Medical Coding-why hire a nurse?

Many times we are asked if a nurse with a coding certification is really necessary. NurseValue believes the answer is a definitive yes as medical coding is a complicated, multifaceted process. A nurse is familiar with the medical procedures and services, but is not always aware of the financial piece of the process (coding). We are not the only ones that feel this way! The Department of Labor’s occupational handbook (www.stats.bls.gov/oco/ocos103.htm) recognizes only AHIMA and AAPC certifications. The Office of Inspector General (OIG) requires independent review organizations to have AHIMA or AAPX certified coder for claims review. The state of Hawaii requires certified coding for medical claims review, again recognizing only the CCS and CPC credentials.