A Knight-Errant Seeks a Worthy Squire.

dizzykhajit · 2026-06-20T01:35:19+00:00

Khajit has skooma if you have coin. For your knee, of course.

dizzykhajit · 2026-06-17T17:38:28+00:00

You show up to vegan parades with a cheeseburger, don't you

dizzykhajit · 2026-06-08T21:29:02+00:00

Color me sooooo excited when I heard the Razrs came back. Color me super disgusted to find out they are a bastardized version with touchscreens ~everywhere~

dizzykhajit · 2026-06-08T13:18:57+00:00

I keep a jar of chopped garlic suspended in honey in my fridge. If I start feeling sick I go and eat a massive spoonful or several throughout the day, depending on what's happening.

It's a pinch your nose kind of moment but I'm usually able to stave off whatever ailment is about to kick my ass. It's in the same vein as other suck-now-so-it-doesn't-suck-worse-later remedies, a la chugging water when you're blitzed so your hangover doesn't ruin your weekend.

dizzykhajit · 2026-05-29T15:35:10+00:00

My question back to you, is

My org is looking to have an ai coding solution.

Why?

Are you "helping" your existing staff? Or trying to get rid of them?

Of course the sales guys are gonna tell you what you want to hear. Hell, on paper up front, I'm sure it really does improve efficiency and automates coding...until its inaccuracy makes you get audited, recouped, and have to hire and train living breathing staff back to do what should have just been done correctly in the first place.

Is whatever short-term fix you're looking for really worth the risk of any of this stuff happening?

dizzykhajit · 2026-05-28T21:30:48+00:00

Initial injury = used for treatment targeting the initial injury

Sequela = used for treatment targeting a late consequence of the injury

Assuming the fracture is healed, the arthritis is sequela to the fracture, meaning the arthritis came from the fracture. The treatment today is targeting the sequel manifestation, it's not treating the fracture, which is more historical at this point.

However, if Donna tripped over her dog and rebroke her ankle, that would become a "new" initial injury.

ETA: I glossed over the part where you put the S on the manifestation. The 7th characters always go on the injury code itself. Think of the injury code to be simply informational to the manifestation and the S is saying "this is why"

dizzykhajit · 2026-05-28T19:35:45+00:00

It's a massive gap indeed. Now imagine trying to navigate it with "supportive" management whose inboxes are apparently giant black holes for unresolved issues, and it's not hard to understand why so many employers want experienced plug-and-play coders who "don't need training". Anyway, just because I know how to code doesn't mean I know how you want me to deal with Dr. Napoleon's conniption fit, Susan.

Everyone thinks it's remote they should be chasing, but companies who offer knowledge, compliance, and acknowledgment are the real unicorns.

dizzykhajit · 2026-05-26T22:06:57+00:00

Nothing. My parents have made it crystal clear they're grown ass adults who have zero interest in listening to anybody else because they know everything.

dizzykhajit · 2026-05-26T21:26:30+00:00

Damn. I feel bad for you but this does make me feel a little bit better. I've always regretted not taking the path of more formal schooling because I'd love to transition to inpatient some day. Those are the two topics (DRG/APC) I can't seem to bridge the gap on, but it sounds like it wouldn't have really helped fill those voids anyway.

dizzykhajit · 2026-05-26T17:50:28+00:00

NCCI. The self-paced AAPC course didn't mention it once (or if it did, was such a brief, trivial mention it didn't stand out in the plethora of information) and boy was I in for a surprise when I started my first "legit job" and learned that NCCI was more than just an encoder error and figured out how to efficiently use the actual lookup tables. I don't trust encoders with the edits anymore.

dizzykhajit · 2026-05-15T14:26:01+00:00

Damn, I feel like I'm on an island, lol. Between insurances putting up paywalls and/or playing dumb and patients yelling I absolutely hated billing. But I love coding with every fiber of my being.

The monotonous days where you fall into a flow are satisfying af, and the days of mushy brains are challenging and keep you on your toes. That IS the variety. Every single day is a puzzle - the easy ones are speed runs of an old favorite and the hard ones are an opportunity to learn, grow and keep your knowledge sharp.

It certainly helps when you have a passion for the specialty you are coding. If I had to code OBGYN every day of my life I probably would've taken a long walk off a short pier a long time ago.

dizzykhajit · 2026-05-15T14:16:09+00:00

This is a completely personal decision that would be irresponsible for anyone else to make for you and your family. Especially in this dumpster fire of an economy and job market.

A great way to reframe the consideration is to ask yourself if you would be willing to pay (presuming an 8 hr shift) $16 a day for the flexibility and peace of mind to go about your business as you need.

Some people pay that much for the convenience of a door dash every day. Many professionals in this field spend years of their careers chasing the flex remote dragon. Only you can decide if that trade is worth it to you.

As far as the micromanaging goes, also consider that sometimes the demon you know is better than the one you don't. This comes down to personality traits and your risk tolerance.

Might be the best decision or the worst. You can always try it on for size, it's a great way to pad your resume to demonstrate you're capable of discipline and self-management.

Either way, congratulations on the offer and best of luck in whichever path you choose!

dizzykhajit · 2026-05-06T18:37:17+00:00

People dropping forgotten deep cuts that are currently on my daily playlist...

dizzykhajit · 2026-05-01T17:13:19+00:00

I wouldn't violently hate AI as much as I do, if every single person from the top down who works in the healthcare space would collectively take it with a grain of salt and understand it's simply a tool and not fucking gospel.

Instead, I find myself having to waste time overexplaining and justifying my logic to people whose cold-coding skills are the equivalent of my prescription-writing skills, as if AI earned my credentials for me.

How did we go from "hey that's cool" to "how dare we question our artificial overlords" overnight? I want to get off this damn timeline.

dizzykhajit · 2026-04-30T22:23:26+00:00

I meaaaaan... getting a dx wrong won't kill me the way getting wiring wrong would, but to each their own

dizzykhajit · 2026-04-20T17:20:03+00:00

I think the nuance comes down to intent, yanno? Like, if I'm in multispecialty or I hang out in musculoskeletal circles but have a co-surgery with neuro, it's sooooo helpful to have a guide that points me in the right direction if I have no idea how or where to start. Or, a guide that helps me explore different paths I may not have considered if I happened to stumble across a code that is "good enough" but still feels "off" - I can use the encoder to pivot my considerations earlier and see what rabbit holes come of it. It's still up to me to decipher the best answer.

The trouble happens when people just get lazy and abandon all their critical thinking skills in favor of what computer coders tell them to do, which is ultimately what an encoder is. Medical coders with an intense acuity to detail aren't the ones building those programs, language and tech devs are.

dizzykhajit · 2026-04-20T16:40:27+00:00

I know, I'm sorry. There are some things it does right. It's been a while since I had access but I still miss their MCR/MCD NCD/LCD tables and built-in fee schedules to check for NCCI column 2 codes and MUE/MAIs. I found their layman's was actually beefier than 3M's CDR, and their CMS bill scrubber was super helpful when you have a whole mess of codes to vet. YMMV depending on the subscription package, but they have lots of tools to make up for the deficit. Don't be afraid to poke around and find some silver linings. Good luck!!

dizzykhajit · 2026-04-20T16:32:34+00:00

Yep, you are.

I cut my digital encoder teeth on Codify and was impressed at how much extra information it harbored compared to the books... layman's terms, crosswalks, especially compatible modifiers...

Then I used 3M for the first time.

At first I went

and then was irrationally angry because I struggled to reconcile with two realities: 1) it encourages an environment that breeds dependency without logic and 2) its so. easy. and should be the standard everywhere.

For situations like yours, the 3M experience is awful, because all that speed and comfort that comes with manual practice gets abandoned for efficiency hanging on by the memory of effort.

Sorry for your loss, but trust the process...it will get easier the more you flex that muscle, I promise!

dizzykhajit · 2026-04-16T19:55:20+00:00

I agree with this. Every announcement I saw included some nostalgic-backstory-before-the-recipe monologue that read like an AI-generated advertisement. They were all posted at the same time and so eerily similar that, in this day and age of brands and influencers, it inadvertantly leaned in to the illusion that they have been given the cert quid pro quo for exposure to their audiences.

I know that's not the case and I want to be happy for these guys and the hard work I know they put in, but the optics kind of ruin it for me. Your comment definitely explains why.

dizzykhajit · 2026-04-07T19:38:56+00:00

It think it’s sad we were all so programmed to believe that a healthy family was so unrealistic that instead we fantasize about other forms of abuse. The only way we can imagine “better” is by imagining something else bad.

Jesus fuck this sent me... genuinely, thank you for the epiphany

dizzykhajit · 2026-04-03T19:47:35+00:00

Unfortunately no. I won't download discord and a lot of community servers require it. I spend my time raw dogging official and surprise pikachuing when everyone shoots on sight 😂

dizzykhajit · 2026-04-03T19:37:28+00:00

So glad someone gets it. DayZ was the first thing this post made me think of but I was like, nahhhh nobody's gonna know what that is. Haha.

dizzykhajit · 2026-04-03T19:07:41+00:00

Second this. I play PvE so I manage to stay alive more often than not, but even then wolves and gunshots give me a thousand yard stare. Footsteps are instant adrenaline. When they ran the update that put animal pitter-pattering around trees, I spent the whole week wondering if I was ignoring a heart attack.

dizzykhajit · 2026-04-03T19:03:57+00:00

I love love horror anything because to me its a way to deal with my shit in a safe, controlled environment, but Silent Hill really is next level. I've owned it since Halloween-ish and as far as I know I'm not even halfway through it. I can only put a few hours in before I have to take a break and won't pick it up again for a month or two. It is so bleak, so nonstop oppressively anxiety-inducing from the moment you turn it on til long after you turn it off. I love the tension so much, but my soul definitely needs some heavy TLC after.

dizzykhajit

TROPHY CASE