{"id":96388,"date":"2023-02-11T18:14:04","date_gmt":"2023-02-11T18:14:04","guid":{"rendered":"https:\/\/businessyield.com\/?p=96388"},"modified":"2023-02-11T18:14:06","modified_gmt":"2023-02-11T18:14:06","slug":"what-is-medical-billing-and-coding","status":"publish","type":"post","link":"https:\/\/businessyield.com\/careers\/what-is-medical-billing-and-coding\/","title":{"rendered":"WHAT IS MEDICAL BILLING AND CODING: Understanding the Meaning, Process and Course","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"\n

If you want to work in healthcare but don’t want to be involved in direct patient care, medical billing and coding is an option to consider. However, if you’ve never done this type of work before, the thought of completing billing and coding duties in the medical profession may make this job appear difficult. For this reason, we’ve developed a list of items we believe you should know about this career path, including what the medical billing and coding salary is, the available course, its examples, and the 10 steps involved in the medical billing process, among others. Let’s dive in!<\/p>\n\n\n\n

What is Medical Billing and Coding?<\/span><\/h2>\n\n\n\n

The process of recognizing diagnoses, medical tests, treatments, and procedures recorded in clinical documentation and then translating this patient data into standardized codes to bill government and commercial payers for physician payment is known as medical billing and coding.<\/p>\n\n\n\n

What are Medical Billers and Coders Responsible for?<\/h2>\n\n\n\n

Medical billers and coders are healthcare specialists who handle patient data such as treatment records and insurance information. The medical billing and coding professions are both active in the medical reimbursement cycle, collaborating to guarantee that healthcare providers are paid appropriately and efficiently for the services they deliver.<\/p>\n\n\n\n

Increasing demands on doctors and allied health clinicians, along with diminishing remuneration, necessitate investment in highly trained medical billers by medical offices. A thorough understanding of medical insurance, the claims process, the appeals process, and the impact on revenue provides the medical biller with the knowledge needed to improve revenue performance. The billing office’s effectiveness and overall performance determine a practice’s financial health.<\/p>\n\n\n\n

Examples of Medical Billing and Coding<\/h2>\n\n\n\n

To help you understand what medical billing and coding is in a more practicle way, we have come up with some solid examples. Here is a more in-depth look at the practical display of medical billing and coding examples, just to demonstrate how billers and coders go about their daily work. We will give seperate examples both for the medical coding and billing respectively. <\/p>\n\n\n\n

Medical Coding Example <\/strong><\/h3>\n\n\n\n
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In this medical coding example, the coder receives an abscess drainage patient record and must translate the information regarding indications, medicine, and procedure into medical codes based on intervention radiology CPT codes.<\/p>\n\n\n\n

In this case, the first thing to do is describe the procedure: “CT guided retroperitoneal peripancreatic fluid collection and drainage.” Then, you will need to go over the symptoms to discover that the CT images show a lump that could be an abscess. You will then discover the use of moderate sedation. Finally, you will discover that the surgeon aspirated purulent fluid, which was then submitted to the lab for analysis.<\/p>\n\n\n\n

The medical coder then converts all of the phases in this method into medical codes, utilizing your understanding of human physiology, medical terminology, and the Current Procedural Terminology (CPT) coding process, all of which you can learn through medical coding training. <\/p>\n\n\n\n

Medical Billing Example <\/strong><\/h3>\n\n\n\n
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The workflow in this front-end medical billing example begins when a patient registers and schedules an appointment at a medical office or hospital. The medical biller collaborates with patient financial services employees to ensure that all pertinent information, including insurance coverage, is provided by the patient. Collecting correct and comprehensive patient information in advance lays the basis you will need for claims to be filed properly and promptly for payment.<\/p>\n\n\n\n

Before the appointment, the biller confirms that the requested services are covered by insurance and provides the necessary pre-authorization to ensure that the provider is compensated. The biller will work out details like the maximum number of visits allowed and patient cost responsibility so that the information can be conveyed to the patient and payment can be collected at the time of the visit.<\/p>\n\n\n\n

The medical biller will confirm a patient’s financial responsibilities and assist front-of-house employees in communicating this information to the patient. After that, the biller may assist the patient in developing a payment plan and collecting any required upfront payment. <\/p>\n\n\n\n

What Is Medical Billing and Coding Salary<\/h2>\n\n\n\n

Determining what the medical billing and coding salary is, solely depends on a variety of criteria. These criteria include expertise, certification, geography, workplace type, and experience. One of the most important factors in deciding medical billing and coding compensation is location. We shall then describe the Medical Billing and Coding Salary based on a few popular states.<\/p>\n\n\n\n

The medical billing and coding salary for:<\/p>\n\n\n\n