Monthly Archives: March 2018



Sandy Macica, MS, RHIA, CCS Sandy Macica is Director of Educational Content for Libman Education. Sandy plays a critical role in ensuring the relevance and quality of online courses to maintain Libman Education’s commitment to provide timely and accurate information to our customers.  Sandy brings a diversity of experience to the development of online education for hospital coders. Believing that [...]

CODING TIP: Sick Sinus Syndrome

Sick Sinus Syndrome By Cathie Wilde, RHIA, CCS – Director of Coding Services, Medical Record Associates, LLC Here are some common coding situations which have Coding Clinic references but for which are often missed:   If a patient has a pacemaker in place for sick sinus syndrome (SSS), should the SSS (I49.5) be coded because it is being treated with the [...]


5 Benefits of Year-Round HCC Charge Capture Let’s face it, risk season is chaotic. From July to December, sometimes even into January, everyone is scrambling to find quality coders with the unique qualifications needed to effectively code for risk adjustment (RA) and hierarchical condition categories (HCC). If you are lucky enough to find coders, you still have the stress of [...]


Code Assignment For Uremic Encephalopathy Irene Fung, RN,  CCS,  AHIMA Approved ICD-10 CM/PCS Trainer Manager QA/Education Clinical Documentation Coding Integrity Boston Medical Center Per Coding Clinic response to query, Unspecified encephalopathy due to other conditions is classified to G94, Other disorders of brain in diseases classified elsewhere, and unless the condition is specifically documented as (toxic) metabolic encephalopathy, you would [...]


New Role for Employers – Professional Fee Coder By Barb Glondys, MA, RHIA, CHPS, Apprenticeship Navigator and SME, AHIMA Foundation In response to feedback from many employers, the AHIMA developed and received approval from the Department of Labor for the Professional Fee (ProFee) Coder role as part our registered apprenticeship program.  Professional Fee (or ProFee) Coders use coding conventions and guidelines [...]

MEMBER SPOTLIGHT: Michele A. Wrightson, CCS-P

Michele A. Wrightson, CCS-P Michele Wrightson is the Director of Coding for UMass Memorial Medical Center in Worcester. In this role Michele oversees the physician coding for one of the largest medical groups in the Northeast. Michele oversees the work of Coding Specialists who abstract coding from operative reports, procedure notes and anesthesia records for professional billing. We asked Michele [...]

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