Medical coding is a way of converting medical diagnosis, procedures and equipment into universal medical alphanumeric codes. These diagnoses and procedures usually includes the patient’s records, transcription of physician’s notes, radiologic results, etc. Certified Medical Coding Service professionals are proficient in applying universalalphanumeric codes during the medical billing process for creating a claim to be paid by insurance carriers.
Medical coder primarily review clinical statements and standard codes as per CPT®, ICD-10-CM, and HCPCS Level II classification systems. They may also provide coding and chart documentation audit service as and when required by the client. However, their task is different from medical billers. Medical billers are required to follow up with insurance companies to get reimbursement of services rendered by a healthcare provider. Sometimes medical billing and medical coding services are handled by the same person. However, if even it is handled by different individuals, they have to work together to make sure all the invoices are paid properly and they put their best foot forward to avoid insurance payment denials.
A certified medical coding service providertypically examines patient’s records such as transcription of the doctor’s notes, ordered laboratory tests, radiology and other tests to reconcile the work done. Most of the healthcare units and even individual practitioners nowadays outsource medical coding services to party service providers having specialised staff and equipment to complete the process in a quick and professional way. When you hire medical coding services, it allows you to avoid costs and other problems involved in maintaining technology for coding and billing in-house. When you hire certified medical coding service provider, you can completely focus on your improving the quality of the services without worrying about medical coding and billing procedures. Besides, you can also get additional services like coding and chart documentation audit service.
When you outsource medical coding services, they possess deep understanding of medical specialities and compliance requirements. They regularly provide professionally maintained reports about the status of the claims, invoices etc. They also assure fast deployment of medical coding services aligned to your organisational requirements.
It is usually complex and challenging tasks for hospital or healthcare units to expand or shrink medical coding and billing team as per the requirements or trends in industry. Outsourcing certified medical coding service providers allow you to focus more on improving the techniques and quality of patient care for smooth functioning of a healthcare unit.