Why Medical Coding Essential in Best Healthcare For Life?

In simple terms, Medical coding is the translation of medical reports into a shortcode used within the healthcare industry. This helps summarize otherwise cumbersome medical reports into efficient, data-friendly codes. This code sets help coders to document the condition of a patient and describe the medical procedure performed on that patient in response to their condition. It is an important process in medical billing and plays a vital role in the overall reimbursement cycle.

Medical billing and coding employees are essential and crucial for the success of healthcare facilities and providers. They rely on the expertise of medical coding and billing individuals to assist in the billing of services provided to their patients and the processing of claims. The diagnoses and procedure codes are taken from medical record documentation, such as transcription of physician's notes, laboratory and radiologic results, etc. Medical coding professionals help ensure the codes are applied correctly during the medical billing process, which includes abstracting the information from documentation, assigning the appropriate codes, and creating a claim to be paid by insurance carriers.

The answer is No. Medical coding and medical billing are two separate processes. The main task of a medical coder is to review clinical statements and assign standard codes. Medical billers, on the other hand, process and follow up on claims sent to health insurance companies for reimbursement of services rendered by a healthcare provider. The medical coder and medical biller may be the same person or may work with each other to ensure invoices are paid properly. To help promote a smooth coding and billing process, the coder checks the patient's medical record (ie, the transcription of the doctor's notes, ordered laboratory tests, requested imaging studies, and other sources) to verify the work that was done. Both work together to avoid insurance payment denials.