Health Information Management

Trivia winner

JustCoding News: Outpatient, March 10, 2010

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Congratulations to this week’s winner, Sue Tolbert, BS, RHIT, CCS, assistant director of coding at Washington Regional Medical Center in Fayetteville, AR. Sue was the first person to correctly answer this question:

Which code should you report for a vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective?

  1. 43631
  2. 43635
  3. 43640
  4. 43800

Answer: 43640

Here’s a little bit about Sue:

What are your current job responsibilities?
I am the assistant director of clinical integrity in our coding division.

Why did you decide to pursue a career in health information management?  
I have been working in the health information management field for more than 30 years. I started working at a Catholic hospital, and a wonderful nun, Sister Marguerite Conlin, RRA (now RHIA), was my mentor—just like a Harvard education. I earned an ART (now RHIT) from the American Health Information Management Association and later a bachelor’s degree in healthcare administration and a CCS credential.

What do you like most about your job?  
I like being able to take care of the caregivers. I feel that coders should help the caregivers understand how the process works so it will flow smoothly. If we determine that a particular physician is consistently not documenting the type of congestive heart failure, we need to meet with them and explain the reason why we need such information. If a nurse is consistently not documenting the stop times for infusions, we need to explain to her or him the process. We want the paperwork to flow easily through the system.  It makes everyone’s job easier.

What is your favorite area of coding?  
I love the outpatient area, especially now that we have the new 3M Health Data Management program. We see all regulatory edits before the bill is dropped, which means we can see all charges and verify that there is an order and result before the patient is sent a bill. It’s pretty neat to see how we can help both the facility and the patient. 

What is your least favorite area of coding?  
My least favorite area of coding is observation. There are way too many edits and issues.  

What are some of your hobbies? 
Reading, sewing, and grandchildren

Do you have a personal motto that you live by? 
I pray people can see Jesus in me.  I always want to be a “servant leader.”



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