Billing and medical coding program covers coding and billing skills in order to give students more opportunities upon graduation. The medical billing and coding program prepares students to organize and analyze information from patient records and combine that information with knowledge of insurance reimbursements and coding guidelines to optimize physician payments.
What do medical billers and coders do?
The medical coder must really be very specific in telling the whole story of the patient’s encounter with the doctor or the medical center to ensure that the correct reimbursement for the services rendered is requested.
Medical coders usually do the following:
- Transfers medical diagnosis, procedures, and health services into reimbursement codes
- Review, interpret and process important medical documents
- Ensures the codes are assigned correctly using CPT®, ICD-10-cm, and level II of HCPCS
- Ensure precisely assigned codes for billing and reimbursement purposes
- Work as a liaison between the health provider and the billing offices
- Check the care provided for the purposes of coding
- Appeals of denied claims.
On the other hand, medical billers process and supplement claims or bills sent to health insurance companies for reimbursement of medical services provided by the health care provider.
Medical billers typically do the following:
- Process and follow-up with insurance claims
- Review and interpret medical billing documents
- Send invoices to insurance companies and other payers
- Communicates with insurance and health professionals
- Payment processes
- Collection procedures