Medical Billers and Coders can specialize in coding patients’ medical information for reimbursement purposes, or in the facility’s administrative billing process.
Technicians, who specialize in coding, assign a code to each diagnosis and procedure by using classification systems software. The classification system determines the amount for which healthcare providers will be reimbursed if the patient is covered by Medicare, Medicaid, or other insurance programs using the system. There are several coding systems, such as those required for ambulatory settings, physician offices, or long-term care.
Technicians, who specialize in the billing process, typically use an automated medical billing and administrative system that interfaces with the insurance programs used by the facility. In a smaller medical facility where the medical procedures performed are limited, a Technician’s duties may include both coding and billing.