Medical Coding Careers - How to Become a Medical Coder

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What is a Medical Coder? Overview of Medical Coding:

Medical coders work in the billing office, or “back office” of medical practices or hospitals. Medical coders help to complete, review, and process medical claims to help physician practices and hospitals get reimbursed from insurance companies for services and facilities provided to patients.

Each medical procedure and patient encounter has a number, or CPT code, associated with it which corresponds to another code for a diagnosis (an ICD code). This helps insurance companies account for, and track the money they reimburse to physicians and practices, to help prevent fraudulent medical claims or errors in payment.

Skills Required for Medical Coding:

Medical coders need to work well with numbers, and also should have a great attention to detail. While much of the job entails administrative tasks such as reviewing, processing, and submitting medical claims, some interpersonal skills are necessary. At times the medical coder may have to obtain additional information from a physician or other medical provider in the office. Also, the medical coder may have to contact insurance companies regarding questions about claims.

Medical coders should also be comfortable working with computers and various types of medical coding and billing software programs.

Educational Requirements and Professional Certifications for Medical Coders:

To become a medical biller or coder, you must have a high school diploma and pass an accredited program in medical coding. The American Academy of Professional Coders (AAPC) offers accredited certification courses to achieve a CPC certification (Certified Professional Coder), and other related certifications for medical coders. Courses are offered in a classroom setting, or online. Therefore, students often complete the coursework while employed elsewhere full-time. An accredited course should cost between $1,000 and $2,000.

The academy recommends completion of a medical terminology course and anatomy course prior to taking the medical coding course for certification.

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