Changing of the healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes are what is known as medical coding. The main source of the diagnoses and procedure codes is the medical record documentation which includes the physician’s notes, laboratory and radiologic results. Medical documents are the main source of diagnoses and procedures used for medical coding purposes.
The medical coders’ main role is to ensure that the codes are used in the right way in the process of medical billing. On the other hand, medical billing includes abstraction of the information from documents, assigning the correct codes and making of claims to be deposited with the health insurance companies.
The work of reviewing clinical statements and assigning codes belongs to the medical coder. Processing and following up with the claims sent to the health insurance provider is the role of the medical biller. It is possible for a medical coder to act the role of a medical biller, though the two professions differ. Both the medical coder and medical biller work together to ensure that the invoices are paid for.
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Both the medical billers and medical coders must work together to ensure that the claims sent to the insurance companies are paid. The medical coder is also expected to give a full account of the patients’ encounter with the doctors or physicians.
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Medical coding is a profession like any other since training is required for one to become a fully fledged medical coder. The basic knowledge that coders must have the full understanding of the anatomy and medical terminology. It is important for one to become well versed with codebook resources if they want to become medical coders.
Filing of appeals when the claims are denied is the work of the medical coders. The medical coders could educate their clients on the standard coding system to use that brings about accuracy. Another role of the medical coders is speaking on behalf of the health providers and patients on coverage and medical necessity issues.
Getting a bachelor’s degree or a master’s degree would do a one good since they would have a firm grounding in coding. It is, however, important to know that the papers do not mean that a person is proficient. Having strong grounding on anatomy, physiology, and medical terminology will propel you forward to the medical coding career. If you complete a medical course of coding and pass the exams then you would be taken very seriously as a coder. The potential employers like individuals who have completed such a course.
Becoming a member of some medical professionals you would be able to get certification that might work for you while looking for a job.
