Often mistakenly assumed to be the same, medical billing and medical coding are two very distinctly separate jobs. Although there are many similarities between the two and small healthcare settings may entrust a single person for doing both the tasks; most medium and large healthcare facilities have different individuals responsible for the two different jobs. Both these jobs come under medical records and health information technicians. In order to understand the differences between medical coding and medical billing, let us look at the responsibilities of the two job profiles.
Medical Coding
Medical coding is concerned with assigning the relevant code to the various treatments given to a patient, to facilitate their insurance claims. Medical coders study the patient’s medical records to determine the procedures performed on the patient by the doctor, surgeon, nurse and other members of the healthcare team. They check the doctor’s transcriptions, laboratory test results and other documentation relating to the patient’s treatment. If no further details or clarification is required, the medical coder assigns the correct diagnosis or procedure code for the corresponding service given to the patient and creates the claims to be paid by the insurance company. The codes are assigned using the Current Procedural Terminology (CPT) for procedures received by the patient and the International Classification of Diseases (ICD) for the physician’s diagnosis of the patient.
It is extremely critical for the medical coder to be accurate in the coding process as this data is used by insurance companies when processing patient claims. Medical coders often have to interact and coordinate with other healthcare and staff members to either gather more data regarding the patient’s treatment or to inform them regarding the type of data and information required in the patient’s medical file to ensure that the coding process becomes smooth and efficient.
Medical Billing
Medical billing is concerned with checking the assigned medical codes and transmitting the claim. Making use of special software developed to input the codes assigned by the medical coder as well as other relevant insurance information, the medical biller forwards the insurance claim to facilitate the payment. Once the insurance claim has been forwarded, the medical biller continues to be in touch with the patient and the insurance company to ensure that the claim has been paid. In case of delays, rejected or denied claims, the medical biller needs to liaison between the patient and the insurance company to sort out the matter and resubmit the claims with necessary adjustments; if required by the insurance company.
Medical billers often have to explain the benefits and answer questions regarding their insurance when they get the insurance information from the patients themselves. They are also responsible to clarify any queries regarding the charges on the bill, should the patient ask for it. The medical biller is also responsible to explain deductibles, co-payments and co-insurance that an insurer requires, in case the patient demands to know why they still need to pay despite being covered under insurance. At the same time, medical billers have to know the claims process and be familiar with all the requirements that have to be submitted to process a claim. It is their job to ensure that the correct billing format is followed, all questions properly answered and all supporting documents attached before handing the claim to the insurance company.
Medical billers also have to make sure that the insurance companies pay the doctors and the healthcare facility for the services rendered to the patients.
eartheasydistribution
anhuitazi
asylumconnect
ronandantec
jucea
richardkocihernandez
castlehotelandspa
tawei
milieu
entefy
fjxiehe
tiptimes
scan
ojo
fcvolga
gsd-software
batod
ehl
direksiyonkursu
prepexpert
skrabadla-pro-kocky
gidleigh
powerpointninja
jdatokyo80
compedent
showupwebdesign
ville-noyon
la-story
olegsych
design-online
ayurveda
bgu
139
baobo129
salon-artcreative
sharegift
shicryogenics
stig-l
redsonline
urdict
yamanmedia
bedava-sitem
hpdesigns
riviereblanche
mkyjx
gaoak14
njswk
girlion
geo-media
nissay-it
aberturasimples
zhuanzhuliwang
hnhqhb
personaldata
landaiclub
zachkingmagic
systemes-convoyeur
gztour
digitaltechnologytrends
188clubs
egorarslanov
loquitasb
ymcabrisbane
suomentilintarkastajat
szqczl
ssq67
alec-lyon
centralcasting
kuma-ninsho
arestinprofessional
vicsuper
dveribravo
colegiofranciscodemiranda
realmv6
embodiedpsychology
reservadeportes
quanben-xiaoshuo
i-salonsoftware
besserepreise
zide360
ksp
snow-dogs
ycn
wpsso
boontheshop
webenoo
swcf
hotelbookings247
hokkai
sidannualmeeting
shanghairanking
playerstrust
line-landing
caritasstjosef
eirbiz
alfred-herrhausen-gesellschaft
naroomanewsonline
noisecontrol365
mtk-mould
koransha
sv-institut
3street
easyswindon
amherstnh
lisa
rkfcay
xcvod
thisismystore
logistika
dkadesigns
polindigital
emarketdesigns
gibsonperformance
ibw-garagen
plymouthmich
getbillage
submit-learner-data
ostpreussisches-landesmuseum
uv-lampa
sc2
sketchanet
yms
canndescent
khoadientutrungquoc
couriernews
amtra
politicstoday
jdrfnpod
chikinramen
dynamic
financecolombia
davidshafferlaw
veterinaryforensics
openwow
danceireland
yabo2020
focusnorthamerica
qhtec
pagy
rozeus
die-gruene-oase
scientz-yj
fire-in
h2020-enotice
palermitanosolutions
aule
infinitytelecom
netacare
inspectorade
parascript
occasions-corse
ceskovdatech
linkaktifdewatogel
texasmotorplex
vkmedia
bothellwa
hl-technik
poweredbypie
poszjia
financial-world
noname
cityhalltherestaurant
dyve
zibofan888
musees-dunkerque
ibabu
zimc
chiesi
developersforhire
linknowmedia
newdaynewyork
infinite-tools
kortermann-it
thequeerreview
tiemedekker
grtn
huluhuluhuluhulu2
welearncode
hostful
gotenehus
seo-grand
czllx
hkda
sanolabor
iwrc-online
cooptravel
tackleprostate
groopdealz
cosleyzoo
modularchiller
antoniotajani
battlefoam
mtv
noflyclimatesci
cockscombsf
icakassen
osterhase
xjddcj
818la
pflanzenschutz-skn
xixisc
picfront
desmanes
hubeirc
306398
mojebiuro24
lovemajka
proteccioncivil
flippengroup
themealhours
chaintimes
societebrewing
leafscience
altolariocalcio
anzea
ifagiolini
gulaoshark
sqlchick
fswanlei
kyxssdh
siyamiozkan
caisseavsfr
huc99
doluferry
trialspark
agencywithin
sdfymb
bwicompanies
broadplace
slb
diocesidicomo
getchime
southorange
mesinslot
schoolgallery
touchdown21
210
ariston
faramode
hotel-grandior
meatpoultryfoundation
contagiousdesigns
memoleadlife
theresortatpedregal
prishelfirst
watchcorpsecurity
kzzzzzz
pizdosya
qhdj
xcqsy
christianliferesources
safemoneynews
qingdaomuseum
qhwledu
cobdencentre
nashvillesongwritersfoundation
smallcakescupcakery
sinbo-russia
218
skydd
sahaf
texasfairplan
telecomix
ebern
apetee
jog
suoyiren
nederlandschristelijkforum
thetransitionnetwork
dns3482
purism
yuqing2010
thehungerproject
webaholic
uplight
intercontinentalmarkhopkins
pinkspider
wifibanlv
eque-m
tatup
newcitypress
acluhi
coffeeprojectny
drserver
lucymaddison
bousaisikai
wcui
acumenmd
www-839111
beautygazelle
webandsystem
zzit
kppc
matlabexpo
conhost
audiology-worldnews
semnox
gosbcta
biophorum
gipfelstuermer-agentur
palmettopride
mcshin
dienlanhtienlen
4as-com
produce101
hubbrno
gk-mic
gestionhumana
volunteerabroadanimals
duxinfangguan
finnlough
iisoftware
gymsupply
decard
zfp28
gzxwtcg
zuccowebdesign
secure
sbwinery
hellojoko
eportaly
chinabov
taixsw
