We are often asked - what does it take to be an excellent medical biller or coder?

Medical billing and coding specialists process insurance claims to insurance companies so that physicians and practice managers can receive payment for their services. Medical Billing and coding specialists work in claims processing departments or billing departments in hospitals, clinics, doctor’s or dentist’s offices, or nursing home facilities. However, a billing and coding specialist does much more than submit bills for payment.

What Skills Do You Need To Succeed In Medical Billing And Coding?
Preparation for this career begins in high school. Courses in mathematics, biology, health, typing, and computer and office skills are recommended. In addition, a student interested in this field should have strong people skills and be able to pay attention to detail.

What Duties Are Performed?
After services are rendered at a health care professional’s office, it is the medical billing and coding specialist’s job to see that payment is collected. It is a two part process. First the specialist has to apply codes to all medical procedures and treatments. This information is then used in the billing process. The bill will be reviewed and compared against the patient’s insurance coverage. An invoice is then prepared and an invoice is submitted. But that is not all the duties of a billing and coding specialist. Bills are searched diligently for errors, and negotiations with collection agencies are performed. Patients often have inquiries about their health care plans and many hours are spent on the phone with insurance companies.

What Else Do Billing and Coding Specialists Know?
Medical billing specialists must be knowledgeable of many legal aspects of the field. There are laws pertaining to medical billing and collections. Specialists also need to know laws that pertain to the release of patient records, patient confidentiality rights, and workman’s compensation rules. Medicare regulations for reimbursement are required knowledge as well.

What Degrees Are Available?
Jobs with the highest paying salaries are awarded to employees that hold a certificate or degree. There are online degree and certificate programs available. An Associate Degree in Medical Records, Medical Coding, and Health Care Reimbursement can be earned. Certificates and diplomas are available in medical coding as well. To become certified, exams must be passed from the America Health Information and Management Association and the American Academy of Professional Coders.

What Does A Billing And Coding Specialist Earn?
Depending on where the practice is and the size of the office or hospital will determine salaries. On average, a billing and coding specialist will earn anywhere from $35,000 to $45,000. Specialists can expect to work office hours Monday through Friday. However, many work from their homes.

Many job opportunities are available for billing and coding specialists. Hospitals, clinics, and physician’s offices need specialists that are efficient and knowledgeable. As technology changes there will be a need for coders with the most current knowledge of new technology.