Online Medical School, Medical Billing And Coding Schools, Billing And Coding Classes, medical codes. What Does a Medical Coder do?
A coder utilizes three medical coding books called the CPT, ICD-9-CM, and HCPCS; and selects specific number sets from them called medical codes.
These codes are then used to translate the patient's written medical record into numbers for the insurance companies. Medical coders may or may not be involved in the medical billing aspect.
What Must You Know to Become a Coder?
A coder should have a general knowledge of common medical terminology and gross anatomy, as well as an extensive knowledge of each coding book, (CPT, ICD-9-CM, HCPCS).
Although medical terminology and gross anatomy are not required to become a coder they are extremely helpful.
Medical terminology and gross anatomy enable a medical coder to accurately read patients' medical records and correctly extract pertinent information. These tools also aid in selecting correct codes from each coding book.
An extensive knowledge of the three coding books is extremely important and is necessary for passing the coding certification exam.
There is more to coding than just knowing how to look up a code in a book; there are rules and guidelines for almost every code, and each set of rules is unique to each code set. In order to code correctly you must have an extensive knowledge of these concepts.
What Does a Biller do?
A medical billing specialist takes the medical codes that are assigned by the medical coder and populates them and other pertinent information into a claim form.
Medical billers are also responsible for claim submission to the insurance companies, tracking payments and denials, appealing denied claims, billing individual patients, and receiving claim payments.
What Must You Know to Become a Medical Biller?
Billers must have a broad range on knowledge that should include a general knowledge of:
Basic medical terminology
Billers should also have a more extensive knowledge of:
Passing the CPC exam is your first step in entering or moving up in working as a medical coder. Being certified gives you certain advantages, including:
Having a recognized qualification. Important if you’re an entry-level coder.
Even if you’re experienced, being certified makes it easier to seek out new opportunities.
Certified coders earn on average $7000 more annually than uncertified personnel.
Having passed the exam makes you more confident that you’ll do well on the job.
If you’re already coding, the process of preparing for and taking the CPC exam will make you a more proficient coder and will help you do your job more efficiently. click here:
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Online Medical School, Medical Billing And Coding Schools, Billing And Coding Classes, medical codes