again, my work

Jun 11, 2008 21:26

How many of you have experience with medical billing?

How many of you have experience with well-kept medical charts?

This is not my job. The former is; not the latter.

My job is to search for needles in haystacks. The needles are 5 digit codes; the haystacks are the most wretched execrable excuses for medical record-keeping. It's like a giant game of Where's Waldo? only much less colorful.

These charts are starting to make my brain hurt. One would expect that a doctor's office would keep decent records. Not this one! In every chart there's something misplaced or misfiled. In nearly every chart there are days just ... missing. Gone. Not there. There was activity on that day; I can tell from the Medicaid report. But the chart I check against, to make sure that every procedure actually done was actually paid for just isn't there.

In my world, things make sense. They make sense to me because I organize them (or not) in a fashion that is logical to me, in a fashion that I hope is logical and understandable to other people. I can appreciate the beauty in logic and organization that others impose on things. Were I office manager here, this never would have happened.

I understand why the records are the way they are. The period of time I'm looking at is from June 2006 to August '07, when the clinic closed. After Katrina in summer '05, it was difficult to keep good people working in New Orleans, as they headed for other areas.

It's making me tired. It's making my bran hurt. It's giving me cognitive fatigue -- think about how your body feels after you've been doing physical labor or working out. That's what's happening to me, only my brain is what's getting tired.

This is easily one of the more demanding jobs I've had. Low stress, high demands. But hey, I wanted a challenge. That's what I got.

work, update

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