1st MEDICAL CODING AND BILLING CAREER GUIDE
Medical Coding Expert Advice and Medical Billing Business Startup Tips
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The Medical Coder
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This is the most trusted online resource for medical coding students and experienced professionals in the medical billing field! We provide free education and certification information, latest tips and articles, and let you explore school and job listings free.
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The Medical Coder:
The medical coder's job is to abstract services rendered from patient's medical records after their healthcare appointment into standardized alpanumeric codes. These codes are used for billing insurance companies, and worker's compensation carriers for medical services from doctors, licensed healthcare provieders, and therapists in healthcare clinics, hospitals, and spas.
Diagnosis and Service CodesMedical coders analyze the healthcare provider's documentation to assign universal alphanumeric codes that are vital to medical billing, medical research and healthcare statistics, as well as the reimbursement process for the provider. Furthermore, accurate coding makes the medical record keeping and practice management processes more cost-effective and reliable.
Diagnosis Codes:
In medicine, diagnostic codes are used to group and identify diseases, disorders, symptoms, and medical signs, and are used to measure morbidity and mortality.
Reimbursement ProcessMedicare, Medicaid and 3rd party insurance companies have strict compensation guidelines, which must be followed. All types of encounters, services, tests, treatments, supplies and procedures provided to a patient have a code which consists of a set of numbers and combinations of sets of numbers.
Even encounters with patients who have seemingly simple complaints such as a headache, indigestion, bruised toe, or runny nose have specific service codes. To find the codes, the medical coder uses standard industry code books: ICD for diagnoses codes, CPT for procedure codes and HCPCS for Medicare claims. The medical coder is also responsible for entering these codes into databases and submitting associated claims electronically for each encounter in a timely manner.
Coding for Services Coding for medical and healthcare services, operative reports, and discharge summaries in health care is complicated. Therefore employers prefer to hire trained and often, certified individuals to ascertain that their coder is proficient and familiar with different types of insurance plans, regulations, and codes. In the end it's a win-win situation for everybody, because when the provider gets paid—so does the medical coder! Nationwide studies show that the average starting pay for a medical coder is $30,000 - $33,000 per year and substantially increases based on training, qualifications and experience in the field.
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