Medical Billing And Coding Field Continues to Grow
April 21, 2014
• 0 Comments
The medical billing and coding field will grow over the next 10 years due to the rapid increase in the number of urgent care centers nationwide, as well as the start of government-mandated health care. Suddenly, people who never had insurance will be entitled to medical coverage and will be looking for ongoing medical care. As a medical biller and coder, there will be numerous job opportunities if you have the particular skills needed to make sure every "i" is dotted on insurance forms. You must also make sure the proper codes are submitted to insurance companies so that providers can be paid the correct amount of money in a timely manner.
To excel in this very important component of the health care system, you must learn how to assign a specific code. This lets the insurance company identify the medical procedure or tests that were performed as well as the illness or disease. Once you are properly trained to identify common procedures, it is crucial to memorize many of these codes because you will use them repeatedly.
To succeed in this field, you also need to be organized. As part of your duties, you may have to go through patient files and discuss with a physician or medical team what the patient was treated for and any additional tests that may not have been noted. You may also need to decipher scribbled notes a doctor includes in a patient's file that may indicate a certain test was done. This includes any blood work or other samples that were sent to a laboratory for further testing that need to be included in the patient's bill. Having a system that keeps track of these types of situations can save everyone headaches and extra research.
When you are working in the medical billing and coding field, you might be employed in the billing office of a hospital. Responsibilities include making sure the hospital gets paid for every surgery, delivery and emergency room visit. You could also work for a family doctor, a group practice or even an urgent care center. There, you might have less paperwork and billing to do because you have fewer patients, but your role is equally important.
The Importance of Accurate Coding
It is extremely crucial that proper codes are assigned to the service that was provided to the patient. All the procedures that were done on a patient — whether they were in the hospital or private practice — need to be assigned a code, and it is your responsibility to make sure that the paperwork has been done correctly. You will need to make sure that each and every patient has an accurate bill submitted on their behalf to their insurance company.
Ultimately, managing the paper flow of patient billing is what keeps the organization you are working for in business. If you send out a bill with an incorrect code, the claim could be denied or the payment substantially reduced. While no one wants to think that money plays a big role in health care, medical practices are businesses, and it's your job to make sure that the business not only runs smoothly and efficiently, but is a success, too.
Photo credit: morgueFile