Preview

Medical Billing

Satisfactory Essays
Open Document
Open Document
894 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Medical Billing
Medical Field
Medical field is one of the biggest fields. When I mention the word medical, the first thing come up to your mind are doctors or nurses. Some people that never work in a medical office, they don't know there are much more position in medical file you could work at, like medical assistant, technician medical coder or biller. Someone like me, don't like to deal with patient. Medical biller and coder is a good opportunity for me to work at. But what are medical biller and coder?

Job Description
First of all, medical billing is a process of submitting claims to insurance companies in order for health care provider to receive payment for service. Medical biller is the person that deals with claims. There are two different kinds of biller: one position is to post payment into the data base system and also recognize rather the payment is paid correctly. They have to post very carefully, make sure it post into the right account. The other position is submitting claims to insurance companies and dealing with problem claims that denied from insurance companies. How to handle denied claim? Biller has to find out why it is denied by looking at the explanation of benefit (invoice) or by calling insurance company. They also try their best to get as much as they can from the denied claim. Medical coder is the person who uses read a medical report and gives ICD code to it. ICD-9 (International Classification of Diseases) is classifying diagnoses and procedures by a numeric system that identifies the cause of injuries or illness. Diagnoses and
Procedures codes are must include in each claim. A coder need to be focus because they need to make sure it is a correct code for the claim. In a medical insurance company, a coder job is to review a claim and make sure the code is a payable.

Average Salary By Title
Administrator $85K +
Apprentice $30K - $35K
Audit Specialist $40K - $45K
Billing Coordinator $30K - $35K
Billing Manager $35K - $40K
Billing

You May Also Find These Documents Helpful

  • Satisfactory Essays

    8. When submitting claims for radiologic services in which only the technical component was provided, the correct radiologic CPT would be followed by which modifier?…

    • 598 Words
    • 3 Pages
    Satisfactory Essays
  • Better Essays

    A patient comes into the specialist's office and weighs in. Around then, the front work table inquires as to whether they have protection and in the event that they do, make a duplicate of their protection card. The staff part asks any inquiries including installment around then to determine that they gain all the right informative content that they can. At that point the patient sees the specialist after this technique. The specialist figures out what the patient came in for and sets aside a few minutes and records the qualified data on the patients outline. The diagram then delivers to the charging and coding branch and the staff checks out what the specialist put in the diagram and allocates diverse codes relying on what they see in the graph. This is where it can get convoluted for the charging and coding branch, on the grounds that every single insurance agency has their particular charging codes, so the staff part needs to realize what protection to charge and determine that the code is correct and that the protection will blanket the system. Medicare and Medicaid likewise have their particular divide codes.…

    • 1145 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Steven Lauder, SIU Investigator for Aetna Life Insurance submitted a complaint to Missouri Department of Insurance alleging a review of billing invoices over a 12 month period, revealed codes 92225 and 92226 were submitted a total of 341 times for 57 patients and that many patients were noted to have had billing code 9226 submitted 10 to 12 times in a 12 month period.…

    • 904 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    Categorize the claims as either appropriate, subject to reimbursement to the Receiver General, or subject to interpretation and determination by the Standing Committee.…

    • 93 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    Reimbursement Methodologies, HIT 115 02386600 POA indicators defined as Present on Admission variables, which are reported on an inpatient claim, indicate the primary & secondary diagnosis, that were present at the time the inpatient admission occurs. POA indicators are required for all claims involving Medicare Inpatient admissions to general IPPS acute care hospitals, or facilities that are subject to regulations mandating the collection of POA indicator information. POA indicators are used when submitting claims to denote the patients condition upon admission. POA indicators are also used to differentiate upon admission diagnosis, versus hospital acquired diagnosis’s.…

    • 378 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Procedural email

    • 505 Words
    • 3 Pages

    f. Coder = Person who is certified to review and change procedure codes, diagnosis codes and units.…

    • 505 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    These tips include reading the entire superbill and all of the physician's notes from the patients visit, after reading the superbill and the physicians notes the coder should double check the notes. Also creating copies of the physician's notes and the superbill will allow the coder to highlight and create their own personal notes without destroying the original copies. Once the coder has coded every service, treatment and procedure provided by the physician, the coder should double check the codes to ensure everything is correct. Finally, matching the codes with the given description ensures that the coder has done their job properly.…

    • 503 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Whole Numbers Assignment

    • 570 Words
    • 3 Pages

    Thirdly you will have to also know how to multiply and divide in the field of Medical and billing coding. This is also important in this field because it you might have to multiply and divide the bills. As a medical biller you need to know how to process the billing, collecting and resolving…

    • 570 Words
    • 3 Pages
    Satisfactory Essays
  • Good Essays

    Review Procedures and Documents from Physicians: Every physician will provide a written record of the procedures performed with each patient. As a medical billing and coding specialist, you’ll be expected to translate these procedures into numerical codes read…

    • 359 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Claims with coding errors could be that you used truncated coding. This means you billed with a non-specific (enough) diagnosis code. Or that you billed a code that does not match the age or gender of the billed patient. Some common billing errors are that you used an inappropriate modifier.…

    • 298 Words
    • 2 Pages
    Good Essays
  • Good Essays

    shall be explained to the claimant in writing, if requested, and a copy of the explanation shall be retained in the…

    • 937 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Billing and Coding compliance strategies protect physicians from financial risk and potential loss of revenues. Physicians must document fully the service they provide and put in force a plan that prevent or reduce coding errors. According to, “The Journal of the National Medical Association,” there are 10 top billing concerns for physicians:…

    • 631 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Course Study

    • 482 Words
    • 2 Pages

    CLAIMS INFORMATION Submit a Primary Failed Part (PP) line claim using the following claims coding:…

    • 482 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Code of Ethics

    • 2087 Words
    • 9 Pages

    Lastly, this code is to present formal procedures to adjudicate complaints filed against team members.…

    • 2087 Words
    • 9 Pages
    Powerful Essays
  • Satisfactory Essays

    A medical billing and coding specialist’s main goal is to provide medical billing and coding services so the health provider is paid for medical services rendered. Every medical service is assigned a numeric code to define diagnostics, treatments and procedures. It is the medical biller and coder’s job to enter this information into a database using medical billing and coding protocol to produce a statement or claim. If the claim is denied by the third-party payer, the medical billing and coding specialist must investigate the claim, verify its information, and update new details into the database. Medical billing and coding specialists are also responsible for dealing with collections and insurance fraud.…

    • 612 Words
    • 3 Pages
    Satisfactory Essays