What is the difference between medical billing and coding and medical claims and billing specialist?

Answer 1

All the terms are related to medical billing and coding. Medical billing and coding is the process by which payment for medical services is arranged with either an insurance company or a managed care agency. Billing is the first step in this process. It can be performed by a separate individual, known as a medical billing and claims specialist or also handled by someone who is trained to perform both billing and coding work.

Answer 2

MEDICAL BILLING

Medical billing is the means of processing insurance claims and creating invoices for patients. This process involves updating financial records, calculating bills and charges for patients, providing customer assistance and completing financial transactions to settle outstanding balances.

Medical billers are the healthcare finance professionals who oversee the payments and balances for insurance claims rendered by a healthcare provider. They are also the liaison between the insurance company representatives and the provider, often confirming patients’ insurance coverage, coordinating payments and following up on outstanding balances.

MEDICAL CODING

Medical coding is the process of detailing a patient’s visit and the services, tests and treatments they received. This information goes into a patient’s medical record, detailing what each charge is for and why they’re assigned a specific treatment or procedure using the provider’s notes on the visit. Medical coding also extracts billing information from clinical records to create insurance claims and bills for patients.

A medical coder, also known as a coding specialist, analyzes clinical documentation to select accurate billing codes assigned to specific diagnoses or procedures that a patient receives.

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