Medical Billing and Coding Job Description
With the growing demand in the medical care centers, increasing number of people can be seen entering the field of medical science. If you want to start a career in the medical field without being a physician, then get to know more about the medical billing & coding career as it is today one of the most sought after job in a variety of medical health care center and is supposed to increase in the next few years.
What is Medical Billing and Coding?
Medical billing & coding specialists are related to the health care industry and are concerned with the job of processing data of the patient like the treatment records, insurance information, payment options and making bills along with meeting patients, talking to them about the payments and also coding various diseases, treatments and services that the patient receive from the medical health centers. They are specifically focused on coding the patient’s diagnosis and stay in contact with the insurance company until they make a payment for the services of the patient.
Medical billing and coding are basically two distinct jobs, while billers are responsible for getting the bills paid, the medical coders are actually involved with the coding process and every treatment and diagnosis has to be coded by the medical coder. This is important for billing. However, they work together to ensure that the hospital gets all the invoices paid in a timely manner and properly. Some organizations have two different people for these two different jobs, but some have only one person who can handle both jobs simultaneously,Read More…
Job description of medical billing and coding specialists
The medical billing and coding specialist have a significant role in helping the medical heath center run efficiently and is significant although it is a job behind-the-scenes like updating procedures, managing the bills, protecting the patient’s medical records, and coding the diagnosis. They can work in various settings like the hospitals, dentist’s offices, insurance companies, private clinics, community health centers, nursing homes and various clinics. There are many duties that the medical biller and coder have to carry out and which must emphasize on accuracy, punctuality and details regarding records, invoices and updating data.
The main goal is to provide bills for services of the health provider and to get his dues for the services he has carried out on the patient. The job is quite responsible one and needs the medical biller and coder to be honest in his job and also maintain secrecy towards the patient and hospital. Most of the job is completed on the computer and therefore detailed knowledge of the computer is a must. They have to work closely with the physicians, patients, insurance providers so that they can collect the right data and make the accurate billing. However, there is no need to contact in person; instead, interactions are carried out using the phone, by emails and forms.
Duties and functions of medical billing and coding specialists
It is the job and the duty of the medical biller and coding specialist to make a bill from the coding and send it to the insurance companies so that they can make the payment. All the medical services have a numeric code so that the diagnostics, procedure and the treatments are defined in a right fashion. Every coding equates to a particular test, diagnosis and treatments. The job requires the coder and the biller to enter all the information in the database within the set protocol so that he can create a claim. The insurance provider will then get the claim and they will then access it and can accept it or deny it.
Therefore it is the duty of the medical billing and coding specialist to make accurate information regarding the services provided at the hospital and makes a clear and honest bill. If not chances are that the claim will get rejected by the insurance company and the payment will get delayed which can affect the payments of all those who are directly or indirectly connected with the patient in the hospital. If the claim gets denied, the medical biller and coder will have to investigate again and get the right information all over again. He will have to talk to the patient as well as the management about the happenings.
Personal Skills Requirements
The job of the medical biller and coder also needs one to have proper training and education,Then he can handle the medical terminology and the anatomy. He has to understand the coding done in the medical field, which needs extensive training at a reputed school. Apart from education, one should also be self-discipline, honest and sincere in his work. Skills are needed especially while talking to patient, insurance representatives and even the doctors so that the process gets simpler and gets completed fast. The job also requires you to follow confidentiality rules that are stated by HIPAA.