CCO.us Podcast | Medical Coding, Billing, Auditing & Risk Adjustment

Modifiers are only two characters long—but they can determine whether a claim gets paid or denied. In this episode, Laureen Jandroep explains CPT®, HCPCS Level II, and ICD-10-CM coding conventions, common modifier mistakes, audit risks, and practical strategies to improve coding accuracy and reimbursement. This episode is from the CCO Club Q&A #1737 webinar. Watch the full video here: https://youtu.be/gfoe0fH7iLU

6/28/26 • 56:37

The new telehealth CPT® codes 98000–98007 were designed to simplify telemedicine coding—but Medicare isn't paying them. In this episode, Alicia Scott explains the AMA vs CMS conflict, modifier 93 and 95 usage, payer-specific requirements, virtual check-in updates, and common telehealth coding mistakes every medical coder should know.  This episode is from the CCO Community Q&A #1757 webinar. Watch the full video here: https://youtu.be/dHgOgI-qhfY

6/18/26 • 34:29

Struggling with integumentary surgery coding? In this episode, Laureen Jandroep reviews the most commonly tested CPC exam concepts, including biopsies, excisions, repairs, debridement, skin grafts, Mohs surgery, breast procedures, coding guidelines, and exam-day strategies to help improve coding accuracy and confidence. This episode is from the CCO Community Q&A #1757 webinar. Watch the full video here https://youtu.be/LRUv7-JF8Us

6/14/26 • 47:39

AI is reshaping medical coding workflows, but not in the way many people fear. In this episode, Laureen Jandroep explains the difference between AI hype and real-world adoption in healthcare, including coding automation, NLP tools, agentic AI, 2026 CPT changes, compliance risks, and why human coders remain essential in the AI era. Watch the full video here https://youtu.be/2VcIZrp_u8w

5/22/26 • 45:11

Choosing between the CPC and CCS can shape your entire medical coding career. In this episode, Alicia Scott and Laureen Jandroep explain the differences between AAPC and AHIMA certifications, including outpatient vs inpatient coding, exam difficulty, career growth, specialization paths, remote work opportunities, and which certification may help you get hired faster. Whether you are brand new to coding or planning your next credential, this episode helps you make a smarter long-term career decision. Watch the full video here https://youtu.be/VIFKAjXWLHU

5/14/26 • 45:11

Billing case reviews are one of the best ways to build real-world medical billing confidence. In this episode, Laureen Jandroep and Alicia Scott walk through practical CPB-style scenarios covering coordination of benefits, Medicare Secondary Payer rules, claim forms, denials, appeals, patient responsibility, HIPAA, and compliance. You’ll learn how to slow down, identify the real billing issue, and apply the right rule before taking action on a claim. This episode is ideal for medical billers, coders, CPB students, and revenue cycle professionals who want stronger claim analysis and reimbursement decision-making skills.

5/1/26 • 82:26

Here’s a balanced podcast description (aligned with your preferred format—clear, engaging, not too short or too long): Podcast Description: Anesthesia coding is one of the most misunderstood areas in medical coding—and for good reason. It doesn’t follow the same rules as other CPT sections, and even small mistakes in time, modifiers, or documentation can lead to claim denials or compliance issues. In this episode, we break down the fundamentals of anesthesia coding in a way that actually makes sense. You’ll learn how the CPT anesthesia section is structured, how to differentiate anesthesia from moderate sedation, and how the payment formula works using base units, time units, and modifying units. We also walk through critical modifiers, documentation requirements, and common pitfalls that coders often overlook. Whether you’re preparing for a certification exam or working claims in real life, this episode will help you connect the pieces and build confidence in anesthesia coding.

4/17/26 • 37:13

Here’s a balanced podcast description (not too short, not too long, same style as your previous ones) 👇 Timely filing might sound simple—but it’s one of the biggest reasons claims get denied in medical billing. In this episode, we break down how filing deadlines vary by payer, why missing even one day can cost you payment, and how to manage multiple timelines across claims, corrections, and appeals. You’ll also learn the difference between rejections, denials, and appeals—and practical strategies to keep your workflow on track and protect your revenue.

4/12/26 • 23:40

In this episode, we break down the fundamentals of PCI (percutaneous coronary intervention) coding and how to accurately assign CPT codes for cardiac procedures. Learn the importance of coding hierarchy, how to distinguish between angioplasty, stent placement, and atherectomy, and why documentation and vessel identification are critical. Perfect for coders looking to simplify complex cardiology cases and improve accuracy.

4/3/26 • 29:48

In this episode, we break down the essentials of cardiology coding—one of the most complex yet high-impact specialties in medical coding. You’ll learn key heart anatomy, common cardiac conditions like ischemia, myocardial infarction, and arrhythmias, plus how to accurately apply CPT and ICD-10 codes for procedures such as EKGs, stress tests, cardiac catheterizations, and more. We also highlight common coding mistakes and documentation tips to help you improve accuracy, compliance, and reimbursement. Perfect for coders looking to build confidence in cardiac cases.

3/28/26 • 36:24

Behavioral health coding can be one of the most challenging areas in medical coding—and one of the most misunderstood. In this episode, we break down how to accurately code anxiety disorders, PTSD, and adjustment disorders (ICD-10 F40–F43) using clear, real-world examples. Learn how DSM-5 criteria, symptom duration, and functional impact directly affect your coding decisions and reimbursement. We also uncover the most common documentation gaps and how coders can work with providers to improve accuracy through better clinical documentation. If you’ve ever struggled with coding mental health conditions—or want to avoid costly denials—this episode is a must-listen.

3/22/26 • 40:23

In this episode, Laureen Jandroep shares how the CCO Club provides CEUs, expert coding help, and AI-powered study tools to support medical coders preparing for certifications and tackling real-world coding challenges. Join the CCO Club here https://www.cco.us/club/

3/15/26 • 17:27

The April 2026 ICD-10-CM updates may not add new diagnosis codes, but they do introduce important rule changes. In this episode, Alicia Scott explains what coders, CDI teams, auditors, and leaders need to review before April 1.

3/14/26 • 45:25

Medical coding gets easier when the language makes sense. In this episode, CCO Podcast #1744, we will break down the medical coding terminology every coder must understand to code accurately, reduce denials, and feel more confident reading real-world charts. In this session, we’ll cover: ✅ The most common clinical terms that show up in everyday documentation ✅ Key prefixes, suffixes, and root words that help you decode unfamiliar terms ✅ Terms that impact coding specificity (acute vs chronic, recurrent, remission, complications, sequela, etc.) ✅ How terminology affects ICD-10-CM selection, CPT reporting, and documentation queries ✅ Quick tips to read provider notes faster—without feeling overwhelmed Whether you’re a new coder, a student preparing for certification, or a working coder who wants a stronger foundation, this episode will help you build the vocabulary that supports accurate coding.

3/7/26 • 54:29

Preparing for the CPC® exam? In this episode, we break down the CPC exam layout, timing strategy, and proven prep tips to help you pass with confidence. Learn how the exam is structured, what to expect on test day, and how to study smarter using effective test-taking strategies. Whether you're a first-time candidate or retaking the AAPC CPC exam, this guide will help you avoid common mistakes and improve your chances of success.

2/17/26 • 26:32

Not sure whether to take your AAPC exam at home or at a testing center? In this episode, we compare at-home vs testing center AAPC exams, covering pros, cons, common issues, and what to expect on exam day. Learn how online proctoring works, the risks of testing from home, and when a testing center may be the better option. Perfect for CPC®, CRC®, and other AAPC exam candidates who want to choose the best testing setup and avoid last-minute surprises.

2/7/26 • 32:51

Ready to pass the AAPC CRC® certification with confidence? In this episode, we break down a powerful CRC Exam Game Plan that helps you study smarter, not longer. From structuring your study schedule to mastering key practice strategies, we guide you through practical tips that have helped countless learners succeed. Whether you’re just starting your prep or feeling stuck in a rut, this conversation gives you the clarity and tools to improve your retention and test performance. Tune in for actionable steps, mindset tips, and the proven plan that turns overwhelm into achievement! 

2/5/26 • 40:32

In this episode of the CCO.us Podcast, we’re diving deep into the world of healthcare audits, uncovering how you can turn compliance challenges into powerful growth opportunities for your practice. Whether you’re a seasoned auditor or just starting out, this episode has something for everyone. Here's what we cover: Understanding the Essentials: Explore the most common healthcare audits, including Surgical & Procedural Audits, HCC & Risk-Based Services, and Evaluation & Management Services.Specialized Focus Areas: Learn about audits for Federally Qualified Health Centers (FQHCs), Ambulatory Surgery Centers (ASCs), Emergency Departments, and Behavioral Health Services.Practical Insights: Discover actionable tips for optimizing your revenue cycle management, reducing claim denials, and staying ahead of industry trends.Expert Guidance: Gain insider knowledge on how to leverage audits as a tool for improving operations, educating staff, and enhancing client trust. By the end of this episode, you’ll walk away with a clear understanding of how audits can empower your practice and ensure compliance while driving success. 👉 Ready to take your audit strategy to the next level? Schedule a consultation with the experts at CCO.us today and start turning compliance into your competitive edge. Visit CCO.us for more resources and insights. https://www.cco.us/auditing-services-chart-reviews-2/ Subscribe now and don’t miss this chance to transform your auditing approach!

12/7/24 • 20:30

Watch the video: https://www.youtube.com/watch?v=-S0C5msFG0k Struggling with time management for medical coding? Join our podcast as we dive into practical strategies to help you take control of your hours and productivity. Learn insider tips from veteran coders on optimizing your daily schedule, avoiding distractions, and improving your coding speed. We’ll break down reasonable coding production rates so you can set realistic goals across specialties. Discover how to balance coding requirements with self-care to boost your performance. Whether you need advice on managing a remote work schedule or just need accountability to avoid procrastination, this podcast provides easy-to-implement tips to help you code efficiently while avoiding burnout!

11/24/23 • 37:40

Watch on YouTube at https://www.youtube.com/watch?v=_iQVypZKCwo Get the inside scoop on the future of medical coding in this can't-miss episode! Coding expert Alicia Scott walks through everything you need to know to launch a successful coding career in 2024 and beyond. She covers crucial topics like emerging technologies, compliance regulations, soft skills, career opportunities, testing changes, and more. You'll learn why coding roles will be in high demand, how artificial intelligence can complement human coders, tips for developing your professional network remotely, and what to expect from ICD-11. Alicia tackles your most pressing questions about getting real-world experience, passing job interviews, and transitioning from other healthcare roles. Her practical advice will prepare you to embrace the bright future ahead and adapt to ongoing changes in the industry. Whether you're new to coding or a seasoned pro, you can't afford to miss these valuable insights. Tune in now to get a step ahead on building the coding career of your dreams in 2024 and succeeding for years to come!

11/6/23 • 64:49

Watch the video at https://www.youtube.com/watch?v=ak9zFDkfqMI Get the inside scoop on acing your next medical coding job interview! Join coding expert Alicia Scott as she shares the top 5 things you need to say to stand out from the competition. You'll learn tips for crafting the perfect elevator pitch, highlighting accomplishments that fit the role, showing passion for coding, addressing weaknesses positively, and asking smart questions. Whether you're a newcomer or a veteran coder, this info will give you the confidence to impress hiring managers. Alicia also discusses how to research the company beforehand and tailor your responses. With her 30+ years in healthcare, she knows what interviewers want to hear. Take notes as she provides word-for-word examples to use in your next interview. Land your dream coding job with this valuable advice! Tune in and be prepared to ace any medical coding interview.

10/30/23 • 43:45

Medical Coding Online Course. Looking to start a career in medical coding? We answer common questions on how to break into this exciting industry. Get actionable tips from coding experts on the basics of getting started, like networking with professionals, building on existing skills, and choosing the right educational program. Learn about various coding credentials, the skills needed to succeed, expected job duties, and more. Whether you’re switching careers or just starting out, this info-packed episode has motivational advice and key insights to launch your medical coding journey. We’ll explain the typical day-to-day and work settings so you can decide if it’s a good career fit. Join us for real talk on how to gain resilience, take feedback, and problem solve – critical abilities for aspiring coders. Plus, find out why a positive attitude is crucial in this fast-paced, detail-oriented field. Medical coding offers great earning potential with minimal education requirements. Get pumped up to start your training after hearing this pep talk style episode! Learn Medical Coding at https://www.cco.us/medical-coding-course-online/

10/23/23 • 36:17

Get the full video in the CCO Club at https://www.cco.us/club/. Get an inside look at real-world clinical documentation in this episode as we review physician notes for a patient with multiple neurological conditions. We'll break down two separate patient encounters from different providers, analyzing the medical history, physical exam findings, impression, and more. You'll learn how to identify pertinent positives and negatives, watch out for unclear or missing documentation, and spot opportunities to improve physician documentation. We'll compare how clinical documentation is used for pro-fee coding versus risk adjustment coding, noting key differences in how codes are selected based on the coding purpose. Expect to come away with a deeper understanding of how to abstract accurate diagnoses from physician notes across specialties. Whether you're a new medical coder looking to sharpen your documentation analysis skills or a seasoned pro seeking examples and tips, this episode will enhance your ability to translate clinical jargon into codes!

10/16/23 • 56:08

Heads up! This podcast is also available on YouTube at https://youtube.com/live/MPCAlTchdRE Get the inside scoop on all the new, revised, and deleted ICD-10 codes for 2024! In this code-packed episode, we walk through the key changes in a fun and engaging way. Learn what the new codes for sepsis, Parkinson's disease, sickle cell disease, and more really mean. We'll explain challenging concepts like "microvascular dysfunction" and "uncertain behavior" in clear terms. You'll also get examples of the weird and wacky expanded foreign body codes. Whether you're studying for an exam or just want to stay on top of annual updates, this episode delivers easy-to-remember tips for the new codes. Tune in and get ready to master ICD-10 changes for 2024 and beyond!

10/9/23 • 69:46

Find the best medical coding education for you! This info-packed episode reveals the top 15 questions you MUST ask any coding school or program before enrolling. We dive into crucial details like coaching access, certification exam prep, teaching styles, manual markup techniques, course updates, and more. You'll learn red flags to watch out for and understand exactly how a top-notch coding course should support your success. Whether you're just exploring schools or ready to sign up, this episode helps you make the smartest decision for your time, money and coding career goals. Don't get stranded with a dud of a course! Tune in and get equipped to find the perfect coding education fit.

10/2/23 • 53:50

Imagine expanding your medical coding career beyond just coding - this episode opens your eyes to 5 amazing new directions for medical coders! Learn about roles like Compliance Officer, Clinical Research Coordinator, Revenue Cycle Analyst, and more. We break down what each job entails, key skills needed, education/certification requirements, and how your coding background prepares you for success. Whether you want to step up into leadership, specialize, or try something new in healthcare, this info-packed episode provides insider tips to point your career where YOU want it to go. Tune in and get inspired about all the places your coding credential can take you! The possibilities are endless.

9/25/23 • 59:05

Thinking of starting a career in medical coding? Get the insider scoop in this info-packed episode. We break down exactly what medical coding entails, the various code sets you need to learn, and what medical documentation experience you need to have. You'll get pros and cons of different training options like online courses, community colleges, and self-study. We also share what to look for in a top-notch coding course, like engaging lectures, coaching access, and community support. Whether you're a total newbie or looking to switch careers into healthcare, this episode will help you determine if medical coding is the right fit. Tune in and get guided on the first steps to begin your medical coding journey!

9/18/23 • 63:41

Get the full video, transcripts, slide deck and more at https://www.cco.us/club/ In this episode of the CCO Club webinar series, we delve into the complex world of medical coding for vaccinations. With over 122 webinars under our belt, we continue to answer questions from our diverse club members, ranging from newcomers to coding veterans. Today, we explore a common query: the differences between coding for pediatric and adult vaccinations. Join us as we unpack the intricacies of vaccination coding and provide you with essential insights. Segment 1: Understanding Pediatric Vaccination Codes Pediatric vaccination codes are age-specific, with descriptions indicating age ranges.Series of vaccines or codes are administered based on specific intervals.Combination vaccines are common, and it's crucial to understand their components.Counseling often accompanies pediatric vaccinations.Tracking a child's vaccination history is vital for accurate coding. Segment 2: Deciphering Adult Vaccination Codes Adult vaccination codes are age-neutral, with emphasis on vaccine type in code descriptions.High-risk category codes account for patients with chronic illnesses or compromised immune systems.Booster shots and revaccination are common in adult vaccinations.Travel vaccinations are location-specific and can be coded accordingly. Segment 3: The Importance of Documentation Accurate coding relies on comprehensive documentation.Pediatric vaccination codes consider age, series, combination vaccines, and counseling.Administration codes (the "stick") and substance codes (the vaccine) are essential for each vaccination.Staying updated on coding guidelines and regulations is crucial for proper reimbursement. Segment 4: Case Example and Recap A detailed case example illustrates the complexity of vaccination coding.The documentation should cover vaccine components, administration details, and counseling.Always remember to code for both the vaccine substance and the administration.Utilize resources like the CPT Assistant archives for guidance and education. Conclusion: Vaccination coding can be a challenging puzzle, but with proper documentation and a clear understanding of the codes, you can ensure accurate billing and reimbursement. Stay informed, join the CCO Club for ongoing discussions, and keep coding with confidence. Thank you for tuning in, and we'll see you in the next episode.

9/6/23 • 39:55

Get the full video, transcripts, slide deck and more at https://www.cco.us/club/ Join us for an insightful breakdown of the neoplasm table and accurate cancer coding. We'll explore the importance of statistical tracking, how to use the neoplasm table as a tool, and key details for achieving proper specificity. You'll learn critical aspects like the difference between primary, secondary, and in situ cancers, as well as benign, malignant, uncertain, and unspecified behavior. We'll share tips for understanding medical documentation, the disease process, and the impact accurate coding has on research, treatment, and reimbursement. Whether you're a student just learning or a seasoned coder looking to stay updated, this episode delivers a thorough overview you won't want to miss!

8/25/23 • 47:06

Get the full video, transcripts, slide deck and more at https://www.cco.us/club/ Get ready to dive deep into wound debridement coding fundamentals in this information-packed episode! We'll start with an overview of what debridement is and why it's performed, including key goals like preventing infection and promoting healing. Next, we'll break down the various techniques - surgical, sharp, mechanical, enzymatic and more.  Then we'll tackle how to code debridement accurately based on type, wound size and location. You'll get crucial coding details like: - The difference between selective and non-selective debridement codes  - Why you can't separately bill for dressings or whirlpool with debridement - How documentation and diagnosis coding directly impact reimbursement - When certain codes are inpatient only  Expect real-world examples and scenarios illustrating proper debridement coding in both inpatient and outpatient settings. Whether you're new to coding or an experienced pro, this episode delivers an incredible learning opportunity you won't want to miss!

8/23/23 • 34:48