Medical Billing and Coding – 4 Courses and Certified Billing and Coding Specialist (CBCS) Exam

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Medical Billing

A medical biller is responsible for submitting medical claims to insurance companies and payers such as Medicare and Medicaid. It is a position that is critical for the financial cycle of all health care providers, from single-provider practices through large medical centers. It requires attention to detail and experience with the electronic and paper systems used in medical billing to make sure a facility receives the highest reimbursement possible for a claim. Employment is expected to increase by 14% from 2016 – 2026 with a 2018 median annual wage of $40,350 (Bureau of Labor Statistics Employment Projections).

Medical Coding

Medical coding is a little bit like translation. Coders take medical reports from doctors, which may include a patient’s condition, the doctor’s diagnosis, a prescription, and whatever procedures the doctor or healthcare provider performed on the patient, and turn that into a set of codes, which make up a crucial part of the medical claim. Medical Coding Specialists are employed in hospitals, physicians’ offices, health care insurance agencies, nursing homes and health clinics. Employment is expected to increase by 14% from 2016 – 2026 with a 2018 median annual wage of $40,350 (Bureau of Labor Statistics Employment Projections).


Medical Coding versus Medical Billing

Because these positions work in tandem with one another, some small offices hire people to do both jobs. The primary difference is that medical coders translate medical services into codes while medical billers translate the claims from these codes into reimbursements from insurance and patients. Medical coders work with physicians and health care facilities while billers work with insurance companies and patients in addition to physicians and health care administrators.

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