Is there a difference between pursuing a Billing career or Coding career? What are the differences and benefits of each. Everything I have seen so far has been both. Is it 2 separate things, and 2 separate tests?
Thanks for all of your time.
A Medical Billing Specialist(MBS) enters clinic, insurance
and patient data into a medical billing software or fills out a
claim form in order to submit medical claims to insurances.
The MBS also mails patients' statements, follows-up on claims
, submits reports to the Doctor and posts payments. His role is to make sure the claims are correctly paid and in a timely manner.
The federal government does not require a MBS to be certified
in order to practice medical billing. But , the MBS have a
basic of ICD9, CPT and HCPCS coding, (the MBS can make
sure that the proper and update codes are being used when he
submits claims) medical terminology, and he is knowledgeable
in insurance claims and billing, appeals and denials,
compliance, etc .. A MBS can obtain his knowledge through
education or training in a Local College or a reputable Home
Study Program. Many others learn hans-on within a physician's
office. It is crucial to the MBS to stay current in the medical
billing field as the healthcare regulations change. Continued
education in the medical billing field can be provided through the membership of a medical billing association, through seminars ,subscription to newsletters and medical billing magazine, publications, online networking, conferences, related courses ..American Medical Billing Association (AMBA) and Medical Association of Billers (MAB) offer voluntary certification for the MBS.
A Medical Coder transforms verbal descriptions of diseases,
injuries, and procedures into numeric or alphanumeric
designations by using ICD9, CPT and HCPCS Coding manuals
in the support of the insurance reimbursement sytem.. The
coder has a solid foundation of medical terminology, anatomy,
physiology, disease processes and coding procedures. The
certificate for a medical coder is required. Certified coders must
earn continuing education credits each year to maintain their
status. A medical coder can get certified through American
Academy of Professional Coders (AAPC) or American Health
Information Management Association (AHIMA).
They can both work in hospitals, medical offices, medical billing companies and medical insurance carriers.
The coder's pay is little bit higher than the medical billing specialist's pay.
According to my experience and where I live the coder and billing specialist jobs are hard to find.