Medical billing and coding is the process of applying for and receiving insurance payments. Most medical billing and coding professionals work in hospitals and doctors’ offices or for insurance companies. Students in medical billing and coding schools will learn how to decipher and utilize all the coding used by insurance providers to define medical procedures and claims. Billing and coding professionals play an integral role in health care institutions, because they determine health care costs for patients and are responsible for getting payments from insurance companies. However, they must undergo medical billing and coding training before they can take on such responsibilities. Many students seek medical billing and coding certification to improve their job prospects.
Medical coding and medical billing are actually two separate things. Oftentimes, health care centers will have one person trained in coding and one trained in billing. The two work hand-in-hand, but coders must be fully trained in the thousands of different codes used by insurance providers used to represent health procedures. The medical coder will read health charts and determine the appropriate code. Their goal is to create a medical claim to send to insurance providers or patients. Medical billers are responsible for submitting the claims to insurance providers. Medical billers work directly with insurers to monitor billing cycles and make sure the clinic is receiving the appropriate payment for services.
Medical billers and coders must be present for any health care organization to function properly and remain financially viable. This makes billers and coders very valuable in the medical field. Because knowledge of billing and coding can be used by professionals in both insurance and health care settings, there should also be many opportunities for employment.