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?
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.
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