Medical billing and coding is perhaps the MOST important business aspect of a hospital, doctor’s office, nursing home and all other medical facilities. The staff of the medical billing and coding department keeps the doors open by keeping the money coming in, as well as preventing things like bankruptcy or the closing of the facility. Although many people work as both a medical biller and a medical coder, you can choose to specialize in just one of these two jobs.  They are similar, but there are differences. A medical coder assigns special code numbers to every patient diagnosis and every procedure that is done for the patient, according to an established diagnosis-related group (a“DRG”). These codes, and the accuracy of these codes, will determine how much insurance money the hospital will get for caring for this breast cancer patient.
Working in medical billing and coding involves the handling of confidential patient files and the secure medical information that isin those files. Private doctors’ offices and clinics also offer job opportunities in medical billing and coding.
Home health care agencies, among other healthcare businesses in your community, also employ medical billers and coders. In addition to patients and their family members, medical billers and medical coders also work with doctors, healthcare and home care executives, insurance companies, the Centers of Medicare and Medicaid Services (CMS), which handles Medicare and Medicaid, and facility accounting departments. Individuals in this profession need good communication skills because they work closely with patients, family members, insurance companies and others — either in person, on the telephone or through electronic messaging.
HOW DO I GET THE TRAINING AND EDUCATION THAT I NEED TO BE A MEDICAL BILLING AND CODING SPECIALIST?
There are many medical billing schools and many medical coding schools throughout our country.
The fastest and least expensive way to get this training is to go to a diploma granting medical billing school or a medical coding school. Another option is getting an associate degree in medical billing and coding from a community college. The third option is getting a bachelor’s degree in health management and health information, and moving even further with a graduate degree. All of the above pathway options (diploma, associate’s degree and bachelor’s degree) are offered online, which affords you great flexibility in terms of choices. Sign up to receive our monthly CNA newsletter containing announcements, upcoming events and related industry news.


A Medical Billing & Coding Professional is one who likes the medical field, but prefers to work not with patients, but with patients' data. This type of individual is responsible, organized and can retain large amounts of information–definitely someone you want on your Trivial Pursuit team. Every time health care personnel treat a patient, they record what they observed and how the patient was treated. Medical Billing & Coding Specialists assemble patient info by first making sure their medical charts are complete. Those who specialize in coding assign a code, or a "diagnosis-related group" (DRG), to each diagnosis and procedure.
Most of the people who are looking for a job generally choose a job in medical industry because it is one of the best areas with huge potential to get a good job and as well better growth in the career.
Medical billing and coding staff are responsible for billing all care and services.  They code the care or service, and they handle payments, or reimbursement, from patients and all insurance companies — including private insurers like Blue Cross and Blue Shield and Aetna, as well as government insurance agencies such as Medicaid and Medicare. Each of these roles focuses on a different aspect of the financial income process, either coding or billing. For example, if a hospital patient is admitted for breast cancer and undergoes a mastectomy, the medical coder will review the patient chart and assign a DRG to the patient diagnosis. They process the bills that are sent to patients and to insurance companies for patient care and patient care services.
This aspect of the role requires medical coders and billers to be strictly professional, and to adhere to the laws of patient confidentiality.
Other health care agencies hire medical coders and medical billers who work in their own home on a contract basis, or as an employee. These programs are offered at community colleges, medical billing and coding schools, and vocational schools.
This path takes at least 2 years and is more expensive than a diploma program, but it has advantages.
Regardless of the path you select or whether or not you choose to take online classes, it is highly recommended that you select a school that is approved by American Health Information Management (AHIMA) or the American Academy of Professional Coders (AAPC). It may be slightly higher or lower from city to city in a particular state, and also from state to state.
It’s certainly considerably higher than the $11.54 average hourly pay that a certified nursing assistant gets!


The field of medical billing and coding is an important part of any medical facility, and it is a field that is well respected. This record includes symptoms and medical history, the results of examinations, x-ray reports, lab tests, diagnoses and treatment plans.
They ensure that all forms are completed, and that all necessary information is in the computer, and may communicate with physicians to get more information.
The DRG determines the amount the hospital will be reimbursed if the patient is covered by Medicare or other insurance programs using the DRG system. In large to medium facilities, they may specialize in one aspect of health information, or supervise health information clerks and transcriptionists. The main considerable point is that good medical billing and coding training help to get a good job easily.
He or she will also assign a code for every procedure and medication that the patient receives in addition to the mastectomy surgery. These occupations are, therefore, very desirable for people who want to work in the booming healthcare field, but are reluctant to care for and treat patients at the bedside. Many of these schools combine both the billing and coding training into one program, so you can perform both of these wonderful healthcare jobs when you complete your studies.
Many employers prefer an American Health Information Management (AHIMA) or American Academy of Professional Coders (AAPC) certification, and an associate degree is necessary for these certifications. For example, higher cost-of-living cities like New York City and San Francisco may have higher salaries than smaller population centers such as Des Moines or Omaha. In a short period of time, you can train to become a professional in medical billing and coding, and enjoy a stable income and a primarily regular daytime working schedule. They also use computers to tabulate and analyze data to help improve patient care, control costs, for use in legal actions, in response to surveys, or for use in research. But choosing a best training center and best type of classes is a very important step for best medical training. This includes processing and recording payments made to the hospital or other healthcare facility, and reconciling accounts.




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