Medical Biller and Coders are employed by insurance companies and healthcare organizations. Every time a healthcare provider has contact with and treats a patient, a claim is filed to the patient’s insurance provider. Once these claims have been received by the insurance provider, the job of the Medical Biller and Coder is to assign each contact, or encounter, a corresponding code.

Each type of encounter has a specific code. These codes tell the insurance company what the patient’s problem was and what sort of service or treatment was performed. This is not as simple as it seems. Not only must the Medical Biller and Coder learn each of the codes, they must also learn basic medical terminology to ensure that the correct code is being matched to the correct combination of problems and treatments. They must undergo sufficient medical billing training to be able to read the health care provider’s notes and assign the correct codes.

There are number of critical skills required. Good typing skills, good reading and listening skills, good computer skills and the ability to work alone without supervision are all essential. The difference between medical coding and medical billing is where the graduate ends up being employed. While billers work for medical practices, coders work for the insurance companies. But both professions are similar and both require sufficient knowledge of medical terminology. Anyone interested in the field should look for a program that trains students in both billing and coding, for maximum employment opportunities.

One key function of the medical coder’s profession is making sure that the correct codes have been used. This enables insurance companies to accurately an official review and process the claims are received. Since a Medical Biller at a medical practice may have to deal with a number of insurance companies, each with their own procedures, the medical coder is an important checkpoint in the process. Inaccurate coding can lead to inappropriate diagnosis and ultimately rejection of the medical claim by the insurance company.

When additional tests have been ordered, a Medical Biller and Coder who works for a lab may review requests for testing to make sure that everything is in order before the tests are conducted. In this role, the Medical Biller and Coder will often work with their counterpart in the doctor’s office in the event that something does not seem right in the paperwork. This review can help eliminate payment delays to the lab, making it well worth the effort.

At insurance companies, Medical Biller and Coders ensure that the claims are covered under the policy. As a means of ensuring that the proper codes are used in context, the Medical Biller and Coder is an important position in healthcare administration. Medical Billing and Coding is a great career for someone who wants to work in the administrative side of healthcare and enjoys working in an office environment.