Friday, August 28, 2009

My Dirty Little Secret That Became Good News

I have kept this secret during the summer. My so-called "summer getaway" was more like my "summer get ahead". In addition to taking a coding lab at Cypress College, I also reviewed for an exam that most HIM professionals attempt, but find to be intimidating: the CCS Exam (Certified Coding Specialist Exam). I coded 48 charts in a month (both for Outpatient and Inpatient Services), practiced some coding in Rancho with recent discharges, attended a CHIA seminar on Post-Acute Care Coding (for SNFs and IRFs), read numerous literature online and in "The Journal of AHIMA", and used the The Professional Review Guide for the CCS Examination (2009 Edition) by Patricia J. Schnering, RHIA, CCS, Faye Brown's ICD-9-CM Coding Handbook 2009 (published by the Central Office on ICD-9-CM of the AHA), Health Information: Management of a Strategic Resource by Mervat Abdelhak, PhD, RHIA, FAHIMA, The Legal Record by Cheryl Servais, MPH, RHIA, and (of course) my 2009 ICD-9-CM and CPT codebooks. Although I knew how to use the 3M Encoder Software, I actually practiced and paced myself using only my codebooks as the CCS Exam would only allow me to use them and not an encoder.

Most HIM professionals and students make too much of a big deal of this exam and any of the AHIMA certification exams. I took Patricia J. Schnering's words to heart when she said, "This is just another test." It is indeed. Throughout my educational and professional life, I have taken many tests (both in paper and in the practical form). I basically treated the CCS Examination as if I were taking an Advanced Placement exam in high school. I knew what it was like to take difficult exams such as this, so it did not overpower me so much. When it came time to take the exam, I just made sure I was composed and took the exam one question at a time.

All those long hours at night in the lab, spending a hot summer day in a conference room for a seminar to learn and network with HIM professionals, and sleepless weekends have paid off. I got my results in the mail this afternoon and was overjoyed. The Score Report from Prometric announced that I have passed the CCS Exam. I do admit that it was a difficult exam, but I my scores ended up being higher than the passing scores.

I kept all of this a secret, even from my co-workers who knew about my excellent reputation as a student and as a professional-in-the-making. They encouraged me to take the exam as the information was fresh in my mind. I told them that I would take it sometime soon, but not exactly when. I did not want to give any spoilers. I look forward to making the big announcement on Monday morning. Here is some intriguing trivia for you regarding the HIM Department in Rancho: I am the youngest person to work there and the youngest to get certified as a CCS. I am "the baby" of the HIM Department so to speak, but I know I have much to learn and experience.

Too many times I have seen those who just got certified consider passing the CCS Exam result in being "the be all and end all" of their career. There is term for this and it is called "career complacency" and it should be avoided at all costs. I know better than that. This is just the start (and a stepping stone) for my career as a HIM professional. My work is not done: I will continue to make the most of my professional practice, help spread the "Gospel of HIM" (inform non-HIM people of the importance of Health Information Management), and obtain my Associate's Degree in Health Information Technology and my Registered Health Information Technician credential (RHIT).

I would like to extend many thanks to my instructors, professional contacts, supervisors, co-workers, friends and family for supporting me in my educational and professional endeavors. My current achievement would not be possible without them.

I have reached a milestone, but there are many that have yet to be reached.

2 comments:

  1. After reading your post I feel a little more confident about taking the CCS exam, but just a little. I have been studying for this exam for months and I know (as you mentioned) it's just another exam, but it still scares me. Kudos on your passing and good luck in your future in HIT!

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  2. Thank you Deborah for your kudos and for wishing me luck in my future. I remember on the week of the CCS exam one of the coders asked me if I was nervous and I replied that I was a little. It is natural to feel that way, but I did not want the anxiety to take a grave toll on my health and my ability to think through the exam. I am glad that I was able to make you feel a bit more confident about taking this exam. All the time that you put into reviewing for this exam will be rewarding in the end.

    I forgot to mention in this blog that I also read back 3-4 years of "The Coding Clinic" and the "CPT Assistant". The PRG review book had a list of pharmaceutical drugs and lab tests in the Appendix, so I made flash cards. It also comes with a CD where you can load the software onto your computer and practice taking the multiple choice portion of the exam since the actual exam is on a computer. I had read that AHIMA's "Clinical Coding Workout" is also good for practice, but I did not use that for reviewing for the exam. However, I am considering using that book as part of my Continuing Education. AHIMA also publishes a "CCS Review Book". I have not used that book for review either. I have found that the coding cases in the PRG review book are not as long as the ones for the actual exam. I remember there were several coding cases in the second part of the CCS Exam were as long as 28-30 pages versus 8-9 pages in the PRG book. I would suggest coding medical records to make up for this deficiency. For the multiple choice of the exam, I focused on my weak areas, such as MS-DRGs, data sets, and reimbursement.

    I wish you all the best and have faith that you will pass the CCS Exam. I know it is difficult, but do not give up.


    April Daquioag, CCS
    april.daquioag@yahoo.com

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