Medical Information Coder/Biller (T.C.) (6155)
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The Career
Medical Coding professionals provide reliable and valid information for reimbursement and research. Medical Coders abstract clinical data from health records and assign codes for diagnoses, procedures, services for classification, revenue cycle management, planning, and research. The classification system determines the amount for which health care providers will be reimbursed if Medicare, Medicaid, or other insurance programs using the system that covers the patient. Medicare and other third-party payors use coded data for claims processing. Coded information is used in the assessment of clinical care, to support research activity, and the identification of health care concerns critical to the public at large. Job opportunities exist for medical coding and billing specialists within hospitals, insurance companies, physician offices, managed care organizations, and medical billing companies.