The medical billing and coding world is huge and an integral part of any healthcare industry. As it is an administrative position, medical billers and coders are considered to be a very important part of a facility that offers healthcare services. You will find medical billers and coders in doctors’ offices, hospitals, hospices and clinics as they dominate the administrative and billing controls of the offices which they work in.
Many people train to be medical billers and coders so that they can be associated with the healthcare industry without having to study extensively. Although some certifications are needed in order to qualify for this position, formal medical training is not required. Okay so we know that these people are very important but what exactly do they do?
Have you ever wondered what happens when you visit a doctor’s office? Yes, for you it might just be talking to the doctor about a health issue and taking medication for it but it is a lot more at the other side. A bill is generated for every service that a doctor renders to a patient. There are insurances to take care of, claims to be paid and information to be coded into the system. This is where medical billers and coders come in! They use EMR systems to maintain patient information with respect to the services rendered and bills paid. They also work with insurance companies to ensure that claims are managed effectively.
Medical coders are required to punch in information into a system by assigning appropriate codes to each disease for further references. They also make use of prescribed codes to portray if a medical procedure comes under a patient’s coverage plan or not. Medical billers work mostly work with the payment part of this profession as they are required to fathom what an insurance carrier will cover for a patient and for which service a patient needs to be charged.
While medical billers and coders perform separate duties, their work does overlap at times and in most instances, medical coders also perform duties of medical billers and the other way around too.
Following are a number of job duties performed by medical billing and coding professionals. You may use the most appropriate phrases to build a strong resume.
• Evaluated patient records for suitability, completeness, and correctness of health data
• Recorded data electronically for collection, storage, analysis, recovery, and reporting
• Arranged and maintained data for medical databases and registries
• Prepared financial statements and billing procedures
• Handled all kinds of insurance claims, including private, Medicare and insurance fraud
• Collected payment for healthcare services provided
• Completed insurance and other claim forms
• Utilized classification software to assign clinical codes for reimbursement and data analysis
• Protected patients’ healthiness information for privacy
• Prepared, keyed in, edited, and proofread health check records
• Interviewed patients with the aim of completing forms, documents and case histories