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Medical billers and coders are the healthcare professionals who process patient data such as treatment records and related insurance information. Medical insurance billers and coders code a patient's diagnosis along with a request for payments from the patient's insurance company.
Medical coding is an upcoming career in Healthcare Administration. A medical coder gets the information from patients’ medical records and converts them to a standard medical code accepted universally. These codes are used to process claims with third-party players, collect stats to track information of specific disease, treatment, etc.
Certified Professional Coder Certified Outpatient Coder Certified Inpatient Coder Certified Professional Coder-Payer Certified Professional Biller Certified Risk Adjustment Coder Certified Professional Medical Auditor Certified Professional Compliance Officer Certified Physician Practice Manager Certified Documentation Expert-Outpatient
Exam application must be submitted 3 weeks before exam date along with exam fees. CPMA, CPCO, CPPM, CRC, CIC, CPB and Specialty credentials have no requirement of holding other certifications. No mandatory experience is required in the specialty, although two years of experience is recommended in the desired field.
Since the code sets are updated every year, it is essential for coders to have the latest yearbooks. Reporting wrong codes can lead to denied claim submissions and penalization. It’s critical to know the annual code set updates and to obtain new code books every year. Note: Please make sure you are using ICD-10 CM or ICD-10 PCS when needed.