Medical Coding

What is Medical Billing?

Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim. The responsibility of the medical biller in a healthcare facility is to follow the claim to ensure the practice receives reimbursement for the work the providers perform. A knowledgeable biller can optimize revenue performance for the practice.

What Do Medical Billers And Coders Do?

Medical billing and coding specialists are largely responsible for making sure medical office revenue cycles run smoothly. When a service is performed, a medical coder assigns codes to the services rendered. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc.

Although a medical biller’s duties vary with the size of the work facility, the biller typically assembles all data concerning the bill. This can include charge entry, claims transmission, payment posting, insurance follow-up, and patient follow-up. Medical billers regularly communicate with physicians and other healthcare professionals to clarify diagnoses or to obtain additional information. The medical biller must understand how to read the medical record and, like the medical coder, be familiar with CPT®, HCPCS Level II and ICD-10-CM codes.

As a part of the medical billing process, medical coders in the health information management (HIM) department assign codes to patients’ conditions and procedures. These codes are reported on claims to represent the services the facility provided for the patient and the medical necessity of those services. Clearly connecting what was done in the procedure code – with why it was done. The diagnosis code is essential for maximum appropriate reimbursement. For this reason, patient account specialists need to understand the basics of the medical coding process. This can be only achieved with the help of an expert trainer as what ELATE offers through our Medical Coding and Billing Course.

Medical Coding is essential for the accurate transmission of procedure and diagnosis data between the healthcare providers and the many insurance companies that act as third party payers for the healthcare services rendered to the patients.

Medical Coding Professionals play a key role in the Medical Billing process. Every time a patient receives a professional healthcare in a physician’s office, hospital outpatient facility or ambulatory surgery center (ASC), the provider must document the services provided. The Medical Coder will abstract the information from the documentation, assign appropriate codes and create a claim to be paid whether by a commercial payer, patient or CMS-Center for Medicare and Medicaid.

Billing is a skill that can be learned over time. Coding, however, requires candidates to earn certification in coding prior to being hired for entry-level positions. Billing is the process of completing a UB92 or the standard billing form with demographic information for the patient. Coding creates the appropriate ICD-9 and ICD-10 diagnosis codes for patients based on narratives submitted by licensed medical providers.

Medical billing can be broken down into several areas; > Physician billing > hospital billing > home health billing etc., which are totally different billing and coding processes. Once you become an expert professional in doing expert coding through the Spectrum training, a very promising and lucrative career awaits you.

How Elate Is Different From Other Training Centers

GROWING DEMAND FOR MEDICAL CODERS

ELATE Acadmey has become an indomitable force in the field of technology, especially that of Medical Analysis. With a strong team consisting of a Certified Medical Coders on Board, experienced in Medical Record analysis and dedicated computer systems engineers, ELATE has become a leading player in Medical Record Analysis over the years.

Within a short span of time, it has achieved significant milestones, which many of its counterparts can only dream of in the field. ELATE makes tremendous growth day by day in the field of Revenue Cycle Management. Dedicated management and employees, quality infrastructure facilities, friendly work atmosphere etc. are the factors that help ELATE to compete and stand first in the field without fail.

The usual method of Medical coding and billing training is using not only the books as manuals but also computer assisted Training. As you enter into the world of real time live Medical Coding after the theoretical training, you would be using the coding and billing software. You may no longer depend on the heavy books. We focus that your level of acquiring knowledge is always on the practical aspects so that we provide you exposure to electronic coding and billing apart from open book practice.

What Is The Scope And Future Of Medical Coding And Billing?

GROWING DEMAND FOR MEDICAL CODERS

According to the Labor Statistics, jobs for certified medical coders will increase 22 percent through the year 2022. Prepare yourself to meet the industry demand by becoming a certified professional coder. This is your first step to a career in Healthcare BPO Industry. Increase your chances of being hired in a competitive job market.

As the private insurance sector is on an all-time hype in countries like India too, very soon we can expect the Indian healthcare industry too running on the basis of insurance. This will again bring in a huge demand for coders and billers for local operations too. The Indian physician offices, from clinics to big multi-specialty hospitals has already implemented Medical Coding for keeping their Patient’s record safe. It is expected that very soon demand for more Medical Coders and Billers to take up this task will be there.

Currently with the immediate implementation of ICD-10 and EHR (Electronic Health Record), USA Healthcare industry is aggressively looking for a large number of trained, efficient, knowledgeable and certified coders and billers, this demand makes ‘Medical Coding’ a promising career choice for all the young generations.

CAREER OPPORTUNITIES
Experienced medical coding specialists often supervise coding teams or serve as Directors of coding at hospitals, health systems, or insurance companies.

The career hierarchy of Medical coders goes as below:

How Medical Coders And Billers Are Paid?

Healthcare industry is a fast growing industry; so as the career opportunities in the industry. The demand for Medical Coders and Billers is increasing all over the world day by day.

A certified fresh Medical Coder / Biller can expect a reasonable good starting salary as per the knowledge and skill and a hike of minimum 20%-25% every year. As far as the experience and expertise go up, there are many incentives also in picture. The payment can vary on the basis of the specialty / practices, and the nature of the clients. However, if you work abroad as a medical coder, there are dream packages offered for expert medical coders. Apart from India, there are a large number of opportunities for medical coders and billers in US as well as the Middle East Region. As the medical insurance industry is growing multi-fold every year, soon the scope of medical coding and billing is going to be truly global. All these will make Medical Coding & Billing the most promising career in the near future.

Training Enquiry

 Medical Coding is basically assigning standardized numeric and alphanumeric codes to represent the diagnosis, procedures and supplies documented by the healthcare providers in the patient’s medical record. This task is usually done by certified coding specialists and anyone can become a certified coder by undergoing and intensive training as Spectrum offers. Medical coder is a highly paid job now as far as US healthcare industry is concerned, and this practice is now spreading across the world in a fast pace, creating millions of new job opportunities.