Things to Know About Medical Coders and Billers

To optimize the revenue cycle of healthcare practice, it requires experts in medical coding and medical billing professions. The medical coders and billers are an integral part of every healthcare practice as they perform the job of assigning universally acceptable codes to the diagnoses and treatments provided to the patients; and send the medical claims to insurance providers to get full reimbursements for the services provided. The job of a medical coding professional is really complex with the task of translating physician notes, lab reports, and radiology results while ensuring compliance with laws of the land and safeguarding patient health information. Here are some things about medical coding jobs that, wannabe medical coders would want to know.

They are tasked with the review of the medical transcription reports and other available reports to assign standard codes to the patients’ diagnoses and treatment procedures using the ICD -10 and CPT codes. These codes are later on used by medical billers to process the claims and get timely reimbursements for the services provided.

A healthcare facility can decide if it wants to combine the tasks of coding and billing to make it a single branch or let them be two separate branches. However the work is done, it has t be assured that the facility gets proper payments on time without any denials or rejections.

AAPC that provides education and certification to medical coders in order to elevate the standards of medical coders has 180,000 members currently.

People in medical coding jobs are not just employed in the clinic and hospital settings. They can get employed in various places. Hospitals and physicians’ offices definitely need medical coders to assign the accurate codes to the services provided by them. Along with these, dermatology and dental clinics also need the services of medical coders to process their billing and insurance claims.

Many healthcare consulting services specializing in IT help healthcare providers with their problem-solving solutions also employ medical coders in designing, developing, and implementing their solutions. Medical coders with adequate expertise and interest in enhancing or modifying present systems can choose these companies.

Educational institutions employ experienced medical coders with good communication skills to train enthusiastic and budding coders. This option is really viable for those who don’t want to work on tight deadlines and share their valuable knowledge with others.

Insurance companies also employ medical coders to validate the accuracy of the claims received by them. These coders verify if there is any wrong or incomplete information presented in the claims by comparing the treatment provided to a patient and the insurance plan coverage of the patient. The coders working for insurance companies also need to look out for errors with an eye for detail and up their skills regarding insurance plans and their coverage.

Law firms need medical coders & billers too to understand the nuances of coding and billing issues in order to handle the billing fraud cases that come their way. Fraudulent billing is a big offense and law firms require the services of medical coders to authenticate if the billing mistakes are unintentional or a result of fraud.
Government agencies also hire coders to work on various projects that provide valuable data for healthcare studies across the nation.

Although there are many options for medical coders to work, a majority of them work for physician offices, hospitals, and medical coding companies. There are several companies that provide the services of experienced and proficient medical coders from remote locations to hospitals and other healthcare facilities.