
Chapter 6 6.1 3 2 67%
6 2 10 8 80%
6.2 10 8 80%
6.3 11 11 100%
6.4 5 5 100%
6.5 16 15 94%
6.6 4 4 100%
6 7 16 14 88%
6.2 10 8 80%
6.3 11 11 100%
6.4 5 5 100%
6.5 16 15 94%
6.6 4 4 100%
6 7 16 14 88%
13
© 2014 Amphion Medical Solutions
6.7 16 14 88%
Total 65 59 91%
6.7 16 14 88%
Total 65 59 91%
Training Example
g p
• Clinical evidence of septicemia, Coding Clinic, Second Quarter 2000 
p , g , Q
Page: 3.
P ti t h t ith t f th f ll i
• Patients who present with two or more of the following 
criteria: 
• Temperature >38° or <36°C (>100.4° or <96.8 °F)
p ( )
• Heart rate > 90 beats/minute
• Respiration >20/min or PaCO²<32 mm Hg 
• Leukocyte count >12,000 mm³ or  <4,000/mm³,
• and/or >10% immature (band) cells 
14
© 2014 Amphion Medical Solutions
Amphion’s Solution
p
Weeks 5‐6 – code facility records
Follow‐up 100% QA
15
© 2014 Amphion Medical Solutions
16
© 2014 Amphion Medical Solutions
17
© 2014 Amphion Medical Solutions
18
© 2014 Amphion Medical Solutions
19
© 2014 Amphion Medical Solutions
20
© 2014 Amphion Medical Solutions
21
© 2014 Amphion Medical Solutions
22
© 2014 Amphion Medical Solutions
23
© 2014 Amphion Medical Solutions
24
© 2014 Amphion Medical Solutions
25
© 2014 Amphion Medical Solutions
26
© 2014 Amphion Medical Solutions
Thank You!
Thank You!
C A Wi h f
Contact Amy Wirth for 
more information:
more information:
Amy.Wirth@amphionmedical.com
888‐830‐2644 x1634
View this webinar at
https://www1.gotomeeting.com/register/172665784
27
© 2014 Amphion Medical Solutions
p g g g

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Coder Shortage Amphion Has the Answer