Healthcare providers are increasingly investing in big data technology to address challenges such as declining operating margins and complex regulatory environments. However, many providers lack the necessary technology or knowledge to effectively use data. According to a study, 56% of hospitals do not have data analytics or governance strategies in place.
To develop data strategies, hospitals need to improve decision-making by utilizing the right technology. One technology that data-driven hospitals should invest in is RN coders.
RN Coders Are Key to Data Strategies in Healthcare
While RN coders are essential to the American healthcare system, their duties and roles are often unknown and underappreciated. Understanding the importance of these skilled professionals is crucial for gaining insight into the functioning of American healthcare.
Here is an overview of the role of RN coders in data-driven healthcare companies.
An Overview of the RN Coder Role
Before delving into specific duties, it is helpful to understand the general responsibilities of an RN coder.
In healthcare, specific codes are used to signify different types of care and treatment. These codes streamline processes like billing and health insurance claims. However, when doctors and other healthcare professionals provide care, they do not use these codes in their reports. Instead, they write out the specific procedures and treatments performed.
This is where RN coders come in. They are experts in the specific codes required by healthcare organizations. Using their specialized knowledge, RN coders translate the services and treatments provided into the corresponding codes.
Once translated, these reports can be sent to medical insurance providers for necessary funding.
Converting notes into RN codes can be challenging and labor-intensive. RN coders must conduct research and fact-checking to ensure the accuracy of their translations and avoid reporting incorrect codes.
Educating Others and Auditing Claims
In addition to their coding tasks, many RN coders are responsible for educating others in the healthcare industry about their work. They explain specific codes and requirements to colleagues.
RN coders also audit medical billing claims that are denied or rejected. They determine whether these rulings should be overturned or if they are correct.
How Technology Is Improving the RN Coder Role
Previously, RN coding was an analog process. However, with the advent of computers, RN coders now use software to streamline their tasks. Technology has improved the efficiency and effectiveness of RN coding, aligning it with other advancements in healthcare.
The Path to Becoming an RN Coder
Aspiring RN coders typically start as nurses. They can begin their journey by enrolling in a nursing program to become qualified registered nurses. After gaining experience in this role, they can pursue certification as an RN coder and embark on a new career path.
One of the appealing aspects of the RN coder position is the availability of remote work options. This flexibility allows nurses to explore this profession and embrace a new role.
RN Coders Play a Pivotal Role in Healthcare Data Management
Healthcare providers must leverage the right technology for strategic data utilization. RN coders are valuable in this regard.
Although often overlooked, RN coders are vital to healthcare processes. They use their expertise to translate doctor reports and audit insurance claims, ensuring the smooth functioning of healthcare organizations. Becoming an RN coder offers nurses an exciting and rewarding career opportunity.