Monthly Archives: May 2016

What is a Medical Coding and Billing Career Like After Schooling is Complete?

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Finishing the requirements for a certificate or associate degree in medical coding and billing is only the beginning. Now’s the time to begin applying for positions and testing your skills. Your job search likely won’t be long because the demand for medical coders and billers is high. The Bureau of Labor Statistics reports that employment in the health informatics field will grow faster-than-average by 15 percent through 2024. Healthcare providers can’t be reimbursed and remain profitable without medical coding and billing specialists. Here’s what this in-demand job will entail after graduation.

Daily Responsibilities

Medical coders and billers oversee crucial steps in the reimbursement process to keep the revenue cycle flowing. Medical coding specialists will carefully review patient files in the electronic health record system. By following the doctor’s notes, they’re able to assign numerical codes to the diagnosis and treatment provided. Coders flip through resource books to determine the right CPT or ICD-10 codes for each patient service. Every cost, including lab tests, consults, medications, and treatments, gets coded. Medical coding specialists often talk with physicians or nurses to clarify any unclear patient information.

For medical billing jobs, the daily duties will differ. Medical billers collect the records that have been coded to turn treatments into invoices. They assign financial values to patient services and submit insurance claims to the proper carrier. Billing specialists interact with the insurance company’s representatives to get claims processed. If coverage isn’t available, medical billers will send out bills to patients and follow up until they’re paid. When claims are denied, they also spearhead the appeals process on behalf of patients. Some medical billing specialists assume basic accounting roles by drafting accounts receivable reports.

Typical Work Environment

Medical coders and billers work behind the scenes in office cubicles for healthcare organizations. Most of their day is spent sitting at a desk, typing on the computer, and speaking on the phone. The desks of medical coding and billing specialists are often stacked with reference materials, claims forms, and patient files. They work independently because paying attention to detail is essential for accuracy. Direct patient contact isn’t common unless they must answer invoice questions from an uninsured individual. Medical coding and billing jobs are usually full-time with normal 40-hour weeks from nine to five, but part-time scheduling is offered too.

Virtually all healthcare organizations depend on a medical coding and billing team. The majority, around 38 percent, are employed in state and private hospital systems. Medical coders and billers also work in physician offices, outpatient centers, clinics, specialty hospitals, rehabilitation facilities, and managed care organizations. Others work on the opposite side of the claims process for health insurance companies. Experienced coders could work for government agencies like the Department of Health and Human Services (HHS). Although it’s important to beware scams, some medical billing and coding jobs are remote for working from home.

Career Advancement

Since medical codes and insurance laws continually change, schooling never really stops in this profession. Becoming certified is the best way to advance your career. The American Academy of Professional Coders offers the industry’s certifications. The Certified Professional Coder (CPC) credential is available to those with two years of coding experience and 36 continuing education units. There’s also the Certified Professional Biller (CPB) and Certified Risk Adjustment Coder (CRC) designations. Experience can lead to advancement in other avenues too. Coders can eventually become medical records technicians, coding managers, clinical data analysts, and health information directors.

Building a career in medical coding and billing provides many benefits without a long trek into higher education. Graduates of online or on-campus training programs will utilize state-of-the-art software technology to coordinate patient payments. The career path offers an average yearly salary of $40,430, or $19.44 per hour, with room for advancement. Medical coding and billing jobs place workers at the helm of keeping healthcare systems profitable and cost-effective.