The Difference Medical Billing and Medical Coding

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Since both require similar skills and ability, many people think that medical billing and medical coding are the same profession. In fact, they are totally different, though both represent the administrative and financial side of the healthcare industry.

Medical billing and medical coding actually deal with the medical records of the patients. It does not wonder if many people think that both are the same profession in the healthcare industry. Certainly, there are a bunch of things that make them different from each other. To ease you differentiate both, you can see those things on our post below!

First you can read definition about medical billing & coding specialist

Here’s a List of Differences Between Medical Billing and Medical Coding!

medical billing vs medical coding

We took a little research to differentiate medical billing and medical coding professions. Well, we obtained a number of things that differentiate them from each other. Here are they:

Scope of Work

Medical billing:

The medical billing’s work primarily involves entering data with the help of billing software. This job also involves submitting insurance claims to insurance companies and managing account payments and invoices. Aside from that, this profession will follow up with patients, insurance payment providers and healthcare professionals to ensure the claims are paid for.

A medical biller also has to investigate denied or rejected claims and make sure the physicians and patients receive reimbursements from insurers. Last, this profession has to verify the accuracy of standard healthcare codes that are used by medical coders for classifying services and products.

Medical Coding:

The person who works as a medical coder has to interpret the care that is provided for patients into codes a computer system can understand. There are at least three main types of medical codes including International Classification of Diseases, Tenth Revision (ICD-10) codes, Current Procedural Terminology (CPT).

Medical coders also have to assign the correct diagnosis and procedure codes. Those require sound knowledge of medical terminology and adherence to CPT coding standards. They also have to communicate with nurses, physicians and other professionals to classify the services that a patient has received.

This profession has to enter the data through Electronic Health Record (EHR) and Electronic Medical Record (EMR) software that is used in clinics and hospitals. It also needs to examine operative reports that are used during surgery to apply procedure codes.

A medical coder must perform medical chart audits if a claim is denied. They also need to stay updated with the latest revisions of coding standards and federal regulations. Last, the medical coders may have to examine patient charts and histories to make sure coding accurately reflects a patient’s medical care.

Personality

Jobs in medical billing and coding basically require a unique personality type. It means that you can apply for both jobs, as your personality. How is your personality? Are you introvert or extrovert? To find a proper job, we show both personality matters for you.

Medical Billing:

If you are extroverted, it is highly recommended for you to prefer a job in medical billing. In fact, medical billing specialists will need to be comfortable on the phone talking with patients and insurance companies. The person who is extroverted will perform the great way to clearly communicate with a lot of different people and smoothly resolve issues when needed.

Medical Coding:

If you are introverted, it is highly recommended for you to prefer a job in medical coding. In this case, medical coders will often perform their daily work in occasional collaboration with other healthcare staff. Well, it is basically a better option for analysis with the idea of talking to people all day.

Salary

Even though medical billing and medical coding have similar educational requirements, however, both are fundamentally separate roles that earn different average salaries across the United States.

Medical Billing:

According to the Bureau of Labor Statistics (BLS), billing and posting clerks including medical billers will earn an average salary of $39,520 per year or around $19.00 per hour. Moreover, The BLS projects a 3% increase in employment from 2020 – 2030.

Medical coding:

According to The BLS reports, medical records technicians including medical coders will earn an average salary of $44,010 per year ($21.16 per hour). Furthermore, The BLS projects a 9% increase in employment from 2020 – 2030.

Of course, the further your education, gain experience in this profession and develop your skills, the better opportunities you will also have to earn higher pay and qualify for better jobs in medical billing and medical coding.

Benefits

Medical Billing:

Thanks to electronic eligibility verification and other benefits,  the medical billing profession can actually decrease costs and increase collections. The benefits of medical billing include increased revenue generation, to faster claim processing which in turn results in healthier cash flow.

Another benefit is to have more time to focus on core competencies and increase efficiency. This profession also can reduce practice overhead costs by being able to hire fewer employees. Medical billers will have to avoid negotiations with payers and insurance companies.

Medical Coding:

Medical coding looks like translation. The medical coders will take reports from doctors that may include the condition of a patient, a prescription, the doctor’s diagnosis and whatever procedures the doctor or healthcare provider performed on the patient.

The benefits of medical coding include avoidance of costly back billing, reduce accounts receivable days, to cleaner claims and fewer denials. has ability to produce customer specific reports and also more than 98% accuracy.

Future Demand

Medical Billing:

Medical billing specialists get a bit hard to keep up and get the tools that they have to succeed in the modern healthcare place. It is reported that the medical billing profession will increase demand, especially for candidates who have a solid foundation in CPT code terminology, ICD-10 and HCPCS.

Medical Coding:

Medical coders are a specialised profession within the wider field of healthcare administration. American of Professional Coders (AAPC) reported that there are more than 110,000 certified medical coding specialists who carry credentials from this organization. It was also known that employment opportunities for medical coding are expected to grow approximately 14% in the coming few years.

Well, those are some differences between medical billing and medical coding that you should know.

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