Back in January I hosted newly minted medical coder Revka Stearns. For someone so new to the industry, Revka has made a big impact by the act of sharing--documenting her journey in detailed and open fashion on LinkedIn and Facebook, and a half dozen podcasts and programs. At the time she was on the show Revka had literally been on her first job for about 3 weeks. Eight months later I asked her to come back for an update and share her successes, challenges, and unexpected side-ventures. Revka has many strengths—smart, hardworking, diligent--but one of them is effective use of social media, creating a model for how I like to see these platforms used (and unfortunately often aren’t). But she’s also had her share of struggles. Coding is hard. This was a bit of a longer interview so I split it into two parts. On part 1 we cover: Eight months on the job as a first-time medical coder Specific challenges she’s encountered, including: Making sure the organism causing an infection is clearly linked to that infection through documentation Ensuring documentation is carried through to discharge, beyond the provider just copying and pasting Recognizing query opportunities The reality of learning: Taking one step forward and two steps back Most rewarding aspects of the job What she knows now that she wished she knew back in January