Certified coder for coding
The challenge is that there are thousands of conditions, diseases, injuries, and causes of death, and there are also thousands of services performed by providers and an equal number of injectable drugs and supplies to be tracked. These are categorized using medical coding to make reporting and monitoring simpler. In the field of healthcare, every disease, process, and tool has its own set of names, acronyms, descriptors, and eponyms. All of these components are presented in an alpha-numeric style through medical coding, which standardizes their language and makes it easier to manage, understand, and alter.
The main task of a Medical Coder is to review the patient’s medical record (i.e., the transcription of the doctor’s notes, ordered laboratory tests, requested imaging studies, and other sources) to verify the work that was done by applying standard coding guidelines and assign codes using CPT, ICD-10-CM, HCPCS Level II classification systems and modifiers. It’s very important to assign the correct set of codes and modifier combinations to patient’s medical records before a claim is sent over to the insurance for processing since these records are used not just to establish medical necessity to the insurance for services but also to ensure correct reimbursement for a medical practitioner’s time and efforts involved in delivering a level of care and services to the patient on the day of the visit. Complying with the best standard practices would mean improved regulatory compliance with fewer or no denial for the practice, resulting in faster payments with reduced costs and increased revenue.