What is Medical Coding or Insurance Coding?

If you are wondering what medical coding is, I can easily explain it to you here. Medical coding is often referred to as insurance coding (health insurance coding) and is used interchangeably.

Medical coding and medical billing are often lumped together. Many people think they are the same or combined in one field, industry, or profession. However, they are very different functions. People work as billers or programmers – and often not for the same kind of companies.

In doctor billing, the doctor billing specialist uses the doctor’s letter that has already been encoded by the doctor’s coder and uses the codes to settle accounts with the health insurance companies. Sometimes billers also do some basic medical coding, especially if they work in a doctor’s office or clinic. First and foremost, they need knowledge of the rules and regulations of the health insurance industry. The coding usually takes place in the doctor’s office or clinic. Doctors provide the codes and outsource their billing to medical billing companies.

Medical coders are like private detectives or investigators. They assign different codes to the patient’s signs and symptoms. Diagnosis or diagnoses and procedures, including all laboratory work. By assigning these codes, it helps to get payment or reimbursement from the health insurance companies for the doctors or other healthcare professionals and also from government agencies.

Simply put, the medical coder takes the doctor’s notes and converts data into codes. Billers submit the coded claims to the health insurance companies and the insurance companies pay the doctors.

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People who perform medical coding are called medical coders. Education is usually required for a job in this industry. Programmers can work from doctors’ offices, clinics, or sometimes from large or small medical billing services.

Coding salaries can be pretty good. Both education and experience affect salary levels.

To recap, medical coding converts a patient’s medical diagnosis or diagnoses and symptoms into medical codes.

Medical coders go through a specialized training program and are certified after passing the exam. You can take courses from medical coding schools or schools that specialize in healthcare education. Lessons can also be taken online. Make sure you compare schools thoroughly to find the best medical coding school before signing up for classes. There is ample financial aid and federal loans for online courses as well as on-campus programs. Be sure to check these out to save money if you’re interested in becoming a medical coder.