Medical Billing and Coding Essay

1106 WordsNov 6, 20135 Pages
Medical Billing and Coding Each time a patient receives medical care, the physician or other health professional must document the services that are provided. Since each of these encounters is unique, the medical coder assigns alpha-numeric codes that are specific to the patient’s symptoms and diagnosis and identify each procedure and other service performed. This series of codes provides the insurance carrier with a detailed account of the encounter and ensures that providers are correctly compensated for their services. These codes are also important for making critical clinical decisions and for statistical research and health planning analysis. There are several different career opportunities available to choose from and these include: inpatient hospital coder, outpatient coder, coding abstracting analyst, insurance claim analyst, insurance fraud investigator, managed care organization coder, procedural coder, and physician’s office/clinic coder. It is the responsibility of a coder to make sure that each code is accurate and detailed. In addition to the responsibilities described above, the medical coder must maintain current knowledge of medical coding rules and regulations pertaining especially to medical coding compliance and reimbursement and must integrate changes into the medical practice. The medical coder has an ongoing responsibility to educate health professionals regarding updates in coding rules and guidelines and to teach them how to provide accurate and detailed documentation of each patient encounter. There are guidelines for coding and reporting. These can be found in the ICD-9-CM book. The Official ICD-9-CM Guidelines for Coding and Reporting were developed and approved by the four organizations making up the Cooperating Parties for the ICD-9-CM. AHIMA is one of these four parties, along with the American Hospital Association
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