Medical Billing and Coding Jobs

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Medical billing and coding jobs are an essential part of the healthcare industry. These positions ensure patient profiles are up-kept, and patient data is easily accessible. Not only do medical billing and coding jobs require knowledge of medical terminology, but also certification.

Medical billers and coders ensure the data they are providing to government and commercial payers is accurate and thorough. Without medical billing and coding personnel, medical professionals would not receive necessary reimbursement from third parties.

What is Medical Billing and Coding?

Medical billing and coding is the process of interpreting clinical documentation to transcribe patient data. This documentation includes patient diagnoses, medical tests and treatments, and procedures they have undergone.

Once this information is understood, medical billers and coders insert this patient data into standardized codes for government and commercial payers for billing purposes. This process is necessary for physician reimbursement.

What Do Medical Billers and Coders Do?

Medical billers and coders are healthcare professionals responsible for processing patient data. Patient data includes the initial diagnosis to procedures. This information is used in the reimbursement cycle, ensuring medical professionals and healthcare providers receive payment for their services.

Day-to-day task responsibilities for medical billers and coders include proofreading documents to ensure grammatical correctness, ensuring correct coding during the billing process, assigning medical codes to patient files, collaborating with other healthcare professionals to ensure all information is accurate and following all other billing and coding guidelines set forth by employers.

The medical billing and coding profession requires an in-depth knowledge of the reimbursement system and what information is necessary to make it run smoothly. This job position requires individuals to have an effective understanding of medical insurance, the claims process, the appeals process, and the revenue impact.

The financial health of a medical institution is directly related to the medical billing and coding position. If the individual in this position is not efficient, it can result in a loss of revenue and medical professionals not getting the pension they deserve.

Where Do People With Medical Billing and Coding Jobs Work?

Working from home has become the norm for the majority of businesses that can do so. While this is a new concept for some companies, individuals with a career in medical billing and coding have had this option for years.

Unlike other healthcare professions, working as a medical biller and coder provides flexibility to work from home due to the digital nature of the job. This makes the profession a desirable job for those looking to establish a greater work-life balance, which ultimately improves job satisfaction.

See our guide to remote medical coding jobs

When working as a medical biller or coder in person, you can expect to work alongside the healthcare professionals you are coding and billing for. This means you will be placed in a hospital, doctor’s office, outpatient center, or anywhere these services are needed.

What Degree is Required To Work In Medical Billing and Coding?

A degree is not required to obtain a medical billing and coding job position. However, it does require certification in the medical field. To enter a medical billing career, applicants must complete a Certified Professional Biller (CPB) Preparation Course. This course focuses on the billing process, helps familiarize yourself with claim forms, gives a brief introduction to the coding process, and produces a greater understanding of commercial insurance carriers.

Similarly, a medical coding career can begin after applicants complete a Certified Professional Coder (CPC) Preparation Course. Like the billing course, the coding preparation course familiarizes students with the coding process including, ICD-10-CM coding. The course also ensures a general knowledge of human anatomy and processes used to treat diseases or prepare for procedures.

There are also options to take a dual preparation course that covers both the billing and coding process. Before enrolling in a preparation course, it is vital students have a basic medical terminology understanding as these courses do not cover this information, and attendees are expected to have this knowledge.

How Much Money Do Medical Billers and Coders Get Paid?

The national average medical biller and coder makes an annual salary of $45,240 per year or $21.75 per hour. Medical billers and coders that work from home have a lower average annual salary of $43,138.

Factors that may contribute to the annual salary of a medical biller and coder are the state in which they are employed, their current level of education or certification, and the medical institution where they are currently employed.

Medical Billing and Coding Job Requirements

As previously outlined, a four-year degree is not required to become a medical billing and coding specialist. However, there are specific criteria you must meet before being considered for the job position.

The first step to pursuing a career as a medical billing and coding specialist is to familiarize yourself with medical terminology. Understanding this terminology will better prepare you to work efficiently and have the knowledge you need to pass certification.

To ensure your application is reviewed for a medical billing and coding job, seek CPB and CPC certification. While some companies offer to provide this certification to applications, you are more likely to be considered for the position if you already have this certification.

Once you complete your certification courses, improve your medical billing and coding skills by taking your knowledge to the next level. Use medical terminology in everyday situations so it becomes second nature, and work on improving your computer literacy skills. Consider learning more technical skills like inpatient coding, anatomy, and customer billing.

Update your resume to match any experience or certification in medical billing and coding to ensure your application is considered.

Even if you take the steps listed above to heart and become fluent in the profession but don’t have any experience to list on your resume, your application may be overlooked. Lack of professional experience can be a deterrent if another applicant proves they have experience in the profession. Many companies are known to hire applicants that do not have experience in the medical billing and coding field, including UnitedHealth Group, nThrive, Maximum Healthcare Group, Humana, iMedX, Medical Record Associates, Altegra Health, Change Healthcare, The Coding Network, and Altegra Health.

Medical Billing Career Path

A profession as a medical billing and coding specialist boasts a healthy annual salary and provides a flexible work environment. This position is vital to the success of medical institutions as medical billers and coders ensure government and insurance payouts. If considering a profession as a medical biller and coder, start by pursuing CPC and CPB certification.

The best way to become familiar with a medical billing and coding career, is to start as a medical records specialist. This will allow you to get a feel for the position and the healthcare industry. If you know this is the career path you want to take, you may also consider pursuing a bachelor’s degree in health information management.

A degree in health information management will better qualify you for the medical billing and coding position and allow you you rise up the ranks in the industry.

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