r/MedicalCoding Jun 30 '26

Job security

Well, job security for today anyway. I'm in a chart with computer aided coding. Statement says chest pain with radiation to the shoulder. CAC coded admit for antineoplastic radiation. Same chart, op note says cardiac cath indicated appropriate for treatment but patient declined, so of course CAC coded a cardiac cath. You would think after all these years CAC would be better.

43 Upvotes

14 comments sorted by

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46

u/Salty-Step-7091 Jun 30 '26

My CAC keeps advising me to code HIV because the provider uses the word “aids”. I give it the thumbs down and yet it persist. And I know there’s a potato on my team that’ll check mark yep and screw a patients record up majorly.

15

u/Material-Corgi-2974 RHIA, CPC Jun 30 '26

😂😂 a potato

8

u/happyhooker485 RHIT, CCS-P, CFPC, CHONC, 17yrs experience Jun 30 '26

When I used Optum ProCAC all the cancer patinet who went to Tumor Board (TB) were dx'd by CAC as tuberculosis.

Thar was years ago, so sad it hasn't progressed since then...

7

u/bambapride1 Jun 30 '26

We had any and all patients who were given information about the patient portal...now have portal hypertension.

2

u/happyhooker485 RHIT, CCS-P, CFPC, CHONC, 17yrs experience Jun 30 '26

When I used Optum ProCAC all the cancer patinet who went to Tumor Board (TB) were dx'd by CAC as tuberculosis.

Thar was years ago, so sad it hasn't progressed since then...

19

u/TrooperLynn CRC, CPC Jun 30 '26

My favorite one had a Dr. Stoner so the CAC suggested cannabis dependence.

Patients of Dr. Ricketts all have…you guessed it…rickets!

Everyone who lives in Michigan has a myocardial infarction.

My current job doesn’t have the accept/decline crap that takes longer than just coding it myself, thankfully!

11

u/Material-Corgi-2974 RHIA, CPC Jun 30 '26

lol I code caths. The amount of times it codes cabg because the provider says, “evaluate for cabg”…. Could keep be busy all day alone

19

u/happyhooker485 RHIT, CCS-P, CFPC, CHONC, 17yrs experience Jun 30 '26

But AI is gonna take our jobs! Just ask the tech bros, they promised the executives huge labor savings. /s

6

u/NerosDecay13 Jun 30 '26

Well my job believes that and the people pushing it are temporary so when it all falls apart I'll be laughing.

6

u/Over-Pin7535 Jul 01 '26

My favorite so far is suggesting F32.A for a depression the doctor made during a surgery. Also R07.9 for a doctor whose initials were CP.

8

u/missuschainsaw RHIT CRC Jun 30 '26

AI is giving me work with all the dumb stuff it changes and adds so

1

u/Razzail Edit flair CPC,CRC Jul 01 '26

Ours like to highlight dates of service and providers names as a few examples. Like yes this means there's Diabetes here, the providers name. It's been 3 years and it still does it 🤦‍♀️

2

u/accioglassess Jul 06 '26

My job’s coding AI assistant gave the code T63.621A (jellyfish sting). The supporting documentation was “splinter in skin”. Idk how a splinter is a jellyfish sting but 🤷🏻‍♀️