Medical Billing and Coding Specialists are essential to the smooth functioning of healthcare facilities. They play a crucial role in ensuring accurate and timely reimbursement for medical services. Key responsibilities include:
- Medical Coding: Assigning accurate and specific codes to medical diagnoses, procedures, and treatments using established coding systems like ICD-10-CM and CPT.
- Medical Billing: Preparing and submitting accurate medical claims to insurance companies and government programs (Medicare, Medicaid).
- Insurance Follow-Up: Following up on unpaid claims, resolving denials, and appealing denials when necessary.
- Data Entry: Accurately entering patient information, medical codes, and billing data into electronic health records (EHR) and billing software.
- Maintaining Patient Records: Ensuring accurate and up-to-date patient records for billing and compliance purposes.
