1. A Certified Medical Billing & Coding is an allied healthcare team member responsible for billing the patient services provide by coding them and
submitting them to the insurance companies in many different ways, they might be responsible for documentation for the patient records, some places may
require the Certified Medical Billing & Coding to have a knowledge of medical software and insurance.
Learning Objective includes:
How to find a CPT CODE
How to find a ICD 9 CM CODE
How to find a HCPCS LEVEL 2 CODE
How to find a ICD 10 CODE
How to use the Medisoft software
How to become a Certified Medical Billing & Coding?
Educational Qualification Requirements
1. High School Graduate / GED
2. Certified Medical Billing & Coding Program Graduate (with a completion certificate)
3. Experience in the field
Route 1: if you are apply for the program through High School Graduate / GED
• Apply for the program
• Get Enrolled
• Attend the program
• Graduate
• Apply for Certification
• Become a Certified Medical Billing & Coding
Route 2: if you are applying for the program through Experience
• Directly Apply for Certification
• Comply with the requirements for the certification exam
• Challenge the certification exam
• Become a Certified Medical Billing & Coding
What other certifications will I be eligible as being a Certified Medical Billing & Coding?
a. Certified Medical Billing & Coding by National Certification Career Association
b. Certified Medical Software/Insurance/Pre-authorization Specialist by National Certification Career Association
2. Salary by Experience
Data & Figures may vary
Less than 1 year $9.10 - $15.09
1-4 years $9.91 - $17.37
5-9 years $10.76 - $19.26
10-19 years $11.59 - $19.17
20 years or more$13.88 - $22.15
Reference: Payscale
Job Description
Certified Medical Billing & Coding
compile process and maintain records of hospital and clinic patients in a manner consistent with medical, administrative,ethical, legal, and regulatory
requirements of the health care system. Process, maintain, compile, and report patient information for health requirements and standards in a manner
consistent with the healthcare industry's numerical coding system.
• Protect the security of medical records to ensure that confidentiality is maintained.
• Review records for completeness, accuracy, and compliance with regulations.
• Retrieve patient medical records for physicians, technicians, or other medical personnel.
• Release information to persons or agencies according to regulations.
• Plan, develop, maintain, or operate a variety of health record indexes or storage and retrieval systems to collect, classify, store, or analyze
information.
• Enter data, such as demographic characteristics, history and extent of disease, diagnostic procedures, or treatment into computer.
• Compile and maintain patients' medical records to document condition and treatment and to provide data for research or cost control and care
improvement efforts.
• Process and prepare business or government forms.
• Process patient admission or discharge documents, using appropriate computer software (MEDISOFT).
Article is written to give a basic idea to the candidates about the career; the subject matter in the article should not be taken as the final decision maker but
rather a basic idea of the career.
3. Reference Books to use:
• 2013 ICD-9-CM for Hospitals, Volumes 1, 2 and 3 Professional Edition, 1e (Saunders Icd 9 Cm)
• 2013 ICD-9-CM for Physicians, Volumes 1 and 2 Professional Edition, 1e
• CPT 2013 Standard Edition (Current Procedural Terminology (Standard)) (Cpt / Current Procedural Terminology (Standard Edition))
• 2013 HCPCS Level II Standard Edition, 1e (Saunders Hcpcs Level II)
• Understanding Health Insurance: A Guide to Billing and Reimbursement (with Premium Website Printed Access Card and Cengage
EncoderPro.com Demo Printed Access Card)
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