Because of the growing number of patient visits and claims, careers in the medical coding and billing are expected to grow rapidly.

You must have these qualifications:

• 1. Pay attention to minute details
• 2. Interpret, analyze, and negotiate insurance contracts.
• 3. Basic computer skills
• 4. Passion to learn
• 5. Basic mathematics to calculate payments, charges, etc.
• 6. Love for medical terms
• 7. Ability to work for 4-8 hours per day in front of computers.
• 8. Maintain the privacy and security of Protected Health Information
• 9. Good organizational skills
• 10. Excellent professional skills, as you will be interacting with patients, physicians, and payers to clarify their queries

You have chosen the Healthcare Industry Efficient and effective education and knowledge of HIPAA is a must to be a successful coder/biller.

Healthcare is one of the fastest growing professions in the country

Is it necessary to get certified?

Certification is not required for the job. However, certification may help you get better pay. On average, certified professionals earn $49,000. Uncertified professionals earn around $37,000.

There are so many codes. Do I need to memorize them all?

No need to memorize codes. In fact, relying on memory for the codes leads to errors. 100% accuracy is must for coding and billing. Always refer to coding manuals and guidelines.

Job Profile of Medical Coder.

• 1. Review medical records and Superbill
• 2. Assign the medical codes following American Medical Association and payer guidelines
• 3. Check for the medical necessity.
• 4. Ensure that codes reflect documentation.
• 5. Discuss coding with Physicians/ assistant/ nurses.
• 6. Provide feedback to the office manager/physician.
• 7. Update knowledge of payer guidelines
• 8. Ensure HIPAA compliance.
• 9. Job Profile of Medical Biller.
• 10. Insurance verification to ensure that patients are eligible to receive services
• 11. Get authorization from payers for diagnostic and surgical procedures.
• 12. Process claims
• 13. Payment posting, generate patient statements and mailing.
• 14. Follow up/Collect balance amounts/unpaid/underpaid amounts
• 15. Denial management etc.
• 16. Day-to-day duties may differ from facility to facility depending up on the operational strategy.

*** There will be some degree of stress on the job as the process needs accuracy and quality work.

Like any other job professional who works in front of a computer monitor, care must be taken to avoid discomfort.

Coders/Billers say that the best part of the job is “To see that claims are paid what they code and bill. Managing the revenue cycle effectively.

Patients appreciate the coders/billers when their claims get paid and they are thankful for support you provide.

Worst part of the job is

“When claim gets denied, underpaid. Hanging on the phone to get agent.

Telling the patients that they don’t have coverage for the services, or that they have high deductibles.”

Medesun offers Comprehensive Medical Coding and Billing Training for the Medical Billers of Clinics, Physician Groups and Hospitals.

Why Training is Required

• 1. Comprehensive Medical Coding and Billing increases staff efficiency
• 2. Ensure appropriate reimbursement as per coding guidelines
• 3. Effective denial management
• 4. Understand bundling and unbundling issues
• 5. Ensure HIPAA compliance
• 6. Online training, self-paced
• 7. Follow the NCCI, LCD’s for appropiate reimbursement
• Training can be customized as per your requirements
• Don’t pay thousands of $$ to the consultants. Train your staff
• Increase cash flow

Group Enrolments Eligibility: Minimum 4 students

Pricing:$1299 (flexible payment options are available) for 4 students. (Pay $199 for each additional student)

Advantages of Medesun Training

• 1. 100% process-oriented training Training program designed by industry experts under the guidance of Dr. Santosh Kumar Guptha Trainer/Author CCS-P, CCS , CPC, COC, CIC, CPC-P, CRC, CCC, CPCO, CANPC, CPB, CPMA, CEMC, CEDC, CIMC, CFPC, CUC, COBGC, CPCD, COSC, CPRC, CPEDC, CHONC, CENTC, CRHC, CGIC, CASCC, CGSC, CSFAC, CCVTC, RMC, RMA, CMBS, CMRS, CSCS, CSBB, FCR, FNR, FOR, CHA, CHL7, AHIMA Approved ICD-10 Trainer
• 2. Thousands of practice questions and answers
• 3. In-depth explanations of coding scenarios
• 4. Customizable solutions

For more information and customized solutions contact Dr Guptha drg@medesun.com

Inpatient Coding Training

• 1. Assign the concept of Principal Diagnosis as per UHDDS
• 2. Assign ICD-10-PCS Codes as per guidelines.
• 3. Assign POA, understand the CC/MCC Conditions and
• 4. impact in CMI-Case Mix Index
• 5. IP-DRG Coding, impact on hospital reimbursement
• 6. AHIMA CCS Exam Preparation

Pricing:$1499 (flexible payment options are available) for 4 students. (Pay $299 for each additional student)

SPECIALITY CODING TRAINING:

Email drg@medesun.com