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Medical Billing / Coding Specialist Career
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Health Care Jobs.
What a Medical Billing / Coding Specialist does:
Medical Billing involves submitting claims to
insurance companies for services carried out by
a health care professional. When a patient
undergoes a physical examination, the medical
information gathered is evaluated to determine
the level of service that will be used to treat
the patient. The Medical Billing / Coding
Specialist translates this information into a 5
digit Current Procedural Terminology (CPT) code.
This code is then sent to the insurance company
for billing.
The CPT code describes the medical,
surgical and diagnostic services required. The
insurance company examines the validity of the
claim, and accepts it or rejects it accordingly.
Billing / Coding specialists must have a good
eye for detail as errors result in claims being
rejected.
The main duties of a Billing / Coding
Specialist include:
- Obtaining medical information from a patients
physical examination
- Determining the level of service to be used to
treat the patient from the physicians files
- Translating the level of service into a 5
digit Current Procedural Terminology (CPT) code
- Recording codes for communicating to insurance
companies, patients and other healthcare
professionals
- Interpreting the code and assessing the
patients eligibility to claim
Education & Qualifications:
Becoming a Certified Medical Billing/Coding
Specialist is voluntary, but recommended as more
and more employers are looking for
certification. To become certified you must pass
an exam for the medical billing profession. The
Certified Medical Reimbursement Specialist (CMRS)
certification is one such certification awarded
by the Certifying Board of the American Medical
Billing Association (AMBA).
Certification
through AMBA proves that the graduate has
competency in claims handling, compliance,
Medical Billing and that his/her skills are up
do date. Certification courses vary buy many
consist of the same modules e.g. Medical
Terminology, Anatomy and Physiology, Computers,
Coding and Insurance.
Salary & Job Prospects:
Medical Billing Specialists can earn between
$12.20 and $16.00 per hour, depending on
qualifications, location, education and position
held. As Insurance companies are investing more
in combating fraud, medical billing has become
one of the fastest growing jobs in the health
care sector. Most major employers are now
looking for formal Medical Billing training at
an accredited training school. Medical Billing
programs range from nine months to two years.
Any course less than nine months is not
recommended as they are not accredited by the
AMBA.
Find an Allied Health School:
Use the red search box above, to find Allied
Health schools and colleges in your area that
offer Medical Billing programs.
Below is a list of some of the various types of
allied health careers / professions: |
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