...Running Head: MEDICAL BILLING AND CODING Medical Billing and Coding as a Career Abstract: Since I became a mother, I have always wanted a job that would allow me to work at home. I have an associate in accounting and tried doing bookkeeping from home but that did not really work out. I did some research and found that being an insurance medical biller and coder is one of the best jobs to have for working at home. Top Medical Billers can earn over $40,000 a year either at home or in the office. “Employment of billing and posting clerks and machine operators is expected to grow by about 4 percent from 2006 to 2016. In 2006, billing and posting clerks and machine operators held about 542,000 jobs; 566,000 jobs are projected by 2016.” (medicalcareersguide, 2007) In choosing a new career path I did a lot of research on my options. The path to success always starts with the right attitude, education, training, networking, and experience. We want to inspire you by not only speaking about the medical billing and coding career but also by giving examples of real people who succeeded. Learn all there is to know about entering into this rewarding field, finding medical billing jobs, and succeeding in your chosen career. This website also answers many questions about starting your own medical billing business, either in a small office space, or from home. I decided upon medical billing and coding because it is a rapidly growing healthcare field and it sounds exciting....
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...when I started looking into the types of careers I wanted to be in the medical field seemed like the perfect choice for me. Choosing a career in the medical field would give me the opportunity to help others. Now being of age and knowing what a real superhero is and those who make a difference in this world I feel I’ve made the right choice. The three careers in this field that I chose to explore further are medical administrative assistant, clinical medical assistant, and medical coding and billing. I’ve done some research and I would like to take this time to request for reimbursement for my continued education, since our company has this program. Medical Administrative Assistant A medical administrative assistant is a skilled profession that is best suited to those with field-related knowledge developed through formal training. They “must be excellent communicators and use impeccable spelling and grammar when completing professional documents or communicating in writing” (Medical Assistant Careers [MAC], 2016, Duties, Training, Outlook section, para. 1). In addition, medical administrative assistants must be highly proficient in the use of computers and common applications like word processing and spreadsheets. Medical assistants must be adept at multitasking. This job often requires use to remember large amounts of information and handle multiple tasks at once, all while working in a bustling environment. The most successful medical assistants are able to stay calm and clearheaded...
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...Medical Coder Melanie Hadnot Professor: Michelle Levack HIT-120-62856 November 20,2015 Medical coding specialist play an important role in the healthcare field. Using alphanumeric diagnosis codes they communicate important information about medical conditions and treatment. Coders translate medical terms into a specific format, allowing information to be send accurately between the physician and the insurance carrier. Correct coding ensures that the patient's medical conditions are recorded properly, verification of the provider’s services and appropriate reimbursement by the payers for their services. Additionally, codes are used by public health agencies to track public health threats, provider performance and to identify potential areas of financial or medical fraud within the healthcare industry. When coding is done properly, patients, providers and payers all benefit. Medical coding specialists work in a variety of settings, both clinical and non-clinical. Clinical settings may include hospitals, surgical centers, physician offices, dental offices and home health agencies. Coders who work outside the clinical setting may work for insurance companies, independent billing and coding services and public organizations. Most Coding specialist work full time in a business office environment coding clinical data from patient charts. They use a variety of resources to code correctly for services, supplies and diagnosis, including ICD and CPT codebooks. Becoming a coding...
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...Medical Billing and Coding Medical Billing and Coding is an occupation that is rapidly growing. If you choose to work from home or in an office the salary can fluctuate. If working in an office then there are benefits such as 401K and health insurance. If working from home, these options are not available with most companies. A medical biller and coder works with the patient and many insurance companies to file claims. “The biller will submit and follow up on any claims in order to receive payment for services rendered by the health care provider. This usually involves learning many codes, each one representing a symptom, medications and diagnoses, in order to process the claim properly” (“Medical Billing Career”). Because there are so many different codes that you need to learn education is necessary for success....
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...positive financial outcomes. Clinical records must be linked with billing data to ensure proper reimbursements. Rules and embedded certifiable HIPAA EDI transaction sets must drive workflow. Medical billers are incredibly important in every healthcare facility— these providers can't stay in business without good billers. Traditionally, billers have either been trained on the job or have been medical coders who do both the coding and billing. However, the shortage of coders and the growing demand for skilled medical billing specialists has employers looking for professionals who know billing basics. Training with Career Step prepares you for a medical billing-specific career in much less time than it would take if you were gaining coding skills as well. As a medical billing specialist, you will take the data provided by the medical coders and use it to compile and submit claims to insurance companies and then subsequently bill patients. Day-to-day responsibilities vary from location to location, but often include: Using coded data to produce and submit claims to insurance companies Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid Reviewing and appealing unpaid and denied claims Verifying patients’ insurance coverage Answering patients’ billing questions Handling collections on unpaid accounts Managing the facility’s Accounts Receivable reports Medical billing specialists work in almost every type of healthcare facility...
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...Edison, NJ 08817 Home: (732)245-0384 Cell: (732) 435-7973 Email: diana.p.correa92@gmail.com Career Objective: Bilingual (Spanish) professional seeking a challenging position as a Medical Insurance Billing and Coding professional within a healthcare organization offering an opportunity for personal growth, development and; most importantly, the opportunity to contribute to the success of the organization. Qualifications: * Experienced, dependable, energetic and competent support professional. * Strong ability to interact and communicate well with individuals in all circumstances. * Possess great communication skills – orally and written – in both languages. * Excellent organizational, records maintenance and follow up skills. * Able to work independently and as a team member. * Knowledge of medical terminology and possess excellent customer service skills. Skills: ICD-9 CPT Coding | CMS-1500 | Medical Law and Ethics | Electronic Claim Submission | Anatomy and Physiology | Appointment Scheduling | Medical Terminology | Internet | Modifiers | Co-Pay Collections | Account Balancing | Claim Correction {Rejections} | UB-04 {Hospital Billing} | Insurance | Patient Charts | | Microsoft Word, Excel & PowerPoint | | Professional Experience: Children Health Center May 2011 – June 2011 Medical Biller and Coder 55 West Union Avenue, Bound Brook, NJ 08805 * Extern; acquired hands...
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...Medical Billing and Coding The program that I am currently in, is medical billing and coding. Some professionals that are medical coders with a minimum of an associates degree, are a part of an organization that is called AAPC. AAPC stands for American Academy of Professional Coders. In 1988, AAPC was founded to provide education and professional certification to physician-based medical coders (AAPC, 2014). In order to be a part of this organization, a member has to follow by a specific protocol. Another organization that is most known and recognized, is The American Medical Billing Association (AMBA).There's a list of different certifications that one could gain, as a medical billing and coder. Just to name a few more, CMRS (certified medical reimbursement specialist) specializes in insurance reimbursement. CHBME (certified healthcare billing and management executive) is geared toward managers, executives, and supervisors (A-T-M-B, 2014). Professional standards in the healthcare field, means having a certification or a license. Having a certification, means you indeed, have met the specific requirements. Depending on the specific job one chooses when entering into the healthcare field, in order to practice in the state that one lives in, it is mandatory that one has a license to practice within that state. The importance of professional standards in healthcare, is for one, to distinguish yourself from others who are not certified or licensed. It shows how dedicated you are...
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...replying to your career opportunity posted on your website. I understand that your are actively seeking to hire a Medical Billing and coding specialist at one of your Genesis Medical Center locations. This position is responsible for preparing claims for submissions to insurance systems. Conducts follow-up and clean-up of insurance claims as needed, and coordinates claims as necessary with primary billing office. A very dear lifelong friend passed away nearly two years ago. He was taken to one of your locations where the doctors and nurses tried everything they could to save him; however, he passed away. Through that experience, though, I saw how your employees handle a very difficult situation, and all this really inspired me. I value your mission and visions to providing a full range of health related services including prevention, wellness, and education. The Heath Care industry has always been a dream of mine to pursue, however, I had to decide which area since there are so many different careers. After much researching I decided to pursue a Medical Billing and Coding degree, which led me to taking classes at Penn Foster University. Upon completion, I have gained the knowledge and proficiency in medical billing and collections programs. I also have the ability to multitask, a team-oriented attitude, and work well under pressure. As a Medical Billing and Coding Specialist within your company, I am confident that I could make a valuable contribution to the medical team serving your...
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...IN THE United States, primary care remains a medical model. This is in contrast to much of the world, where the 1978 Declaration of Alma-At a which recognized that attaining health for all also requires interaction from social and economic sectors - is considered standard. Today, there is much buzz about patient-centered medical homes, a concept that promises to transform the practice of American medicine. There is much to praise about this most recent iteration of the medical home. But the missing ingrethent in all these definitions and models remains public health. A population focus that addresses the social determinants of health is an essential component of primary health care. In the United States, such a comprehensive approach has been labeled community-oriented primary care. This model is built firmly on the Alma-Ata principles and incorporates a public health approach to health services. Community-oriented primary care organizes the delivery of health services, around a population, not simply a collection of individuals. It identifies a population - most frequently a geographically defined community - and uses epidemiology and interventions to improve community and individual health and well-being. In this model, both individual patients and the community are the foci of the delivery of health services. Primary health care stands at the intersection of personal and population health services. It requires integrating medical models of primary care that are centered on...
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...2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools the EHRs contain to provide patients with safe and effective health care. List four important safety checks that an EHR’s e-prescribing...
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...and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted coding. List three decision-support tools the EHRs contain to provide patients with safe and effective health care. List four important safety checks that...
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...Chapter 1 Introduction to Professional Billing and Coding Careers MULTIPLE CHOICE 1. The percentage of all healthcare providers who are physicians and nurses is: a. 25%. b. 40%. c. 50%. d. 60%. Answer: b EMPLOYMENT DEMAND 2. The percentage of all healthcare providers who are allied health professionals is: a. 25%. b. 40%. c. 50%. d. 60%. Answer: d EMPLOYMENT DEMAND 3. The increased demand for medical billers, medical office assistants, and medical coders can be attributed to: a. the growth of managed care. b. physician practices having more responsibility for filing claims. c. the need for additional staff to file claims and work to obtain timely payment. d. all of the above. Answer: d EMPLOYMENT DEMAND 4. All of the following changes were a result of managed care EXCEPT: a. physicians having to wait 30 days or longer for payment. b. physicians having more responsibility for filing claims. c. patients having to pay for services when rendered. d. physicians having to add to their staff. Answer: c EMPLOYMENT DEMAND 5. Before the 1970s, a physician’s practice would grow based on: a. advertising and referrals. b. managed care contracts. c. consultations. d. hospital affiliations. Answer: a EMPLOYMENT DEMAND 6. Before the 1970s, a solo practice included all of the following staff members EXCEPT: a. physician. b. nurse. c. certified medical biller. d. receptionist. Answer: c EMPLOYMENT DEMAND 7. Managed care is...
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...on your website. I understand that you are seeking a Medical Billing and Coding specialist at your MedTrak located in Oklahoma City. This position is responsible for preparing claims for submissions to insurance systems, accurate coding, patient statements, accounts receivable, collections, and much more. Conducts follow-up and clean-up of insurance claims as needed, and coordinates claims as necessary with primary billing office. I have been doing research on your business and have noticed that it is a family-owned and operated company that has been doing business in Oklahoma since 1996. What attracted me to your business is a friend of mine works there and absolutely loves her job and the way the employees are treated. Another thing was I really like your mission statement. The Health Care industry has always been a dream of mine to pursue, however, I had to decide which area since there are so many different careers. After much researching and talking to different people, I decided to pursue a Medical Billing & Coding degree, which led me to taking classes at Penn Foster University. Upon completion, I have gained the knowledge and proficiency in medical billing and coding programs. I also have the ability to multitask, a team-oriented attitude, and work well under pressure. As a Medical Billing and Coding Specialist within your company, I am confident that I could make a valuable contribution to the medical team serving your patients and insurance companies in a...
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...Healthcare Compliance Assignment Week 4 Write a one page document covering the Case Study found on page 43 answering the following questions. Why is it important to use current codes and coding books? How could this error have been prevented? Would this claim have been denied? What are some of the effects of a denied claim? It's very important to use current codes and coding books. In this case study of Mrs. Cleett. If the Billing specialist hadn't checked the code before submitting the claim it could have been denied or delayed. Sometimes codes are revised and deleted. A new set of codes may tell you to code a different way. Using your coding books will keep you from over and under coding. It is also important to code from current coding books because the guidelines for a...
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...Locating Resources My career path is in medical billing and coding. After obtaining my degree I plan on working in a doctor's office. I eventually want to work from home. Before, I decided to peruse medical billing and coding, I looked into local job listings in the field, both office and home. Most of the at home listings wanted three years experience. The in office positions either required one year of experience, an associates degree, or both. I wanted to look into job availability, focusing on no experience with an associates degree. I started research using Google. I typed "medical billing, job availability, no experience, associates degree" in the search engine. I got 317,000 results. I went through the first two pages and found two useful hits. I looked for websites specifically ending in anything other than .com. The first website I found useful was www.medicalbillingandcoding.org/getting-first-mabc-job/. The page that loaded was a video on how to get a job without any experience, after...
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