Are people allowed to congratulate themselves? Well, whether they are or not I’m going to give myself a brief congratulations. Today is the 20th anniversary of my business. I filed for business license on June 22, 2001, and I’ve only ever look back once, or maybe twice. Being self employed is scary, and it’s certainly not easy, so as Ramon said in the movie Happy Feet, “I’d like to take a moment for myself.”

Me in 2011

If you know me personally in some way, you might notice that the date above isn’t the date I’ve been telling people for the longest time. I thought for at least the last 10 years that the anniversary date was June 24th. I was considering putting up a picture of my entire business license, but when I looked at it I realized that the actual anniversary date was June 22nd. The things we sometimes learn about ourselves…
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I’ve been in the revenue cycle/medical billing field for nearly 40 years. I’ve been in leadership or consulting for most of those years. I feel this gives me pretty good perspectives on how things should work.

Ed's Retirement Party : March 17, 2010 - 1133
Parker Knight via

There’s no doubt that every year there are some kinds of changes because of insurance and/or technology. With that said, I can honestly tell you that the problem I see is that many medical billers don’t do or know the things that never change all that well.
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Medical billing and medical coding jobs and careers are easy to start, but hard to find work in. For medical billing, it’s hard to get started because physicians already have someone doing their billing for them. For medical coding, entities are often reluctant to bring on someone with no experience. For both, the training and learning curve is harder and the information more voluminous than most people realize.

Women In Tech - 73
WOCinTech Chat
via Compfight

One of the major problems in deciding to do work like this on your own is that no one wants to trust someone without any real billing or coding experience to do work for them. Both of these are harder to do than people who haven’t done it realize. Going to a billing course or coding clinic isn’t enough to make you an expert; both of these careers takes some expertise, practice and a long learning curve. It’s not necessarily easier if you’re working for a hospital, but you at least get the opportunity for more consistent training.
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Sometimes the lessons leaders need to learn come from comedy. In this case I’m reminded of a skit that was on Saturday Night Live in the 80’s.

leaders / Pixabay

In this particular skit, the priest went to see the mother superior because he’d been troubled by the behavior of some of the nuns recently. What he realized is that this particular mother superior, played by Mary Gross, had a very sarcastic mouth, and thus she would have these very sarcastic responses to questions the other nuns asked her and they’d go out and act on them.
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There was an ad for an anti-perspirant from a couple of decades ago with the slogan “never let them see you sweat”. It promised to keep you dry during those tense moments when you start sweating under your arms during stressful times, though it had a humorous bent to it.

sky dive
Bilal Kamoon via Compfight

There’s nothing more powerful than being confident. When you’re confident you do your best work. When you’re confident people respond to you in the most positive ways. Confidence is infectious if it’s genuine.
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