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The Art of Medical Billing and Coding— A Doctor’s Key to getting paid!

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Presentation on theme: "The Art of Medical Billing and Coding— A Doctor’s Key to getting paid!"— Presentation transcript:

1 The Art of Medical Billing and Coding— A Doctor’s Key to getting paid!
By Maria Colella New Utrecht High School

2 What is Medical Billing and Coding?
Medical billing and coding is the practice of helping physicians and health care centers get reimbursed for services given to their patients. A billing service can be home-based and started gradually. It’s ideal for people who want to be self-employed and become entrepreneurs.

3 Occupational Outlook Insurance companies and the government are spending more time and money researching for ways to control claims’ fraud, abuse and “medical necessity” issues. This need has increased the demand for expert billers and coders.

4 Medical Billers and Coders Career Tracks
Billing specialist Patient Account Representative Electronic Claims Processor Billing Coordinator Coding Specialist Claims Analyst Reimbursement Specialist Medical Collector Claims Processor Claims Reviewer Private Consultant

5 Medical Billing and Coding Career Ladder

6 The Medical Biller and Coder’s Work Description
Explains insurance benefits to patients and clients Accurately completes claim forms Handles day-to-day medical billing procedures Adheres to each insurance carrier’s policies and procedures Prompts billing to insurance companies Documents all activities using correct medical terminology Schedules appointments

7 COMPENSATION Pay levels depend on experience, credential and education
Annual Salary Ranges Entry-Level: $20,000-$30,000 Certified Coders: $25,000-$60,000 Coder Consultants: $100,000 - $120,000

8 Tips on getting H I R E D!! KNOW HAVE BE Medical Terminology
Anatomy and Physiology Basic math skills Excellent verbal/written communication skills Strong sense of ethics Computer proficient Attentive to details HAVE BE

9 National Major Players

10 Love Tips Job Security Personal Satisfaction Challenge
Rewarding Experience Enjoy learning-by-doing See potential to start own business

11 Specific courses in High School
Medical Terminology Human Anatomy and Physiology Computer Application Biology Business Math Health Education

12 Training can be obtained from any of the following:
2-year college (Associate Degree) Technical school (Diploma) Certificates from correspondence courses Home-study program (Certificate) National Certification must be obtained at the end of this training

13 2-Year College A.S. in Office Administration and Technology
A.S. in Office Administration and Technology Certification in Medical Billing and Coding CTF 25 Introduction, Terminology and Coding (T) CTF 26 Procedures and Coding (CPT-4 and ICD-9-CM) (T) CTF 27 Electronic Billing and Clinical Practice (T)

14 Technical School On line training

15 CERTIFICATION The Certified Billing and Coding Specialist Certification (CBCS) is given by the The National Healthcareer Association (NHA) upon completion of training and/or degree.

16 Employers who’ll hire you!

17 Employers who would hire college graduates
Medical/Dental Private Practices

18 Employers who would hire H.S. Students
Facilities in the Community Hospitals Nursing Homes Medical Group Practices Home Health Agencies Clinics

19 Need more information…

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