What Does a Medical Coder Do?
Well first off! As a medical coder, you work in the billing department of a physician’s office, hospitals, laser treatment clinics or other medical facilities and services. Medical coders convert the information of healthcare claims into universal medical codes for insurance reimbursement procedures.
To be effective at the job of a medical coder, you need attention to detail and a solid grasp of medical terminology, filing procedure and visit authorizations, and insurance procedures. Even though employers prefer certified coders you can always start by shadowing professionals. Your employer may have you supervised when you submit your first few claims.
Different Places a Medical Coder Can Work
While it might occur to you why medical coders is a unique designation in the healthcare industry. It’s because medical coders essentially convert and document patient records and procedures for filing insurance claims. Which naturally makes medical coders work in doctors’ offices and hospitals, but those options are only two of many.
Instead of having an in house coder, some medical facilities carry out work through coding agencies. These agencies in turn employ medical coders. Government healthcare agencies also employ medical coders to handle clients claims.
Medical coders can also find work on the Insurance companies end for processing requests and verifying the accuracy of claims. Experienced medical coders can also take up teaching in post-secondary medical coding and billing programs.
Duties and Responsibilities of a medical coder
While it may sound straightforward, a medical coder has to carry out many complex responsibilities. The most basic duties of a medical coder are,
- Receive, review and convert patient charts and documents
- Use currently active codes
- Report incomplete documents or any other inconsistencies
- Keep document lists up to date
- Input accurate charge entries
- Act as mediator between insurance resolutions and coding questions
- Manage co-pays, charge posting and balances
- Adhere to coding guidelines and legal requirements to ensure compliance with government regulations
Requirements and Qualifications
Even after completing preliminary education, medical coders face a series of professional credential opportunities that can distinguish a coder from the rest. Apart from certification credentials, medical coders need a full range of professional skills to do their jobs properly.
While licensure is not typically required by most employers, specialized medical coders in oncology may have to earn a Certified Tumor Registrar (CTR) credential to work in the field.
To become a medical coder you need to meet the following requirements,
- High school degree or equivalent; Bachelor’s degree in a related field is also preferred.
- Medical Coding Certificate;
- Maintain coding certification and attend in-service training as required
- Two (2) years of medical coding experience
- Understand medical terminology with basic knowledge of anatomy and physiology
- Strong computer skills in data entry and coding. i.e. Electronic Medical Record software; Microsoft Office Suite
- Accuracy and attention to detail
- Multitasking, prioritizing, and time management
- Excellent communication skills
Consider taking a Level 3 Anatomy and Physiology course to enhance your coding accuracy and expertise.
How Do You Become a Medical Coder?
For the most part, employers have varying requirements when recruiting medical coders. Aspiring medical coders may either complete a medical coding certificate program or earn an associates degree in medical billing. These programs provide hands-on experience with medical billing specialized software and help you understand the different billing codes associated with insurance claims.
Many employers will agree to provide on-the-job training by starting medical coders as billing department assistants. As an assistant, you will learn to navigate through insurance claims procedures and the proper ways to translate and file medical services into code.
As a general guideline, you can stick to the following steps to become a medical coder.