Medical coding is essentially the process of assigning formal, standardized medical codes to patient medical records. When a patient goes into a clinic or hospital a medical record is created. This medical record will include patient identifying and demographic information. It will also include a description of the chief complaint, any procedures that were performed, medications prescribed, a diagnosis, and follow-up instructions.
The diagnostic and procedural information contained in the patient medical record must be converted into simplified numerical codes by trained medical coders. These numerical codes allow complex medical procedures and diagnoses to be recognized quickly and easily by health care computer systems where they can be electronically processed for payment by third party payers – Insurance companies and Medicare, for example.
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When beginning a career in these fields it is best to choose one area of expertise and focus on it. Once you have become an expert medical coder or an expert medical biller you will find that knowledge of the other comes more easily and that expertise in both is not always necessary.
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