Skip to main content

Common Medical Coding and Billing Myths -Avontix



Two functions of a healthcare organization that prove to be very vital for its operational and financial success are - medical coding and medical billing. Although professionals in medical coding jobs and medical billing jobs don’t serve the patients directly, they do interact with patients and handle a wide range of responsibilities in the healthcare facilities. A typical day of a medical coder or biller may include interacting with patients, physicians, nurses or health insurance providers. They ensure that they record all the patient information thoroughly and at the same time secrecy of the information is maintained. People, who wish to get into these jobs, have some wrong notions about medical coding and billing.

Medical coding = medical billing: One myth about these jobs is that medical coding and billing are the same. No, both these professions are different and need different skills sets. It is true that both medical coding jobs and billing jobs require understanding the medical terminology and various diagnostic and procedure codes. However, both jobs are different. Coders’ responsibility is to code the different diagnosis and procedures accurately. The medical billers work with these codes given by the coders and prepare the bills and insurance claims to generate revenue for the facility.

It is easy: Many people often think that coding and billing are easy because it doesn’t require to deal with patients and their agony. Moreover, it is a desk job that doesn’t need any specific skill set. This is absolutely wrong. It is very challenging for a non-medical person to understand the human anatomy and physiology so as to understand various diagnoses and treatments to be able to code accurately. There are thousands of codes that have to be learnt and learning is a continuous process in this profession as medical science is very dynamic and sees a lot of changes from time to time. Medical billers too have similar challenges with the codes and they even have to master various insurance laws and regulations to raise accurate claims. Medical billing jobs also require expert knowledge of coding and billing guidelines and HIPAA regulations.

Just data entry: Another common myth regarding coding and billing is that it is just a job of data entry. Although, coding and billing require gathering information from different sources and filling that as required, it is not mere data entry. These jobs require good medical subject knowledge and investigative skills to interpret the data and determine which information is significant and which is not. Coders and billers may need to interact with physicians, healthcare technicians, support staff and patients if required and ensure that the facility receives its dues on time without any delay.

Medical coding and billing are professions for people who are open to daily challenges and like to learn on a continuing basis. If you are one, join Avontix, for a progressive career in coding and billing.

Post a Comment

Popular posts from this blog

That’s Hilarious! Funny Must-Read Medical Transcription Errors!

Doctors every now and then come across some very critical bloopers from medical transcriptionists. Some of these can be downright funny! It’s common for transcription errors to creep in for various reasons like the dictation might not be clear, too many medical terms stuffed in, or misunderstanding at the transcriptionist’s end. Medical transcriptionists vary in experience and skill and may not be well versed with some medical terms. Here is a compilation of some very funny transcription mistakes you could note to avoid being on the receiving end of the laughter! 

   ·"Eyes and nose continue to be within normal limits" (I & O).    ·"History of sick as hell disease" (sickle cell)    ·"She was a bitch and grinned" (a bit chagrined).    ·"The last day the patient took their meds was for beaver."  (forever).    ·“49 year old occasional male”(Caucasian male).    ·“Borderline respectable pancreatic cancer”. (Resectable).    ·“Patient is alert and orien…

Location isn’t a Matter for Coding and RCM -Avontix

The technological developments in the healthcare management industry have facilitated and increased the outsourcing of medical coding and RCM among many healthcare facilities. The healthcare facilities need not bother about from where the support for their RCM and medical coding jobs is coming from. What they need to think about is only if these service providers have the latest technology, training and subject expertise. These days most of the outsourcing companies are well equipped with high-speed internet connectivity, coding and RCM software with security features that make the importance of the location of the service provider negligible.
The lower reimbursement rates and diminishing margins are forcing the different healthcare facilities to think for ways to reduce costs. One of the best ways for hospitals and other facilities to minimize costs is outsourcing their medical coding jobs along with their revenue cycle management. The significant task for a hospital is to identify …

Healthcare Documentation – A Promising Career Option -Avontix

Picture courtesy: explorehealthcareers.org
With ever-changing legal and medical requirements, it is mandatory that all the procedures and processes performed by healthcare practitioners are recorded accurately not just for evidential purposes but for future references also. However, it is not possible for the physicians, nurses, and other healthcare professionals to keep documenting each and every process performed by them in a written format. Hence, physicians take advantage of the technological advancements and record the procedures performed by them in audio files using an electronic device. Although these can serve as records, it is not easy to comprehend a physician’s voice file when the information is required. So, these voice files are transcribed into electronic documents and this process of transcribing is called medical transcription or healthcare documentation.  
The voice files given by the physicians for healthcare documentation include their office visits, emergency room …