A Brief Guide to Medical Coding
Changing of the
healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes are what is known as medical coding. To obtain the accurate diagnoses and procedures, there is a need to refer to the medical record documentation which includes the physicians' notes, laboratory and radiologic results. Medical documents are the main source of diagnoses and procedures used for medical coding purposes.
The main role of the medical coder is to ensure that the codes are used in the right way. A medical biller is required to get information from medical documents, assign accurate codes and make claims to be deposited with the health insurance companies.
The work of reviewing clinical statements and assigning codes belongs to the medical coder. The medical biller role is to process and follow up with the claims sent to the health insurance provider. It is possible for a medical coder to act the role of a medical biller, though the two professions differ. To ensure that the invoices sent to the health insurance Company are paid both the medical biller and the medical coder work together to that effect.
To avoid the refusal of insurance companies to pay both the medical coder and the medical biller checks the patients' medical records to confirm or proof the work that was done. For the medical coder to prepare the right codes they must be provided with the full accounts' of the patients' encounter with the physicians.
Medical coding is a profession like any other since training is required for one to become a fully fledged medical coder. The basic knowledge that coders must have the full understanding of the anatomy and medical terminology. Becoming familiar with the codebook resources is also paramount for one to become a medical coder.
Filing of appeals when the claims are denied is the work of the medical coders. The healthcare providers require being educated on the right coding system, and the medical coders will be happy to do it. The medical coders could be allowed to speak on behalf of the health providers and the patients especially on the issues of coverage.
If you want to become a medical coder, you will do well if you could get a bachelor's degree or master's degree. However your papers are not proof of your proficiency. Some of the most important areas that a medical coder should be well versed in includes anatomy, physiology, and medical terminologies. A serious medical coder
has a certificate in medical coding. You would increase your chances of being employed if you have a certificate that shows you have completed a course in medical coding.
Becoming a member of some medical professionals you would be able to get certification that might work for you while looking for a job.