The Art of Medical Billing and Coding—ADoctor’s Key to getting paid! By Maria Colella New Utrecht High School
What is Medical Billing and Coding? • Medical billing and coding is the practice of helping physicians and health care centers get reimbursed for services given to their patients. • A billing service can be home-based and started gradually. It’s ideal for people who want to be self-employed and become entrepreneurs.
Occupational Outlook • Insurance companies and the government are spending more time and money researching for ways to control claims’ fraud, abuse and “medical necessity” issues. • This need has increased the demand for expert billers and coders.
Medical Billers and Coders Career Tracks • Billing specialist • Patient Account Representative • Electronic Claims Processor • Billing Coordinator • Coding Specialist • Claims Analyst • Reimbursement Specialist • Medical Collector • Claims Processor • Claims Reviewer • Private Consultant
The Medical Biller and Coder’s Work Description • Explains insurance benefits to patients and clients • Accurately completes claim forms • Handles day-to-day medical billing procedures • Adheres to each insurance carrier’s policies and procedures • Prompts billing to insurance companies • Documents all activities using correct medical terminology • Schedules appointments
COMPENSATION Pay levels depend on experience, credential and education Annual Salary Ranges • Entry-Level: $20,000-$30,000 • Certified Coders: $25,000-$60,000 • Coder Consultants: $100,000 - $120,000
Tips on getting H I R E D!! KNOW • Medical Terminology • Anatomy and Physiology • Basic math skills • Excellent verbal/written communication skills • Strong sense of ethics • Computer proficient • Attentive to details HAVE BE
Love Tips • Job Security • Personal Satisfaction • Challenge • Rewarding Experience • Enjoy learning-by-doing • See potential to start own business
Specific courses in High School • Medical Terminology • Human Anatomy and Physiology • Computer Application • Biology • Business Math • Health Education
Training Training can be obtained from any of the following: • 2-year college • (Associate Degree) • Technical school • (Diploma) • Certificates from correspondence courses • Home-study program • (Certificate) National Certification must be obtained at the end of this training
2-Year College http://www.kbcc.cuny.edu/aboutKCC/navlight.html • A.S. in Office Administration and Technology • Certification in Medical Billing and Coding CTF 25 Introduction, Terminology and Coding (T)CTF 26 Procedures and Coding (CPT-4 and ICD-9-CM) (T) CTF 27 Electronic Billing and Clinical Practice (T)
Technical School http://www.chubbinstitute.com On line training http://www.alliedschools.com/Learning/info_onedu.asp
CERTIFICATION The Certified Billing and Coding Specialist Certification (CBCS) is given by the The National Healthcareer Association (NHA) upon completion of training and/or degree.
Employers who would hire college graduates Medical/Dental Private Practices
Employers who would hire H.S. Students Facilities in the Community • Hospitals • Nursing Homes • Medical Group Practices Home Health Agencies Clinics
Need more information… • http://www.medicalbillingandcoding.net • http://www.bls.gov/oco/ocos103.htm • http://www.ahima.org/